HomeMy WebLinkAbout11-18-14 � REV-1500 EX(02-11) 1505610143
' OFFICIAL USE ONLY
PA Department of Revenue pennsylvania County Code Year File Number
Bureau of Individual Taxes DEPARTMENTOFREVENUE
Po Boxzsoso� INHERITANCE TAX RETURN 21 13 O 10 5 0
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
09 07 2013 07 19 1925
DecedenYs Last Name Suffix DecedenYs First Name MI
FETTERMAN ALICE B
(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
� 1. Original Return ❑ 2. Supplemental Return � 3.Remainder Return(Date of Death
Priorto 12-13-82)
� 4. Limited Estate � 4a.Future Interest Compromise � 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
6 Decedent Died Testate � Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes
� (Attach Copy of Will) � (Attach Copy of Trust)
� 9. Litigation Proceeds Received � 10.between 12 31 91�a dit1 Da95j f Death � 11�A�ttachnSchedule O)Sec.9113(A)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
MICHAEI� C GIORDANO 717 745 44c 60 �`�� � �
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T-,,... r -- -�t��_
REGISTER OF VI�{J��S*;�ONL'1�i�. ���r,���
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.;.-ti=i,_ S;- --c..-: ,"n`,'�zt'.:;�
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First Line of Address � � , � -.�_, i r�,�:;�
� ,;
221 W MAIN STREET --, �'�_'
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Second Line of Address ,: �r:: s r� 7
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DATE�FICED -� �.�'�j�`r1
City or Post Office State 21P Code � r,r 1c._�
MECHANICSBURG PA 17055 �'
CorrespondenYse-maiiaaaress: mgiordano@giordanolaw.com
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.
SIGNATUR F PERSON RESPO 18LE F FILING RETURN DATE
��20�� ���� Carol E. Custer ///%3f��
ADDRESS
3020 Gettysburg Road, Camp Hill, PA 17011
SIGNAT PRE� RER OTHER THAN REPRESENTAT E TE
�� � , Michael C Giordano �l �� �
ADDRES
Michael C. Giordano,Attorney& Counselor at Law
221 W. Main Street, Mechanicsburg, PA 17055
Side 1
� 1505610143 1505610143 �
�
� 1505610243
REV-1500 EX
DecedenYs Social Security Number
oe�ede�c�s Name: F E T T E R M A N, A L I C E B
RECAPITULATION
1. Real Estate(Schedule A).......................................................................................... 1.
187 , 500 . 00
2. Stocks and Bonds(Schedule B)............................................................................... 2. 5 2 7 , 5 2 2 . 8 4
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C).......... 3.
4. Mortgages&Notes Receivable(Schedule D).......................................................... 4.
5• Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)................ 5. 9 0 , 8 1 5 . 0 7
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............. 6. 1 , 4 4 7 . 5 5
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) � Separate Billing Requested............. 7. 1 7 0 , 8 6 9 . 0 3
g. Total Gross Assets(total Lines 1 through 7).......................................................... 8. 9 7 8 , 15 4 . 4 9
9. Funeral Expenses and Administrative Costs(Schedule H)..................................... 9. 7 4 , 4 9 6 . 6 2
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................. 10. 2 � 9 9 9 ' 7 s
11. Total Deductions(total Lines 9 and 10)........................ ��. 7 7 4 9 6 . 4 0
.......................................... r
12• Net Value of Estate(Line 8 minus Line 11)............................................................. 12. 9 O O , 6 5 8 . � 9
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 l.ine 13)................................................. 14. 9 O O , 6 5 8 . � 9
TAX COMPUTATION-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.00 15.
16. Amount of Line 14 taxable
at Iineal rate x .045 9 0 0 , 6 5 8 . 0 9 16. 4 0 , 5 2 9 . 61
17. Amount of Line 14 taxable
at sibling rate X .�2 17.
18. Amount of Line 14 taxable
at collateral rate X .15 �$•
19. TAX DUE................................................................................................................... 19. 4 O , 5 2 9 . 6 1
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. �
Side 2
� 1505610243 1505610243 �
REV-1500 EX Page 3 File Number 21 - 13 - 01050
Decedent's Complete Address:
DE ED NT' NAM
Fetterman, Alice B
STREET ADDRESS
4 Hearthstone Ct
CITY STATE ZIP
Mechanicsburg PA 17050
Tax Payments and Credits:
1. Tax Due(Page 2,�ine 19) (1) 40,529.61
2. Credits/Payments
A• PriorPayments 40,000.00
B. Discount
Total Credits(A +B) (2) 40,000.00
3. Interest (3) 0.0 0
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 2,Line 20 to request a refund
5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 5 2 9.s�
Make Check Payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred:.................................................................................. � ❑
b. retain the right to designate who shall use the property transferred or its income:.................................... ❑x ❑
c. retain a reversionary interest;or.................................................................................................................. ❑x ❑
d. receive the promise for life of either payments,benefits or care?.............................................................. ❑x ❑
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?....................................................................................................................... ❑ x❑
3. Did decedent own an"in trust for' or payable upon death bank account or security at his or her death?......... � �x
4. Did decedent own an individual retirement account,annuity,or other non-probate property which
contains a beneficiary designation?...................................................................................................................... ❑x ❑
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 sunriving
spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)�.
For dates of death on or after January 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of
assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
•The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent,or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
•The tax rate imposed on the net value of transfers to or for the use of the decedenYs lineal beneficiaries is 4.5 percent,except as noted in
[72 P.S.§9116(a)(1)].
•The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.&9116(a)(1.3)1. A
sibling is defined under Section 9102,as an individual who has at least one parent in common with the decedent,wfiether by blood or adoption.
.,`�° � pennsylvania
DEPARTMENTOFREVENUE SCHEDULE A
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Fetterman, Alice B 21 - 13-01050
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 wilfing seller, neither being compelled to buy or sell, both having
reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survrvorship must be disclosed on
schedule F.
Attach a copy of the settlement sheet if the property has been sold.
Include a copy of the deed showing decedenYs interest if owned as tenant in common.
ITEM DESCRIPTION VALUE AT DATE OF
NUMBER DEATH
4 Hearthstone Ct., Mechanicsburg, PA 17050 187,500.00
TOTAL(Also enter on Line 1, Recapitulation) 187,500.00
REV-1503 EX+(6-98)
SCHEDULE B
COMMONWEALTHOFPENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Fetterman, Alice B 21 - 13-01050
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION UNIT VALUE VALUE AT DATE OF
NUMBER DEATH
1 Goldman Sachs Group (CUSIP 38141EY78) MEDIUM-TERM 1015 15,225.00
NOTES;6.00% due 2041;15,000 face value
2 Franklin Strategic Income (CUSIP FRSTX) Edward Jones Account# 10.34 16,854.20
27012276
1630 units at 10.34
3 Franklin Total Return (CUSIP FKBAX) Edward Jones Account# 9.77 24,630.17
27012276
2521 units at 9.77
4 Franklin US Gov't. (CUSIP FISAX) Edward Jones Account# 8.72 6,749.28
27012276
774 units at 8.72
5 Templeton Foreign FU (CUSIP TEMFX) Edward Jones Account# 7.92 2,661.12
27012276
336 units at 7.92
6 Amerigas Partners LP (CUSIP APU) Edward Jones Account# 42.30 4,230.00
27012276
100 unuts at 42.30
7 Oneok Partners LP (CUSIP OKS) Edward Jones Account# 51.02 51,020.00
27012276
1000 units at 51.02
8 Terra Nitorgen Co LP (CUSIP TNH) Edward Jones Account# 203.23 91,453.50
27012276
450 units at 203.23
TOTAL(Also enter on line 2, Recapitulation) 527,522.84
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN co nti n ued
RESIOENTDECEDENT
FILE NUMBER
ESTATE OF Fetterman, Alice B 21 - 13-01050
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION UNIT VALUE VALUE AT DATE OF
NUMBER DEATH
9 T. Rowe Price Short Term Bond (CUSIP PRWBX) Edw Jones Account# 4.77 12,625.57
27015680
2646.871 units at 4.77
10 WR Advisors Science &Technology A Waddell & Reed Account# 14.64 6,412.32
281378
438 units at$14.64
11 Franklin Equity Income (CUSIP FISEX) Edward Jones Account# 20.68 8,933.76
27012276
432 units at 20.68
12 Franklin Low Duration (CUSIP FLDAX) Edward Jones Account# 10.10 4,444.00
27012276
440 units at 10.10
13 Franklin Rising Dividend (CUSIP FRDPX) Edward Jones Account# 44.57 9,537.98
27012276
214 units at 44.57
14 Franklin Mutual Shares (CUSIP TESIX) Edward Jones Account# 26.09 6,000.70
27012276
230 units at 26.09
15 DWS Rreef RI Est Secs CI Income (CUSIP RRRRX) Edw Jones Account# 20.63 4,333.06
27015680
210.037 units at 20.63
16 Eaton Vance Income Fund Boston (CUSIP EIBIX) Edw Jones Account# 5.92 8,211.48
27015680
1387.075 units at 5.92
Page 2 of Schedule B
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN co nti n ued
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Fetterman, Alice B 21 - 13-01050
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION UNIT VALUE VALUE AT DATE OF
NUMBER DEATH
17 Franklin Total Return (CUSIP FBDAX) Edward Jones Account# 9.79 17,967.39
27015680
1835.28 units at 9.79
18 John Hancock Glbl Shhd YI (CUSIP JGYIX) Edward Jones Account# 11.10 9,590.14
27015680
863.977 units at 11.10
19 JP Morgan Core Bond (CUSIP WOBDX) Edward Jones Account# 11.48 15,274.27
27015680
1330.511 units at 11.48
20 MFS Massachusetts Inv Tru (CUSIP MITIX) Edward Jones Account# 24.62 5,221.98
27015680
212.103 units at 24.62
21 Nationwide mutual Fds New Ge (CUSIP NWHVX) Edw Jones Account# 28.01 3,599.87
27015680
128.521 units at 28.01
22 Pioneer Bond Fund (CUSIP PICYX) Edward Jones Account# 9.44 7,622.99
27015680
807.520 units at 9.44 .
23 Rainier Large Cap Equity(CUSIP RAIEX) Edward Jones Account# 30.83 6,809.79
27015680
220.882 units at 30.83
24 Baird Aggregate Fund (BAGIX) Edward Jones Account# 10.32 8,941.26
27015680
866.401 units at 10.32
Page 3 of Schedule B
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN co nti n u ed
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Fetterman, Alice B 21 - 13-01050
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION UNIT VALUE VALUE AT DATE OF
NUMBER DEATH
25 Allianzgi Nfj Dividend CI Inst(CUSIP NFJEX) Edward Jones Account# 14.66 5,252.11
27015680
358.261 units at 14.66
26 Altagas Income Ltd. Stock(ATGFF) 34.06 17,030.00
500 shares at 34.06 per share
27 BP PLC Sponsored ADR (BP) 41.82 4,307.46
103 shares at 41.82
28 Gladstone capital GR (GLAD) 8.25 8,250.00
1000 shares at 8.25
29 Reaity Income Corp. 39.41 19,705.00
500 shares at 39.41
30 Pfizer Stock with Computershare A/C#C0001255339 28.27 46,645.50
1650 shares at 28.28
31 AT&T Stock with Computershare A/C#C1003431491 33.44 2,574.88
77 shares at 33.41
32 Mutual Global Discovery(CUSIP TEDIX) Edward Jones Account# 32.55 11,164.65
27012276
343 units at 32.55
33 Tempieton Global Bond (CUSIP TPINX) Edward Jones Account# 12.82 16,627.54
27012276
1297 units at 12.82
Page 4 of Schedule B
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN co nti n ued
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Fetterman, Alice B 21 - 13-01050
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION UNIT VALUE VALUE AT DATE OF
NUMBER DEATH
34 American Century Div BD Ins (CUSIP ACBPX) Edward Jones Account# 10.55 10,212.99
27015680
968.056 units at 10.55
35 Credit Suisse Comm Ret Str(CUSIP CRSOX) Edward Jones Account# 7.49 4,250.98
27015680
567.554 units at 7.49
36 Dodge &Cox Income (CUSIP DODIX) Edward Jones Account# 13.41 7,789.79
27015680
580.894 units at 13.41
37 Scout International (CUSIP UMBWX) Edward Jones Account# 34.48 9,706.98
27015680
281.525 units at 34.48
38 T. Rowe Price Equity Income (CUSIP PRFDX) Edward Jones Account# 30.81 8,354.19
27015680
271.152 units at 30.81
39 T. Rowe Price Intl Bd (CUSIP RPIBX) Edward Jones Account# 9.33 7,300.94
27015680
782.523 units at 9.33
Page 5 of Schedule B
����sr pennsylvania SCHEDULE E
�� DEPARTMENTOFREVENUE CASH BANK DEPOSITS AND MISC.
INHERITANCE TAX RETURN �
RESIDENTDECEDENT PERSONAL PROPERTY
FILE NUMBER
ESTATE OF Fetterman, Alice B
21 - 13 -01050
Include the proceeds of litigation and the date the proceeds were received by the estate.All property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE OF
NUMBER DESCRIPTION DEATH
1 Cash 5,005.42
2 Edward Jones Account#27015680 Money Market 2,701.13
3 Metro Bank Savings Account#626674402 22,764.30
4 Metro Bank Checking Account#537133431 31,548.92
5 Fulton Bank Checking Account#3622-22923 21,604.95
6 2001 Buick LeSabre Custon Sedan 4Dr (fair condition) 4,492.00
7 100 Ounce Silver Bar at 18.80 1,880.00
8 Home furnishings (sold at auction) 818.35
TOTAL(Also enter on Line 5, Recapitulation) 90,815.07
REV-1509 EX+(01-70)
, �°� pennsylvania
' : DEPARTMENTOFREVENUE SCHEDULE F
�NHER�TAN�ETAXRET�RN JOINTLY-OWNED PROPERTY
RESIDENT DECEDENT
ESTATE OF Fetterman, Alice B FILE NUMBER
21 - 13-01050
If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G.
SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT
Carol E. Custer 3020 Gettysburg Rd Child
q Camp Hill, PA 17011
Stephen D. Fetterman 8 Irvin Drive, Lititz, PA 17543 Child
B
JOINTLY OWNED PROPERTY:
ITEM LETTER DATE Include name o�iina cial in�stitu�tlon a�d bank account numbe DATE OF DEATH %OF DATE OF DEATH
NUMBER FOR JOINT MADE or similar identi in number.Attach deed for'ointl -held real VALUE OF ASSET DECD'S VALUE OF
TENANT JOINT � 9 � y INTEREST DECEDENT'S INTEREST
estate.
1 A 12/03/2010 M&T Checking Account#32787863 2,895.10 50% 1,447.55
TOTAL(Also enter on line 6, Recapitulation) 1,447.55
REV•1510 EX+(OS-09)
�'��� , pennsylvania
= DEPARTMENT OF REVENUE SCHEDULE G
���� INTER-VIVOS TRANSFERS &
INHERITANCE TAX RETURN
RESIDENTDECEDENT MISC. NON-PROBATE PROPERTY
ESTATE OF Fetterman, Alice B FILE NUMBER
21 - 13 -01050
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes.
ITEM DESCRIPTION OF PROPERIY DATE OF DEATH ��F EXCLUSION TAXABLE VALUE
NUMBER InGude the name of the transferee,their relationship to decedent VALUE OF ASSET INTEREST (IF APPLICABLE)
and the date of transfer. Attach a copy of the deed for real estate.
Edward D. Jones&Co. IRA ss,�s�.a2 10000% 86,767.42
Account#27097719
Members First Checking Account#... 448 34,052.61 10000% 34,052.61
Fetterman Revocable Living Trust
Life Estate: Vacant Land located in Sullivan 50,049.00 10000°/o 50,049.00
Township, Tioga County; Southern Tioga School
District; Parcel#33/01.00/003.//000
TOTAL(Also enter on line 7, Recapitulation) 170,869.03
REV-1511 EX+(�0-09)
pennsylvania ���H
� '� Ft1NERAL.�CPENSES AND
�� DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN pry�A�w,�C7�/�TI�/C�+�1�+TL+
RESIDENT DECEDENT rW111bIVIJ 1 IV•111YG\+W 1�7
FILE NUMBER
ESTATE OF Fetterman, Alice B 21 - 13-01050
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER FUNERAL EXPENSES: DESCRIPTION AMOUNT
A. 1 Musselman Funeral Home and Cremation Services-- Professional Services 5,495.00
2 Musselman Funeral Home and Cremation Services--Casket 1,750.00
3 Musselman Funeral Home and Cremation Services-- Death certificates 180.00
4 Obituaries--The Patriot News ($280.62) and Lancaster News ($322.00) 602.62
5 Royers -- Funeral Flowers ($474.86); Funeral meal ($70.00); Pastor Honorariums 634.86
($90.00)
B. ADMINISTRATIVE COSTS:
�, Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zip
Year(s)Commission Paid
2. Attorney's Fees Michaei C. Giordano, Attorney& Counselor at Law 16,318.75
3. Family Exemption: (If decedent's address is not the same as claimanYs,attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Cumberland County Register of Wills 763.50
5. Accountant's Fees
6. Tax Return Preparer's Fees Phil Trostle 717-334-6728 2,500.00
7. Other Administrative Costs
$ The Patriot News Publication of Estate 127.38
See attached 46,124.51
TOTAL(Also enter on line 9, Recapitulation) 74,496.62
Schedule H
Funeral E�e�ses&
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN Administrative Cos1s continued
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Fetterman, Alice B 21 - 13 -01050
9 Cumberland Law Journal Publication of Estate 75.00
�o PPL for decedent's residence at 4 Hearthstone Ct, Mechanicsburg 1,667.07
11 School and Municipal Property Taxes on decedent's residence at 661.54
4 Hearthstone Ct, Mechanicsburg (net after closing adjustments @ sale)
12 School Property Taxes on Sullivan County Undeveloped Land 775.12
13 Penn Waste for decedenYs residence at 4 Hearthstone Ct, Mechanicsburg 162.62
14 United Water for decedenYs residence at 4 Hearthstone Ct, Mechanicsburg 290.65
15 Foremost Insurance-- Property Homeowners Insurance on Decedent's Residence 1,416.00
�6 Property Taxes and other expenses on Orlando Vacation Property 2,376.41
�� Silver Spring Sewer charges on Decedent's residence 512.86
�$ Alpha Home Inspection in contemplation of sale of Decedent's residence 400.00
19 Property maintenance on DecedenYs residence prior to sale 1,003.14
20 I Estate account bank charges 54.75
21 I
Net closing costs on sale of 4 Hearthstone Ct, Mechanicsburg 13,223.44
(not including property tax adjustments)
22 Servpro Cleaning of decedent's residence prior to sale 804.84
z3 Painting of decedent's residence prior to sale 1,200.00
24 BBEC Electrician for decedent's home prior to sale 77�97
25 William Kenny, Inc. -- First payment to replace roof on decedent's residence prior to 7,374.00
sale
26 Storage Space Rental (6 months) 450.00
Page 2 of Schedule H
Schedule H
Funeral Expei�ses&
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN Aclministr-ative Cos1s continued
RESIDENT DECEDENT
ESTATE OF Fetterman, Alice B FILE NUMBER
21 - 13 -01050
27 Sunshine Quality Cleaning for home prior to sale 2�8.82
28 U-Haul to clean out decedenYs residence prior to sale 146.67
29 Screen porch repair of decedenYs residence prior to sale 49.78
3o Tioga Cty recording fees 56.00
31 Lawn and garden on decedent's home -- maintenance and cutting 625.00
32 Safety deposit box fee-- Metro Bank 230.00
33 Penn Dot for decedenYs vehicle title 51.00
34 Home Serve Home Warranty Service on decedenYs residence 125.88
35 Garage rental 300.00
36 Commonwealth Code Inspection Service to inspect electrical panel of decedenYs 60.00
residence prior to sale
37 PH Zimmerman Plumbing for decedent's residence prior to sale 731.00
38 William Kenny, Inc. --remainder of balance for replacement of roof and other 10,843.00
miscellaneous repairs on decedenYs home in preparation for sale
39 Moving van to empty decedenYs home prior to sale 171.95
Page 3 of Schedule H
�'", pennsylvania SCHEDULE I
DEPARTMENTOFREVENUE DEBTS OF DECEDENT MORTGAGE
INHERITANCE TAX RETURN �
RESIDENTDECEDENT LIABILITIES & LIENS �
FILE NUMBER
ESTATE OF Fetterman, Alice B 21 - 13 -01050
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM DESCRIPTION AMOUNT
NUMBER
1 East Pennsboro Ambulance Services 150.00
2 Dr. Michael Lupinacci, MD 32.90
3 Holy Spirit Hospital 233.70
4 Golden Living Center 2,275.00
5 Verizon 89��$
6 PA Dept. of Revenue (2013 PA-V) paid on 06/11/2014 94.00
7 Metro Bank Safety Deposit Box Fee 115.00
8 Pinnacle Health Hospital Lab work 10.00
TOTAL(Also enter on Line 10, Recapitulation) 2,999.78
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- OMB NO. 2502-0265 T
q, � B. TYPE OF LOAN:
U.S.DEPARTMENT OF HOUSING&URBAN dEVELOPMENT 1.�FHA 2.QFmHA 3.QCONV.UNINS_ d.OVA S.QCONV.INS.
6. FILE NUMBER: 7. LOAN NUMBER:
SETTLEMENT STATEMENT URENKO-CSC-2014
8. MORTGAGE INS CASE NUMBER:
C. NOTE: This form is furnished fo g'rve you a statement of actual settlemertt costs. Amounts paio'fo and by the settiemenf agent are shown.
items marked"(POGJ"were paid oufside tha closing;they are shown he�e for informational purposes and are not included in the totals.
1.0 3+98 (URENKO�CSC-2014.PFDNRENK4CSC-2014�
D, NAMEAND ADDRESS OF BUYER: E. NAMEAND ADDRESS OF SELLER: F. NAMEAND ADDRESS OF LENDER:
Mike Urenko
1531 Rudds Store Place The Carl C.Fetterman andAiice B.
Herndon,VA 20170 Fetterman Revocable Living Trust dated
Aprii 14,2Q05
G. PROPERTY LOCATION: H. SEI-TLEMENTAGENT: I. SETTLEMENT DATE:
4 Hearthstone Gourt Charter Settlement Company
Mechanicsburg,PA 17050 September 4,2014
Cumberland County,PennsyNania PIACE OF SEfTLEMENT
15 Central Boulevard
Camp Hill,PA 17011
J.SUMMARY OF BUYER'S TRANSACTiQN K SUMMARY OF SELtER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BUYER: 4d0. GROSS AMOUNT DUE TO SELLER:
101. Contract Sales Price 187,500.00 401. Contract Sales Price 187,500.00
102. Personal P�o e 402. Personai Prope
103. Settlement Char es to Bu er line 1400 3,705.50 403.
104. 404.
105. 405.
Ad'ustments For ltems Paid B Seller in advance Ad'ustments For ltems Paid B Seiler in advance
106. SchoolTaxes 09l05/14 to 07/01/15 1,379.82 406. SchoolTaxes 09/05i14 to 07/01/15 1 379.82
147, Cou Ta�ces 09/05/14 to 01/01/15 192.31 407. Coun Taxes 09/05/14 to 01/01/15 192.31
108. C' Taxes to 408. CityTaxes to
109. Quarter Trash 09f05/14 to 10/01/14 1�.78 409. Quarterty Trash 09/05/14 to 10/01/14 i 10.78
110. 410. �
111. 411. I
112. 412. �
120. GROSS AMOUNT DUE FROM BUYER 192,788.41 420. GROSS AMOUNT DUE TO SELtER � 189,082.91
200. AMOUNTS PAiD BY QR IN BEHALF OF BUYER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. De osit or earnest mone 1,500.00 501. F�ccess De osit See Instructions
202. Princ alAmount of New loan s 502. Settlement Char es to Sener L'me 1400 13,223.44
203. Existin loan s taken sub'ect to 503. E�cistin loan s taken sub'ect to
Z� 504. Payoff of first Mortgage
205. 505. Pa off of second Mort a e
206. 506.
207 � 507. De osit disb.as roceeds
208. I 508.
209. 509.
Ad'usfinents Fo�Items Un ard 8 Seller Adbstmen!s�or lfems Un aid 8 Seller
210. School Taaces to 510. School Taxes to
211. Coun Taxes to 511. Caun 7axes tfl
212. C� Taxes to I 512. Ci Ta�ces to
213. 513.
Y14. 514.
215. 515.
216. 516.
217. 517.
21$ 518.
2�9 519.
220. TOTAL PAID BY/FOR BUYER 1,500.0� 520. i'dTAL REDUCTIONAMOUNT DUE SELLER 13,223.44
300. CASH AT SETTLEMENT FRdMiTO BUYER: 600. GASH AT SETTLEMENT TO/FRAM SELLER:
301. Grass Amount Due From Buyer Line 120 192,788.41 601. Gross Amount Oue To Seller Line 420 ` 189,082.91
302. LessAmount Paid By/For Buyer(Line 220j ( 1,500.00) 602. Less Reductians Due Seller(Line 520) ( 13,223.44
30.?. CASN(X FROM)( TO J BUYER 191,288.41 603. CASH(X TO)( FROM)SELLER 175,859.47
The undersigned hereby acknowledge receipt of a completed copy of pages 1&2 of this statement&any attachments referred to herein.
Buyer e,����� �,� Setler The Carl C.Fetterman and Alice B.Fetterman Revocable
s Urenko Living Trust dated Apri!14,2005 � .�/
R�. �`c��L�f'C`L��Z�G? �-,�Gcc��L-
` L.SETTLEMENT CHARGES
70�.TOTAL COMMISSIQN Based on Price $ 187,500.00 6.0000°k 11,250.00 ANDFROM RVOFROM
Divislon of Commission line 70Q as Follows: eur�x�s seu.Ea�s
701.5 5,625.00 to Lawyers Reatty,�L FUNDSAT FUNDSAT
702.$ 5,625;00 to TeamPete ReaityServices,Inc. sErr�ovr SErn�n�r
703.Commission Paid at Settlement 11,250.00
704. Broker Fee to TeamPete Reairy Services,Inc. 395.00
800.ITEMS pAYABLE IN CONNECTION WI7H LOAN
801.Loan Origination Fee 1.U000 % to
802.Loan Discount % to
803.App�aisai Fee to
804, Credft Report to
805. �ender's Inspection Fee to
806. Mo a e ins. .Fee to
807.Assumption Fee to
808.
809.
810.
81i.
940.ITEMS REQUIRED BY LENDER TO BE PAID iN ADVANCE
901.Interest From to Q $ lday ( days %j
90 . MIP 7otins,for LifeOfLoan for monfhs to
903.Hazard insurance Rremium for 1.0 ears to
904.
905.
9000.RESERVES DEPOSITED WITH LENDER
1001.Hazard Insurance months $ er month
1002.Mo a e insurance months $ er month
1003.Schooi Taxes months $ er month
1004. Coun Taxes months $ er month
1005. CityTaxes months @ $ per month
10 6. months $ er month
1007. months @ $ per month
1008. months $ er month
1100.TITLE CHARGES
1101. Settiement or Ciosin Fee to
1102. AbsVact or TRIe Search to
1103. Tax Certificate to Charter Settiement Com an 20.00
1104. Title insurance Binder to
1105. Deed Pre aration to
1106. Nota Fees to Ga ozziAdier,P.C. 10.00
1107. Attorneys Fees to
(includes above item numbers:
1108. Title Insurance to Ofd Re ublic National Tdle Insurance Com an 1 340.00
(includes above item num6ers.£ndorsements"100,300&8.1 )
1109.Lender's overage $
1110.Owner's Coverage S 187,500.00 1,340.00
1'111.
1�12. Glosing Protec6on Letter FirstAmerican Tide insurance Company
1113. Federal Express Charges Charter Settlement Comparry
1114. Charter Settlement Company
1'115.
1116.
1117. Disbursement Charges
1918. Charter Settlement Campany
12D0.GOVERNMENT RECORDING AND TRANSFER CHARGES
1201.Recording Fees: Deed $ 85.50;Mortgage S Releases $ 85.50
1202.C" /Coun TaxlStam s: Deed 1,875.D0•Mort a e 1,875.00
1203.StateTaxiStam s: �,875.00;Mort a e 1,875.00
1204.
1205.
1300.ADDITIdNAL SETTLEMENT CHARGES
1301. Surve to
1302. Pestins ection to
1303. Final Sewer Bll to S7ver S rin 7ownshf Authar' #879-884 78.44
1304.
1305.
140Q.TOTAL SE7TLEMENT CHARGES (Enter on�ines 103,Sectton J and 502,Section K) 3,705.50 13,223.44
�' �'J�9ri�9 P�1 cf tl6s smtemerC.the si9�fes acW�oHledge receipt d a canpelad capy ot page 2 a Uds nvo page afa�ne%
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Charter Settlemep4 Company
Setilement Agent
Certified to be a true copy.
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Edwardaones
Estates-Historicai Date of Death Valuatian Worksheet
Bonds tCDs{fixed tnaome productsa Aa:our�t Number:2�a1227s p��; Rpr 1,2013
Quantity+" g�rlty Deae�ipUan CUS(P Payment l7ate: Yatue Fer tfem'" Totel Yaiue'"" ' interest Due td I�be:
Fa�e Value Bkfi Price �id x 19 x Units of Death
� $ S
1 15,000 GOLOMRt�t SACHS GROUP 3814tEYT8 t01.50Q � 15,225.00 �
2 $ $
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11. $ $
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15. $
16. � �
Tote[BoTtds Pa�e4 $ 15,225.06 $
*Hute:Bonds crade in incraments of 1,fl00 raiher U�an fractianai amounts;Tt�ereforea$5,000 bont�e+guals a quentfty af 5 Units.
"*To caiculate the Totat Vatue for e�ch bond listed mWtipty th�`bId prNx"times"1 a`Umee the"number oi units°
Edward Janes,itsempto}�ees and itnancial aduisars do not provide tax or leg�l advi:e.This infortr�t�on is t�elieveHto I�e eeliabie,but its accuracy and
eompisteness a�e not guarantee�.Co�suR with a oompetent ta;c speciafist or attomey for professienal advice on yaur spec'rfic s tuatian. Rr+:sea a6 c�ct 2o�s
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. EdwardJO��s
` Estates-Hlstorical Date of Death Valuation Worksheet
Accourt t�fumber.27015680 Qa;e: Apr 2,2014
Use this paga to combine the toials from ihe indEaiduat works9�eets(paaes 2-8)to detarmine the tota]u�lue and dh�idsnsla�iMeres�due for stociss,CDs,ba�ds and
rnucual funds held[rt tha depeasec person's aca,urit.Ttren use those t�tals to comple#e aectlon B and C to tietertrdne the o�erall total aocaunt talue.
A.Tatal Cssh Held:
1. Cash �
2. Money hha�Cet $ 2,701.13
3. Insi.red Bank deposit $
B.Totel Valus of Asssts Neid:
4. Stocks ,�
5. Bonds!CDs �
6. Mutual Funds $ 153,065.79
?. Mis�(laneous Securities $
C.Total Dividends/Interest Due:
8. Stocks dividends $
9, Boads/CDs interest $
10.Muluat Funds di�idends $
41.Mi�el[aneaus distributions $
D.Totat Aocaunt Value: $ 155,768.92
'The sba�rE totais afsa dispfay on page 1 of this warksbeet.
Ed►varci Jonea,fts empfoyaes and finendal advisars do nat provide tax ar legai advice.This informatic�n ts belieued to be reliab(e,6ut its aoeuraay and
compieteness are not gua�anteed.Cons.alt with a oompetent t�c speaa{ist ar a8omey for professio�a�ad+rice on�rour specific situatton. R�sed ts oa za4s
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BA N � 3801 Paxton Street 888.937.0004
Harrisburg, PA 17111 mymetrobank.com
Qctober 5, 2013
RE: Date of Death Balance—Alice Fetterman
To Whom It May Concern:
This letter is to serve as verification af Date of Death Balances for accounts held at Metro Bank in the
name of Alice Fetterman. Notice was provided ta us by the executrix of Mrs. Fetterman's estate that
her date of death was September 7t''2013.
Mrs Fetterman held to accounts at Metro Bank. The account details and balances as of September 7`n
are below:
Savin�s account#626674402
Balance as of 5eptember 7`"2013: $22,764.30
Checkin�accaunt#537133431
Balance as of September 7th 2013:$31,548.92
If there are any questions or concerns please feel free to contact me directly at 717-?66-6800.
Sin,�c rely, f , fJ
1.(.r:V��t/, 11.r,�.'`�
Kristen Gasbarre, CLC
Store Operations Manager
NMLS Registration: 699985
Simpson Ferry Road Store- Metro Bank (717j 766-6$00
�Ei�,ll�1t�.,i...B��llrik
LISTENING IS JUST THE BEGINNING�
�
Octaber 4, 2013
Carol E Custer
3020 Gettysburg Rd
Camp Hill PA 17011
Dear Ms. Custer,
RE: Alice B retterman,deceased 9/7/2013
In response to yaur recent inquiry caiicei�ning the accounts maintained in the name of
the decedent, please be advised that the following account was open at the date of death:
Checking#3622-22923, apened 4/22/03,date of death balance$21604.95,
(accrued interest af 15 would not have been payable had the account been closed
on the date of death)titled in her nariae alone,with Carol E Custer and Stephen S
Fetterman as power of attorney.
If you should have any further questions,please do not hesitate to contact me at�17-327-2497.
Veiy truly yours,
(�„ �4�
1.,�
� April Billett
¢""�����'����� *`,,;,� Credit Canfirmation Processor
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1.800.FULTON.4 • fultonbank.com
�ulton Bank,N.A.Mernber FDIC. Member o(the Fulton Financial Family.
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Caina&Carrcncry�Inc. �
ATC D13 350 Centerville Road 2861 East Prospect Road DATE ���
SIOATS PA7d Lancaster,PA 17601 York,PA 174Q2 SALES INYOICE
FAX 717-299-Q289 PURCHASE QRDER
E-MAIL dsteininca aol.com (717)299-1211 (717) 757-6980 CONSIGNMENT
�s,���� �.� � ��� SPEGIAL INSTRUCTION OR
NAME TERMS
SOLD BY CASH CHECK SHIPPED VIA O CONVENTION O OTHER
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SOLD BY 45 10���� DEPOS�TS MAY NOT BE AVAILABLE FOR IMMEDIATE W�THDRAWA
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BE RETURNED TO US QN DEMAND.SUCH MERCHANDISE,UNTIL RETURNED TO US AND ACTUALLY RECEIVED ARE AT YOUR RISK FROM A4L HAZARDS.NO RIGHT OR POWER IS GI�
TO YOU TO SE�L.PLEOGE,HYPQTHECATE,OR OTHERW ISE DISPOSE OF THIS MERCHANDISE REGARDLESS OF PRIOR TRANSAGTIONS.A SALE OF THIS MERCHANDISE CAN ONIY 8E
FECTED AND TITIE WILL PASS ONIY IF,AS AND WHEN THE SAIO OWNER SHALL AGREE TO SUCH SALE ANO A BILL OF SALE IS RENDERED THEREFOR.
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ESTATE QF AUCE B FETTERMAN '
CAROL E CUSTER EXEGUTRIX _._ .._ �
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u�li>ci:or -- DOLLARS
Eignt Hundred EighCesn and 35/100 *+**'`*************+*****t+****+******#r*******o-*}**+*+
—�- � o-�
Estat6 Df A1ica Fetterman � / ��� �:.
��%`� ��j r _
g HearChstona Court �_�.� � ` y
,
Pa 17050 ./ i ` �/ 'ji�
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�137
RSR AUGTION GOMPANY 1 ESCRQ�N ACCOUNT
9/2s/2oa.�
gycate Of Alice Eettisrman
816.35
Ql _ Gpt,i,�gy AUCTION 9/13/19 (9/13/2019)
,�:��
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� M&T Banlc
3805Trindle Road,Camp Hili,PA 17011
717 737 230$ Fnx 717 737 2303
October 7, 2013
RE: Date of Death Balance—Alice Fetterman
To Whom It May Concern:
This letter is to serve as veri�cation of Date of Death Balances for accaunts held at M&T Bank in the
name of Alice Fetterman. Mrs. Fetterman heid one checking account with M&T Bank. This account was
held as a joint account with Carol E Custer who is aiso serving as the executrix of Mrs.Fetterman's
estate.
Checkin�account#32787863
8alance as of September 7xh 2013:$2,895.10
If you have any further questions regarding this information please contact me at(717)737-2308.
Regards,
� .
Matthew E Linskie
Asst. Branch Manager
Trindle Road Office
(717)737-23a8
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Musselman Funeral Home and Cremation Services
324 Hummel Avenue
�emoyne, PA 17043
Tel: 717-763-7440 Fax: 717-73Q-9798
Brian C. Musselman, Supervisor
Clifford D. Forester Sr. Funeral Directar
Saturday,September 14,2013
Mrs. Carol E.Custer
3020 Gettysburg Road
Camp Hill,PA 17011
Dear Carol,
Thank you for selecting our funeral home to provide services for your family during your time of bereavement I hope that you found
our services,so far,to be of the highest standarcis that we always hy to•achieva. The following is a summary of the service charges as
previously explained and provided in written form on the services for:
ALICE B. FETTERMAN
PROFESSIONAL SERVICES
$Included
Embalming $Included
Other Preparation of Body $Included
Traditional Funeral Package B $5495.00
Total Funeral Servicc Selected
TOTAL PROFESSIONAL SERVICES �5,495.Od
Use of Facilities&5taff for Visitation $Ineluded
Use of Facilities&Staff for Ceremony at Funeral H�me $Included
Use of Staff&Equipment for Crraveside Service $Included
Transfer of Remains to Funeral Home $Included
Hearse/Funeral Coach $Included
OTHER MERCHANDTSE SELECTED
Casket: Pearl Rose $1,750.00
Acknowledgement Cards $Included
Register Book Rose $Ineluded
Memorial Folders Rose $Includr•d
TOTAI.OT1iF.R NIERCHANDISE SELECTED $1,750.00
CASH ADVANCES
Certified Copies ofDeath Certificate $ 180.00
CASH ADVANCE TOTAL 5180.00
TOTAL OF SERVICES 57,425.00
�--�'"'..
BALANCE DUE $7,425.00
If there are any questions or concerns that remain unanswered,please call me.
Sincerely, �
....,_-.----�- �'�� � �
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09/11/1309/i 1/13�ROYER'S FLOWF,RS & CJIFTS LEIiANON PA $474.86 Merchandise
General Transaction Information
�d. ioj�/r:3
;,r ;� �Q� Original Network Post Date 09/13/2013
Original Network Trans Date 09/1112013 - � ^
Approval Code 01004R �� �,�
Merchant Name ROYER'S FLOWERS &GIFTS �
Merchant City Name LEBANON ��
Merchant Zi Code 17042 �
P
Partial Shipment Indicatar N
Merchant Category Description DIRECT NIRKTNG-ALL 4THER DiRECT MRKTRS
Broad Industry Description RETAIL-MAIL/PHONE ORDER
POS Mode Description MANI11�1LLY KEYED
Recurring Billing Indicator N
Authorized Merchant Name ROYER'S FLOWERS & GIFT
Authorized Merchant Street $10 S 12TH ST
Authorized Merchant State Code PA
Authorized Merchant Zip Code 17042
09/09/1309/09/13"T'HE�PATRI�T-NEWS MACTIVE 7l 7-255-8237 PA $ 280,62 Merchandise
General Transaction Inforrnation
��t . ��1�j�.�
��� �,� O�iginal Network Post Date 09/11/2013 ,�`�����
Original Network Trans Date 09/09/2013 ` j
A roval Code ���
pp 00913R ��
Merchant Name THE PATRIOT-NEWS MACTIVE
Merchant City Name 717-255-8237
Merchant Zip Code 17050
Partial Shiptiaent Indicator N
Merchant Category Description BOOKS, PERIODICALS,NEWSPAPERS
Broad Industry Description CQMMERCIAL PRODUCTS & SERVICES (WHSLE)
POS Mode Description MANUALLY KEYED
Recurring Billing Indicator N
Authorized Merchant Name THE PATRIOT-NEWS MACTI
Authorized Merchant Street 812 MARKET STREET
Authorized Merchant State Code PA
Authorized Merchant Zip Code 17411
09/09/1309/09/13 -'LAI�lCASTER NEWSPAPER 717-291-8657 PA $322.00 Merchandise
General Transaction Informatian
P�. t0�8�1.3
�/ � �q Original Network Post Date 09/11/2013
Original Network Trans Date 09/q9/2013 N--��
Approval Code 00962R �� �
Merchant Narne LANCASTER NEWSPAPER ��
Merchant City Name 117-291-8657 �
Merchant Zip Code 17603
Partial Shipmerit Indicator N
Merchant Category Description DIRECT MRKTNG-
CONTINUITY/SUBSCRIPTION
Broad Industry Description RETAIL-MAIL/PHONE ORDER
POS Mode Deseriptian ONLINE
Recurring Billing Indicator N
Authorized Merchant Name LANC�ISTER NEWSPAPER
Authorized Merehant Street 7 WEST KING STREET
Authorized Merchant State PA
Code
Authorized Merchant Zip Code 17603
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��� The Nealthy Grocer, Inc.
380U Trindle Road
Camp Hill, PA 17011
Phone:717-�"137-•5123 Fax:717-737-5434
www.thehealthygrocer.com
Ticket:476935Cust:�QS� Qate,10/22/13
Rep:SLN Qr:18 Loc; Time;11;12
Stock Num..W~.Qty.y-.^Price Ext. P��ice
-----.______..._�_____._----.__.______._------
GIFT CARU 1 2Q.00 20.00 �`-
THG GIFT CARD
06�B�J2-4 1 1.69 1.69
CORN INKA CHILI PICANTE 4
Sub-total 2�'6y
PA 5ALES 0 00
Total 21.69
CASH 25,00
Change 3.31
�** YQU SAVED; $0,50 ���
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STORE � 633i Ctustlity.Selection,Savin�s,Bvery Oay.�
STORE 0 6337
CARD(S) RCTJUAiEU:
CARp(S) ACTIVA7ED:
AH GFT CRD 25.00 2�.OU
Gift Card RA CRRU U 60G873T61U92b101 Rfi GFT CRD 25.00
PREUIOUS BALANCE4: � .00 Gift Card AA CARD i! 50"1Cioy6117i7$yq�
AVAIIABLE BALAN(:f � � 25.00 PREVIOUS BA�RNCES: g ��
RVAII.ABLE BALANCES: � Z�, ���
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RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH Receipt Date: 10/Ol/2013
Cumberland County - Register Of Wills Receipt Time : 11 :21 : 15
One Courthouse S uare Receipt No. : 1075741
Carlisle, PA 17�13
FETTERMAN ALICE B
Estate File No. : 2013-01050
Paid By Remarks : CAROL E CUSTER
DB1
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 610 . 00 CUMBERLAND COLTNTY GENERAL FUN
WILL 15. 00 CUMBERLAND COUNTY GENERAL FUN
RENUNCIATION 5 . 00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 75 . 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# 1003 $763 . 50
Total Received. . . . . . . . . $763 .50
The Patriat-News CQ. � % °
2020 T�chno(ogy Pkwy � � �t�0 '�' ����
Suite 30�
Mechanicsburg, PA 1705t} f�ow you know
Inc{uiries -717-255-82'13
MICHAEL C. GIODANO
ATTORNEY&COUNSELOR AT LAW
221 W. MAIN STREET#1
MECHANIGSBURG PA 17055
����E��N T AL� CHARGES ARE IVET
ACCT# NAME AD ORDER# DAT EDITION ADDTL. INFO. TYPE OF CHARGE AMdUNT
242872 MIGHAEL C.GIdDANO OOd2280564 11/12/13 METRO WEST BOID TEXT CHARGE �4.00
242872 MICHAEL C.GIOdANO 0002280564 11/12l13 METRO WEST BASIC AD CHARGE $39.46
242872 MICHAEL C.GIODANO 000228�564 11/19/13 METRO WEST BASIC AD CHARGE 539.46
2428�2 MICHAEL C.GIODANO 0002280564 11/26/13 METRO WEST BASIG AD CHARGE $39.46
AFFIDAVIT CHARGE S5.00
TOTAL: $127.38
This is not an invoice. Piease do not remit payrnent from this Statement.
An invaice will be generated at the end of the manth. --Thank yau.
NOTE:This Statement replaces the Order Confirmation which we previously sent with Proofs of Publication
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�fISSOCIP���
CUMBER�AND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA '17013
Tele: (717)249-31fi6 Fax:(717)249-2663
November 29, 2013
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Comman Pleas as the Qfficial legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Michael C. Giordana, Esquire
RE: Alice B. Fetterman 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:
Navember 15, November 22, and November 29, 2013
Advertising Cost $ 75.00
Proof of Publication $ 0.00
Second Proof Request $ 0.00
Payment received $ 75.00
Total Amount Due $ 0.00
Becky H. Morgenthal, Executive Director
, , � G� ~`� � �
� '��;. ��� '/��Q�es�ti�ns�Please� � Visit us online 8t --�''` Final Bill Fage 1
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``«*`"`b���;, 1,,� contact us by Nov 13. pplelectric.cam
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«'t 4' (1-$QO-342-5775} 47721-26328 Nov 13,2014 $8:78 '
s�.�iseuic vuiic�ea M-F:8am to 5pm
Your Electric Usac,Ze �'rofile Biltiny Summary (Biuing ae�ai�s on �ack)
Service to: Balance as af Oc#23,2�14 $Q•aQ
ALICE B FETtERMAN-ESTATE Charges:
4 HEARtHSTONE CT Total PPL Electric Utilities Charges $3.00
MECHANICSBURG,PA 17050 T.,�.�,��� r-----�� •• -pA Charges $5.78
Meter:123950341
$8.78
This section helps you understanc � ���$
electric use by month. Meter rea n ` $8•�8
otherwise noted. 4 ' � � ,^
�20�3 �2a�4 � � ✓ �compare for your rate is$0.08956 per kWh.
Jun,Sept,and Dec.Visit papowerswitch.com
izo �— � supplier offers.
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. .. . .• •.� • Payment Methods _ '
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at 1-800-b72-2413 to pay using Visa,
1 Days kWh Billed 76 MasterGard, Discover or debit card. _
, , � � By Maii: Corres�ondence should be sentto: =
' '' ' ' ' 2 North 9th Street Customer Services =
Oct 2013-Sep 2014 13997 1166 CPC-GENN1 827 Hausman Road �
Oct 2012-Sep 2013 19883 1657 Allentown,PA 18101-1175 Allentown, PA 18104-9392 ;
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"��' 1-$00-DIAL-PPL : ' • � � r. - A � r •
P •:���
(1-$00-342-5775j 47721-26328 Aug 27, 2014 $83,$4
PPL ElecWc Udimaa �� M-F:$am to 5pm
Your Electric Usage Profile ` Billing Summary (Biuing astaits on qack)
Service to: Balance as of Aug 6,2014 $0.00
ALICE 8 FET1'ERMAN-ES7ATE Charges:
4 HEARTHSTONE CT Total PPL Electric Utilities Charges $35.58
MECHANICSBURG, PA 17050 7otal PPL EnergyPlus, LLC PA Charges $48.26
Meter.123950341
Your ne�meter reading is on or about Sep 3,2014. Total Charges $83.84
Thls section helps you understand your year-to-year moun#pue By Aug 27,2Q14 $g3.$ ;
electric use by month. Meter readings are actual unless Account Balance
otherwlse noted. •
�20�3 �20�4 �AdJusted PPL Electrlc Utilitles'price ta compare for your rate is$0.09036 per kWh,
This changes the 15t of Mar,Jun,Sept,and Dec.Visit papowerswitch.com
szo or www.oca.state.pa.us for suppiler offer5.
� 1� __ Your Message Center
c 6� � • Wlth paperless bllling,you can receive and pay your
a ^� PPL Electric Utilities bills online.The process Is free,
� ao quick,convenlent and secure.To leam mare or sign up,
a Zo visit pplelectric.com.
o I * information about appliance energy use and tips on �
� � M A M � � A s o N � saving energy are avaflable throu h the Energy Ubrary �
on our Web site, pplelectric.comf e-pawer
Months . Before digging around your hnme or property,you
� � , should always call the state's One Cail notification
- system to lacate any underground utllity Ifnes. You can
' '• ' "� � • � do this by simply dlaling 811,which will connect you to
Aug 2014 � `32 635 ! Zp �qF the One Call system. Be safe and call 811 before you
dlg,
Aug 2013 i 30 787 26 77F
'• '• � `•.� • Payment Methods =
Aug 4 ! Actual 1Q871 � Qnline at: �By phone:i-800-342-5775 =
Jul 3 Actual 10236 � pp�elettric.com or cail BIIIMatrix(service fee applies) :
at i-800•672-2413 to pay using Visa, '
32 Days kWh Billed 635 MasterCard, Discover or debit card. -
� � •. � • . t � 8y Mail: Correspondence shouid be sent to: '
Sep 2013-Aug 2014 , 13921 � 1160 2 North 9th Street Customer Services :
CPC-GENN1 827 Hausman Road =
Sep 2012-Aug 2013 � 20840 1737 Allentown, PA 18101-1175 Allentown,PA 18104-9392 =
Other important lnformation on the back of this bill-�
{
Questions?Please ,/� Vlsit us oniine at
P�• 7I����� �� ��� Page 1
�"'� ���" � contact us by Jul 29. - l,J pplefectric.com , ,
�„ 1-800-DIAl-PPL • • i � � - • � -
M�+•��'��� (1-800-342-5775) 47721•26328 1ul 29,2014 $81.
rr��a.�,no unim.. � M-F:8am to Spm
; Your Electric Usage Profile _____� Biilin Summa (Biiling details on ack�
Service to: Balance as of Jul 8,2014 $0.00
ALIGE B FETTERMAN-ES7ATE Charges:
4 HEARTHSTONE CT Total PPL Eiectric Uiliities Charges $34,88
MECHANICSBUR6,PA 17050 Totai PPL EnergyPlus,LLC PA Charges $46.66
Meter:123950341
Your next meter reading is on or about Aug 4,2014. Total Charges S81.54
' Amount Due By Jul 29,2014 $81.54
This sectlon helps you understand your year-to-year __..______ _
electric use by month. Meter readings are actuai unless qccount Balance • 4
otherwise noted.
�20�3 �2o�a �Adjus+ed PPL Electrlc Util(ties'price to compare for your rate is$0.08754 per kWh.
� _ This changes the 1st of Mar,lun,Sept,and Dec.Visit papowerswitch.com
i2o I or www.oca.state.pa.us for suppi(er offers.
� Y 1� J_... Your Message Center _
a bo • With paperless billing, ou can receive and pay your
---—� _�.....__
d PPL Electric Utiiitles bll s oniine.The process is free,
a ,� qufck,convenient and secure.To leam more or sign up,
� visit pplelectric.com.
'. Q 20 --- - �
o • Information about appliance energy use and tips on �
� F nn A M � i a s o N � saving energy are available throu$h the Energy Lfbrary
on our Web site,pplelectric.com/e-power
' Monms . Before digging around your home or property,you
should always call the state's One Call notlfication
� '• system to locate any underground utfliry Iines. You can
, �. . •. .. do this by simply dialing 811,whlch wlli connect you to
1ul 2014 •zg 614 21 73F the One Call system. Be safe and ca�l 811 before you
dig.
Ju12013 i 29 803 28 71F =
• ����,��C� Payment Methods _
1ul 3 Actual 10Z36 ,/� Online at: By phone:l-8D0-342-5775 =
Jun 4 �TActua� i g62Z U PPlelect�ic.com �or cali BiilMatrix(service fee applies) _
at i-800-672-2413 to pay using Visa, —
', 29 Days kWh Billed 614 MasterCa�d,Discover or debit card. _
, . , ,, , �! , By Mail: Correspondence should be sent to: _
' Aug 2013-1ul 2014 �4L0 3 1173 � Z North 9th Street Customer Services _
CPC-GENN1 827 Hausman Road —
Aug 2012-Jul 2013 21139 1762 A�lentown,PA 18101-1175 Alientown,PA 18104-9392 �
Other importaM informatfo�on the back of this biil-�
. _ .. . . ,
. �}", �� �'"�1� / f� ���0 •� Eq�•�w� . . Page1 .
� /�Questions7 Please Visit us online�At
�A
. . .,. ..
� �1 �/ contact us by 1un 27. � pplelectric.com � ' � � �
��t 1.80D-DIAL-PPL
■ � (i-800-342-5775j 4772146328 Jun 27,2014 ,„$67,68,
s�s�i Ri�Mc�iatm.. ,' M-F:8am to 5pm '.
.,..........a .. . . . i;a�r . . -._.
Your Electric Usage Profile � Billing Surrimary (Bllling deta��8 on back)
5ervice to: � � ealance as of Jun 6,2014 $0.00
ALICE B FETTERMAN-ESTATE Charges:
4 HEARTHSTONE CT Total PPL Electric Utllitles Charges $30.52
MECHANICSBURG,PA 17050 Total PPL EnergyPlus,LlC PA Charges $37,16
Meter:123950341
Your ne�t meter reading Is on or aboutJul 3,2014. Total Charges $67,68
Thls sectlon helps you understand your year-to-year Amount Due By Jun 27,2a14 567.
electrlc use by month. Meter readings are actual unless Account Balance 567.68
otherwlse noted.
�zoia �2o�a �Adjusted PPl Electrlc Utllities'prlce to compare for your rate Is$0.09036 per kWh.
Thls changes the lst of Mar,lun,Sept,and Dec.Vlsit papowerswltch.com
izo � � �—� or www.oca.state.pa.us for suppller offers.
Y 1 0 � I Your Message Center _
R i • Wlth paperless bllllng,you can recelve and pay your
� so '-�"�'--'""�--"-�-i PPL Electrlc Utllltles bllls onllne.The process Is free,
a qo --------- qulck,convenient and secure.To leam more or slgn up,
3� vlslt pplelectric.com.
¢ 20 m • Information about appllance energy use and tips on =
o -'` saving energy are avallable through the Energy Llbrary $
� F M A M � i A s o N D on our Web slte,pplelectrlc.com/e-power
nnoncns • Before digging around your home or Prpperty,you
should always call the state's One Call notlflcatlon
system to locate any underground utlllty Ilnes. You can
. � .. do thls by slmply dlaling 811,whlch wlll connect you to
Jun ZOia .30 489 16 64F! the One Call system. Be safe and call 811 before you
dlg.
Jun 2013 32 1164 36 63F �
.,.. . �
• • t � ' •� • Payment Methods +
' JUn`4 ' Acfual 9622 Onllne a'�- By phone:i•800-342-5775 .. ��<:s. �
May 5 Actual 9133 � pplelectrlc.com �or call BiIlMatrlx(servlce fee applles) �
at i•BQ0�672-2413 to pay using Vlse, �
30 Da�s;� kWhBllled � 489 ; , MasterCard,Dlscoverordebltcard, �
���� , � � .��T� " � By Matl; Gorrespondence�t�oult�be sentto: =
Jul 2013•Jun 2014 °14262 - 3189 2 North 9th Street Customer Servlces �
CPC-GENNi 827 Hausman Road �
Jul 2012-Jun 2013 21272 1773 Allentown,PA 18101-1175 Allentown,PA 18104-9392 �
' Other Important informatfon on the batk of thls blll�
v -r- ��� �{���t�{
� r �t • � Questions?Please� � Visit us oniine at Pdge 1
'�'''�°�•;:,;:. contact us by May 28, pplelettric.com , , , � .
pp ' 1-800-DIAL-PPL ` � �'
�'��� (1-800-342-5775) 47721-26328 May 28,2014 $71.93
��,.a„��,,,�a, � M-F:8am to Spm
Your Electric Usage Profile Billing Summary {Biiling details on back)
5ervice ta: Balance as of May 7,2Q1A SD•00
AUGE B FETTERMAN-ESTATE Charges:
4 HEARTHSTONE CT Total PPL Electric Utilities Charges $31.80
MECHANICSBURG, PA 17050 Totai PPL EnergyPlus, I.LC PA Charges $40.13
Meter:123950341
Your next meter reading is on or abnut Jun 4,2014. Total Charges $71.93
This section helps you understand your year-to-year Amount pue 8y May 28,Z014 � $71.93
electric use by month. Meter readings are actuai unless Account Balance �93
otherwise noted.
�2013 S 2014 �AdJusted PPL Electric Utilities'price to compare for your rate is$0.08754 per kWh.
This changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch.com
izo or www.oca.state.pa.us for supplier offers.
� 100 Your Message Center _
8D — —._... � _
� • With pa erless billing,you can receive and ay your
� ', -� ��— � PPL Ele tric Utlltties bills online.The pracess is free,
� � - --�-�-� - T a quick,convenientand secure.To learn more or sign up,
= visit pplelectric.com. '
20 • Information about appliance energy use and tips on �
° � saving energy are available throu h the Energy Li�rary
1 F M A M > > A s o N � on our Web site,pplelectric.com�e-pawer �
Months • Before digging around your home or property,you
should always call the state's One Call notification
� � ` ' ` system ta lacate any underground utllity Ilnes, You can
� ,. • •• • � do this by simply dialing 811,whlch wlll connect you to
May2014 .3Z � 528 17 ;. 52F d g One Call system. Be safe and cal) 811 before you
May 2013 i 30 � 1571 52 � 54F =
�
�� �• Payment Methads =
. May S Actuai 9133 � Online at: �By phone:1-8Q0-342-5775 =
Apr 3 � Actuai 8605 pD�efectric.com or call BiIlMatrlx(service fee applles) �
at 1-800-672-Z413 ta pay using Visa, -
32 Days j kWh Bilied 528 MasterCard, Discover or deblt card. _
—
. , �, � , , , . � � By MafL• Correspondence should be sent to: �
Jun 2013-May 2014 : 14937 1245 2 North 9th Street Customer Services —
CPC-GENN1 827 Hausman Raad
1un 2012-May 2013 � 21179 � 1765 A�ientown, PA 18101-1175 Allentown, PA 18104-9392 -`
�
Other Impartant information on the back of this bill� �
6 Ik .�f//al//<f ✓ �' !Lf l Page i
,:��::,, Questions?Please Vislt us oniine at �
pp� �2," � (188003A265775)Z8 � pplelectric.com 47721-26328 Apr 28,�2014 $152.17
�,e„�„�,,,,,ro.. � M-F:8am to Spm
Your Electric Us�e Prafile_ __�..____� Billing Summary (Biiling details on back)
--�--.....T_._.__.�_.__�
Service to: Balance as of Apr 7,2014 0.00
ALICE B FETTERMAN-ESTATE Charges:
4 HEARTHSTONE CT Total PPL Electric Utllities Charges $55.80
MECHANICSBURG,PA 17050 Totai PPL EnergyPius,LLC PA Charges $9637
Meter:123950341
Your next meter reading is on or about May 5,2014. Total Charges $152.17
This 5ection helps you understand your year-to-year Amount Due By Apr 28,2014 �� $152.17
�---u---..—_..
electric use by month. Meter readings are actual uniess Account Balance � S1S2.17
otherwise noted.
�2013 .20�4 �AdJusted PPL Electric Utllities'price to compare for your rate is$0.08754 per kWh.
Thls changesthe ist of Mar,Jun,Sept,and Dec.Visit papowerswitch.com
izo � � � � or www.ocastate.pa.us for suppller offers.
- ioo ' T_ _..---�----___
� _.._--.--..__...._..----_-......_.___ Your Message Center
= so �--
� 60 -- • With paperiess blliin , ou can receive and pay your
_....�,. --- ------
` pPl Electric Utflities il s online,The p�ocess Is free,
a 4p '__ —__._....___..._.—v....._._�_- quick,convenient and secure.To learn more or sign up,
; r � visit pplelectric.tom. _
c �o r _. ��"'� ' `
Information about appliance e�ergy use and tips on �
� F M n M i � n s o rv o saving energy are avallable through the Energy Ubrary
on our Web site,pplelectrlc.com(e-power
Months . Before dfgging around your home or property,you
i should always cail the state's One Cali notificaUon
� M ip I � : . system to locate any u�derground utillty Iines. You can
, , s I � r.• a . do this by simply dialing 811,which wlli connect you to
Apr 2014 i • the One Call system. Be safe and cail 811 before you
- --�� 30 1268 42 ; 38F dlg.
Apr 2013 ! 30 2411 '0� 38F �
�
e : •� .• �_��;� : Payment Methods —
Apr 3 � Actuai � 8605 � Online at: �By phone:i-800-342-5775 =
- -----�-----------;- - - pplelectric.com or call 8111Matrix(service fee applies) �
Mar 4 Actual i 7337 at 1•800-672-2413 to pay using Vlsa, c
30 Days kWh Billed 1268 MasterCard,Discover or deblt card. �
� � By Mall: Correspondence should be sent to: _
'• ' �.li�'r►ti�� . . ' . , : � .. . _
May 2013-Apr 2014 i 15980 1332 2 North 9th Street Customer Services �
CPC-GENN1 827 Hausman Road �
-"-�-�--""---�f- -- �� Allentown,PA 18101-1175 Allentown,PA 18104-9392 —
May 2012-Apr 2013 ; 21139 1762 �
4ther Important information on the back of this blll-�
('�..� . �./( "' ( , t v • Y.J i
� Page 1
� '��� � /� Cluestions?Please � Visit us oniine at
' ' ',;�o;:;.,.
�tJ contact us by Mar 27. pplelectric.cam ,
��f•� R'=� 1•8D0-Q�AL-PPL ' � • r • �. • � • �
•:•�� (1-800-342-5775) 47721-26328 Mar 27,2014 $2Z1.71
���,,�,,��,,,�.. � M-F:8am to 5pm
�..�.
Yaur Etectric Usage Profile Billing Summary (Billing d8tails on back}
Service toc Balance as of Mar 6,2014 $0.00
ALICE B FfTTERMAN-ESTATE Charges;
4 HEARTHSTONE CT Total PPL Electric Utllitles Charges $75.94
MECHANICSBURG, PA 17050 Total PPL EnergyPius, LLC PA Charges $145.77
Meter.123950341
Your next meter reading is on or about Apr 3,2014. Total Charges $221,71
This sectian helps you understand your year-to-year �mount�ue By Mar 27,2014 $221.71;
electrlc use by month. Meter readings a�e actual unless Account Balance $221.71
otherwise noted,
�2013 �20�4 �Ad)usted PPL Electric Utillties' price to compare for your rate is$0.08754 per kWh.
This changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch,com
izo � ar www.ota.state.pa.us for suppller offers.
� 100 � Your Message Center
_ so
; • Wlth paperless biliing,you can receive and pay your
� 60 PPL Electric Utflltles bflls onllne.The process is free,
a 40 — qulck,canvenient and secure.To learn more or sign up,
� Zo visit pplelettric.com.
� • Informatlon about appliance energy use and tips on
° saving energy are avaliable throu h the Energy tibrary
� � M a, M � � a s 0 N D on our Web site,pplelectric.com�e-power
Months + Before digging around your home or praperty,you
should always call the state's One Call notification
r r. ' • : ` • : system to locate any underground utility Iines, You can
, �, , .� �. � .� do this by simply diaiing 811,which will connect you to
Mar 2014 +Zg 1918 � 66 27� the One Call system. Be safe and call 811 before you
dlg.
Mar 2013 31 2828 ; 91 �2F
•• •� �• Payment Methods
! Mar 4 Actual 7337 � Online at: �By phone;i-8Q0-342-5775
Feb 3 Actual 5419 Pp�electric.com or cail BiIlMatrix(service fee applies)
at 1-800-672-2413 to pay using Visa,
29 Days kWh Biqed 1918 Ma�terCard, Discover or debit card,
_ � � � t , , � � gy Mai1; Correspondence should be sentto:
Apr 2013- Mar 2014 j 17123 1427 2 North 9th Street Customer Services
CPC-GENN1 827 Hausman Raad
Apr 2012-Mar 2013 I 20463 1705 Allentown,PA 18101-1175 Allentown, PA 18104-9392
Other important information on the back of this bili�
� �
� ��
n �
�'�
��.- �� J �t3c�
�,;��;���, a,` Question57 Piease Visit us online at Page 1
f :: `� contad us 6y Feb 27. � pplelectric.com
�� � 1-800-QIAL-PPL : �
<-` (1-EOa342-5775) 47721-26328 Feb 27,2014 ' $296.21
nw.osa,K uwa.. � M-F:8am to Spm
Your Electric Usage Profile Billing Summary (Billing details on back)
Service to: Balance as of Feb b,2014 $0.00
ALICE B FEITERMAN-ESTATE Charges:
4 HEARTNSTONE CT Totai PPl EnergyPius,LLC PA Charges $198.13
MECHANICSBURG,PA ll050 Total PPL Electric Utilities Charges $98.08
Meter:123950341
Your next meter reading is on or about Mar 4,2014. Total Charges $296.21
This section helps you understand your year-to-year �uni Dus By Feb 27;2014 S.7.96•21
electric use by month. Meter readings are actuai unless A«ount Balance $296.21
otherwise noted.
�2oi3 �2oi4 �ndjusted PPL Electric Utilities'price to compare for your rate is$0.08754 per kWh.
This changes the lst of Mar,Jun,Sept,and Dec.V(sit papowerswitch.com
xzo or www.ow.state.pa.us for supplier offers.
L 1� Your Message Center
_ � 80
� •With paperless bilUng,you can receive and pay your
60 APL Electric Utiiitles bilis online.The process is free,
a � quick,convenient and secure.To leam more or sign up,
m visit pplelectric.com.
d 20 • Information about appliance energy use and tips on �
° - saving energy are avatlable throu h the Energy L(brary
� F M A M i i a s o N o on our Web site,pplelectric.comf e-power �
Months . Before digging around your home or p�OpOfty,you
I I I I U;� , I should always call the state's One Call notification
system to locate any underground utility I(nes. You can
• il I � do this by simply dialing 811,which will connect you to
Feb 2014 .Z� 26p� y� ZqF the One Call system. Be safe and call 811 before you
dig.
Feb 2013 29 2629 91 32F =
� ' �� P_�ment Methods :
Feb 3 Actual 5419 ./�� Online at: �By phone:1-800-342-5T75 -
1an 7 Actual ZglZ V PP�electric.com or cail BiIlMatrix(serv(ce fee applies� _
at 1-800-672-2413 to pay using�sa, _
27 Oays kWh Bilied 2607 MasterCard,Discover or debft card. _
l�i�, ` ���' li'� � By Mail: Correspondence shouid be sent to: _
Mer 2013-Feb 2014 18033 1503 Z North 9th Street Curtomer Services _
CPC-GENNl 827 Nausman Road _
Mar 2012-Feb 2013 20497 1708 Allentown,PA 18301-1175 Allentown,PA 18104-9392 =
Othar important information on the back of this bill-� �
� . pd , �4I �� ✓ � ��y
�.�4���� - Questions7 Please � Visit us online at Corrected Bill Page 1
��...;���,.
:�.- contact u5 by Jan 17, pplelectric.com
��}� ;•:.` 1-$UO-QIAL-PPL � � , � .
i-� �``• (1-800-342-5775) .
'''���"����+�• �W M-F:8am to Spm 47721-26328 Jan 17,2014 173.1
_Your Eleatric Usage Profile Billing Summary (Billing details on back}
Service to: 8alance as of pec 27,2013 $p,pp '—'"
ALICE B FETTERMAN-ESTATE Charges:
4 HEARTHSTONE CT Total PPL Electric Utilities Charges $62,g7
MECHANICSBllRG,PA 17050
Total PPL EnergyPius, LLC PA Charges $110.18
Your ne�meter reading is on or about 1an 3, 2014. Total Charges
$173.15
This sertion helps you understand your year-to-year a�+����+��Y��17,Z014 ' $�73.15
electric use by month. Meter readings are actual unless Account Balance
otherwise noted. $173.15
�20�2 �2013 �ndjusted PPL Electric Utilities'price to compare for your rate is$0.0$754 per kWh.
12o This changes the ist of Mar,Jun,Sept,and Dec.Vis1t papawerswitch.com
� ioo
or www,oca.state.pa.us for supplier offers.
- � $o --.— _ Your Message Center
�
� �a • With paperless billing,you can receive and pay your
a � PPL Electric Utilities bilis ontine.The process is free,
; - quick,convenient and secure.To learn more or sign up,
a zo visit pplelectric.com.
� • Information about appliance energy use and tips on �
� F M A nn 1 � a s a N D saving energy are available throu h the Energy Library �
on our Web site,pplelectric.tom�e-power �
Mo�ms • Before di in around ou�hame or ro e
gg� g Y P A nY,You
� � � should always call the state's One Cafl notification
� �. � � system to locate any underground utility lines. You can
� do this 6y simply dialing 811,which wil)connect you to
Dec 2013 33 1574 qg �QF the One Ca11 system. Be safe and caii 811 before you
dig.
Dec 2012 32 2651 83 40F
i ` ' ' ' ' ' Payment Methods �
Jan 2013-Dec 2013 18052 1504 Onlme at:
'� pplelectric.com �gy Phone:1-800-342-5775
Jan 2012-Dec 2012 2Q791 1733 or call Bi1lMatrix{service fee appliesj �
at i-800-G72-2413 to pay using Visa,
MasterCard,Discover or debit card.
� By Maii: Correspondence should be sentto: -
2 North 9th Street Customer Services
CPC-6ENN1 827 Hausman Road
Ailentawn, PA 18101-1175 Allentown,PA 181049392 -
Qther importan#information on the back of this bill'�
� � �/ f i ln v��c.t%1 c c� t i f r�{�t3
� 4uestfons?Please Visit us online at Page 1
��f������ � contad us 6y Nov 27. � pplelectric.com
• 1-8Dd-DIAL-PPL
•��-: (1-800342-5775J 47721-26328 Nov 27,2013 $91.33
aw.�.,�uwima. �� M-F:8am to Spm
Your Etectric Usage Profile Billing Summary (Billing details on back)
Service to: Balance as of Nov 6,2013 $0.00
A�ICE B FETTERMAN-ESTATE Charges:
4 HEARTHSTONE CT Total PPL EnergyPlus,llC PA Charges $53.41
MECHANICSBURG,PA 17050 Total PPL Electric Utilities Charges $37.92
Meter:84508963
Your next meter reading is on or about Dec 3,2013. Total Charges $91.33
This section helps you understand your year-to-year mount Due By Nov 27,2013 $91,33
electric use by month. Meter readings are actual uniess Account Balance $91.33
otherwise noted.
�2oi2 �20�3 PPL Electric Utilities'price to compare for your rate is$0.08777 per k .
__ This changes the ist of Mar,Juo,Sept,and Dec.Visit papowerswitth.com
izo or www.ocastate.pa.us for supplier offers.
� 1� Your Message Center
_ so .
� fio • Go Paperless,and receive a FREE LED at
a ppielectric.com/gopaperless
m 40 • Information about appiiance energy use and tips on
a' Zo ' saving energy are available throu h the Energy Library !
0 on our Web site,pplelectric.com�e-power �
� F M A nn � � n s o N 0 • Before digging around your home or property,you
Months should always call the state's One Cali notification
system to locate any underground utility lines. You can
� � il�� j do this by Simply dialing 811,which wiil connect you to
the One Cali system. ee safe and call 811 before you
e . . II � dig.
Nov 2013 30 763 25 56F •Save postage and Iate charges-sign up for Automated
Bili Payment.
Nov 2012 29 1517 52 SSF -
• �;� ������� '_ ��'� Payment Methods =
Nov 2 Actual 18150 � Online at: Q By phone:i-800-342-5775 _
Oct 3 Actual 17387 PP�electric.com or call BIIIMatrix(service fee applies� :
at i-8�-672-2413 to pay using Visa, �
30 Days kWh Billed 763 MasterCard,Discover or debit card.
� '� , ;ii ,i�, " � '�� � By MaiL• Correspondence shouid be sent to:
Dec 2012-Nov 2013 19129 1594 Z North 4th Street Customer Services _
CPC-GENN3 827 Hausman Road
DEc 2011-Nov 2012 19971 1664 Allentown,PA 18101-1175 Allentown,PA 18104-9392 =
Other important information on the back of ihis bill�
. �JQ.,c,C� tv� �t �(.3 �/ � f0('r,
.�.::;: . /� Questlons?Please Visit us online at Page 1
•;...; • .
= ' •�;�_ �J contact us by Oct 28. pplelectric.cam
�1!'1 • 1-800-DIA�-PPL : � � � - �. ' ' •
r��r� •:='` (1-80(3-342-5775) 47721-26328 Qct 28,2013 `$1A3.74
���+�wuti� , M-F:8am to Spm
Your Electric Usa�e Profile Billing Summary {B�Uing detaits on back}
Service to: Balance as of Oct 7,2013 $66.51
CARL FETTERMAN Charges:
4 HEARTH5TONE CT Total PPL Electric Utilities Charges $34.18
MECHANICSBURG,PA 17050 Total PPL EnergyPlus, LLC PA Charges $43.05
Meter:845089fi3
Your next meter reading is on or about Nav 1,2013. Total Charges $143.74
This section helps you understand your year-to-year ount Due By Oct 2$,2013 $143.74
electrlc use by rnonth. Meter readings are actual unless Accaunt Balance $143.
otherwise noted.
�2012 �2013 PPL Electric Utilities'price to compare for your rate is$0.0$777 per k .
This changes the ist of Mar,Jun,Sept,and Dec.Visit papowerswitch.com
izo or www.oca.state.pa.us for supplier affers.
.� ioo --_.... ___._. �
Y $o Your Message Center
o � + A new price for the quarterly distribution system
�, improvement charge is effective from Oct. 1,2013
a ao throUgh Dec. 31,2013
� zo • This biil includes a previous balance. If you have paid
o this amount,please accept our thanks and pay only the �
J F M A M J J A S O N D current charges. o
Months
• Go Paperless,and receive a FREE LED at �
pplelectric.co m/gopa perless
, �. � � � + Information about appliance energy use and tips on
� � � i, , �, saving energy are available through the Energy Library
on our Web site, pplelectric.cam/e-powec
Oct 2013 30 615 21 64F • Keep light buibs and fixtures clean. Dust and dirt absorb
Oct 2012 33 1098 33 66F light and can reduce light output by as much as half.
� ' � �� ' � • Payment Methods
Oct 3 Actual 17387 � Oniine at: �By phone:i-800-342-5775
S�p 3 Actual 16772 PP�electric.com or call BiIlMatrix(service fee applies) _
at 1-8U0-67Z-Z413 to pay using Vlsa, =
30 Days kWh BiUed 615 MasterCard, Discaver or debit card. —
• . . . , , � . � � By MaiL Correspondence should be sent to: —
Nov 2012-Qct 2013 19583 1657 2 North 9th 5treet Customer Services =
CPC-GENN1 827 Hausman Raad —
Nov 2011-Oct 2012 19837 1653 Allentown,PA 18101-1175 Allentown,PA 18104-9392 =
Other important information o�the back of this bill�
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Payable To: DEBRA BASEHORE WIEST,TAX COLLEGTOR Office Hours: MONDAY 9-12;TUESDAY 9-11 AM
289 WOODS DRIVE ALSO 4/23 4-6PM&4/30 9AM-5PM
MECHANIGSBURG,PA 17050-2635 CA��FOR HOURS AFTER MAY 1
Bill No: 2004
PHONE(717)687-1294 Bill Date: 3/1/14
MAP N0: 38-21-0289-165. Control No: 38003684
Desc:4 HEARTHS70NE COURT Assessed Value: Land:51,300 Improvement:138,000 Total:189,300
BRANDYWINE VIILAGE Discount FaCe Penai
LOT 30 PB 51 PG 97
Acres 0.31 Deed 0026803353 County RE 2.195 $447.20 $415.51 $457.06
County ib 0.143 $25.53 527.07 529.78
(IIIIIIIII�IIIIIIIIIII�IIIIIII�III�IIIIIIII�IIIII Munic.R/E 0.8045 $1d9.24 $152.29 5167.52
iax Payer.
FETTERMAN,CARL C&AUCE B
3020 GETTYSBURG RD TAX AMOUNT DUE $5g2.9� ) S594.87 S65d.36
CAMP HILL PA 17011-7205 If Date Of Payment is on 3/1/14 thru 1'I�� 5/1/14 thru 6/30/14 7/1/14 or Later
To review the assessment data for this property,go to:
- www.courthouseonline.cam>AssessmentO�ce>Cumbertand>PropertyRecords.
7hen enter Control# 38003684 and password CUSKQTQX
��t011Ba�;1�£ KECEIP'T
USTENING IS JUST THE BEGINNING?�
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MAIi(E CHECK3 PAYABLS 'ro: Real �state 33590 15.810 520.46 531.Q8 589.19
STSD LOCKBOX
PO BOX 306
DiANSFIELD, PA 16933 0306 /
� )l�, ��t�:�`1�r
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HOURS Last day to pay 12/31/14 . '. PAY 520.96 531.C8 589.19
THIS .: IF PAID dN IF PAID ON IF PAID
OR BEFORE OR BEFORE AFTER
PHONE 570-638-2183 AMOUN r p,uq 31 ''Oct 31 . Oct 31
��..,_. �
FETTERMAN AI,ICE ETAL
C/O CARQL CUSTER PROPERTY DESCRIPTION ACCT. RE033000015279
3020 GETTYSBURG RD prxCsz 33/ O1.00/ O(}6./ /000 —
CAMP HILL PA 17011
ITZ ROAD 33�90.Q0
ACANT
6.3 ACRES
Pay at aay First Citizeas Ccmmnnity Bank .
70D1459033000�33301���5204600053108000584190Q01770300��0�006
RETURN THIS PORTI023 WITH INSTALLMEI3T 3
southern 2ioga Schooi 2014 School Real Estate DATE o�/oi/2oia s�r,t.#000333 Install 3
PAYMENT AMO PENAL
PARCEL 33/ O1.00/ 006./ /000_ MAKE CHECRS PAYASI.E TO: 177.02 199.72
STSD LOCKBOX
EETTERMAN ALICE ETAL p0 BOX 306 tF PA{D ON IF PAID
C/O CAROL CUSTER MANSFIELQ, PA 16933 0306 OR BEFORE AFTER
3020 GETTYSBL'RG RD Oct 31 Oct 31
CAMP HILL PA 17011 Discard this coupon if paying the full payment
7�01459033�000333�1��D�O�OOOOOODOOOODOOOU0�00017702000194728
RETURN THIS PORTION WITH INSTAI,LMENT 2
southern Tioga Schooi 2014 3chool Real Eatate DAT$ 07/Ol/2014 BI�.# 000333 Install 2
PAYMENT PENALTY
PAxCEL 33/ 01.00/ 006./ /000 MAKE CHECRS PAYABLE TO: 177.03 19A.73
S^'SD LOCKBOX
FETTERMAN ALZCE ETAL IF PAID ON IF PAID
C/0 CAROL CUSTER p0 BOX 306 OR BEFORE AFTER
MANSFIELD, PA 16933 0306 Sep 30 Sep 30
3020 GETTYSBURG RD
C�2 HILL Pa 1�011 Discard this coupon if paying the full payment
7001459�330�0033301000DOOODOD0000000��0�00000�17703000194734
rt ��' v� J �J�. ! � , t �� . +� � �, '� �� {-�.?C(�,' :�"��,
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� Payment Receipt
SOI7TF�I2N TIOGA SCHDOL DISTRICT
Date: 07/16/2014 Receipt #: 2014-�001269
Municipality: SDI,LIVAN TOWNSHIP Account: RE033000015279 �
Ta�c: SCHOOL REAL ESTATE REAL ESTATE Bill #: 000333
Parcel: 33/ Ol_00/ 006_/ /000
Prop Desc:
Received: 520.46 by Cash
FETTERMAN �LICE ET�L
C/0 CAROL CUSTER
3020 GETTYSBURG RD _ ,������`�'��„��,,.-��'�
CAMP HILL PA 1701_
Authorized Signature
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1,
- ` - Custoiner Service Center
j Cy �' . 8189 Adams Drive
:
► sJ.� �. U N OTE D 1AlATE R H�n,me�s�o�,pA,�e36 -
� +i` �'!" Telephane:777-564-3662 . ~
, : www_unitedurater.com .' ,
�._...� ..o..�__.._.�..�
1f5,4GE HfSTORY Billing Qate: 09/10/14
lisage in Thousands of Gollons Account Number: 00202978720000
,`-- __ . __ __ i Previous Balance-------- $17.85—
Payments Through Q9/1 Q(14 rxav�rou $17.85CR
� ❑,,,,.......�_�.._.3 $0.00
z * ;Due Q9/30/2d14 $15.53
_ - ---- _ _ -_ _
� � - — ' � 9 � �� �TUUE��� � � � �.$�553;:_
' ��` ` I J��iJ` �l�j�" ` ^ FtNALHIIt
� o o n
sn.�n a�1n ra,.oe txc:� a.mv r, _J� -
� t :014 TO AVOID A 1.5%LATE PAYMENT CHARGE
Nexi meter reading daU ,r
-1 �V \/
SERVICE TO: AIICE B fETTERMAN ESTATE iTONE CT MECHANIC59URG PA
Meter Number Seruree .� � Unit of � F
--
From � Ta Neasure � Rendin9 Type � Kbte
I - - ---��_ 1.--:--- .--,. . _- ..� --------�-- -=----
57573440 08/l7/1G 09j04 GL PRCRATEDACTUAI W07
TO 1.OQ0 GALLONS
SERVICE CHARGES � n,� • NT SURCHARGE $0.03 CR
WATER CHARGES � C/��'" �� ARGES $15.53
aISTRIBUTION SYSTEM tMPROVEMEN
N
I�_ — -—-- — — ---- ---- :�
Your consumption is based on an oct
Effective July 1,20'!4 the Distributio _ . _ _____...,..,�.�„6 to 5.79%.This charge funds the
replacement of water distribution fac���c�es in Nennsyluania.
Save a stamp anct go papertess today!log on to www.unitedwater.com or call Cus[omer Service to find out more information and to enrolt in
e8illing;
Apprax�mate state tax inciuded on this bill 50.59.
. , - , ,� .u�,.. O�[n[:nRAr't+:��Dc pNft OFTI tON THP R(1TTf1M PfMTIfIN UIITH Yfll IR POVMFNT�N TiF QFf11RN FM1P1 f10F PRMA(lFfl no7
<pptYr. WIVS I�IS 1 t OJ'JW 1 t 0 J I
�_ � ��}����a� '''tln4ted W t ennsyl �ia f ���
��y Customer Service Center
s,�.�'` �� U N ITE D WATE R $189 Rrl�ms Drive
� Hummelstawn,PA 17036
Telepho�e:717-564-3662
�� � www.uniiedwater.com
USAGE HISTORY Billing Date: 09/10/14
Usage in Thousands of Galions Account Number: 00202978720000
4 _ --
--- -- ----- .-- -----�
3 � ___� Pre�ious Balance $17.85
� � PaymentsThrough 09/10/�4 rreuhKrou $17.85CR
Balance Forward $0.00
z E Current Chai-ges Due 09/30/2014__ ____ _ $15.53
,
' ' ' ' TOTAL AMOUNT DUE $15,53
0 0 0 0 0 '. o 0 0 0 o FfNAL Bilt
s.o�o a�as Narae oecOv lmo9 r.o�: Mat� aaol Nwov tin�a w��o nun>> sev�o
Next meter readin9 date:on or about 10/09/20'14 *PAY BY 10/06/2014 TO AVOID A 1.596 IATE PAYMENT CHARGE
SERVICE T0: AUCE B fETTERMAN ESTATE SERVICE ADDRESS: 4 HEARTHSTONE CT MECHANICSBURG PA
- ------ —
-- -- — --- -- - -
Meter Number Service _ -- - - _ - -------
— ——
Days of Meter Reoding � f Unit of �
— -- --- 1---
From To Ser�ice previaus Present Usage Measure � Reoding Type � Rate
-____ __ .____ -__L _� _�.__-r-_- -5--------------� --- -_ _ -- �.�_.�.- -- ---
57513440 OSl11/14 09/04/"14 24 0302 0303 1 MGL PRORATFD/�CTUAI WO7
EQUIVALENTTO 7,OOOGACLONS
SERVICE CHARGES $8.8Q STATE TAX AD)USTMENT SURCHARGE $0.03 CR
WATER CHARGES $5.91 TOTAI CURRENT CHARGES $15.53
DISTRIBUTION SYSTEM IMPRQVEMEN $0.85 �
SEE REVERSE SIDE fOR IMPORTANT ACCOUNT INfORMATION
� IMPORTANT ME55AGE5
Your consumption is based an an actual reading of your water meter.
Effective 7uly 1,2014 the Oistribution S�stem Improvement Charge(DSIC)increased from 5.29°,b to 5.79°�.This charge funds the
replacement of water distribution facilit�es in Pennsyl�ania.
Sa�e a stamp and go paperless today!Log on to www.unitedwater.com or call Customer Service to find out more information and to enroll in
e6illing.
Approximate stQte tax inciuded on this bill$0.59.
+ < < � AE +w,w Pt EASE DFTAC_H HERE AND RETURN THE BOTTOM PORTION WITH VOUR PAYMENT IN THE RETURN ENVEIOPE ?ROVIDEn. �02
.m9n mrw �m i, � o�oeo i o 0 0 �' �" µ, ' �"��
-ri" ��� Cl
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_� f � ; � � � ... :: �� ,� ,�..y� � �s ���h`�`r� �` '�Z x ��
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USAGE HISTORY Billing Date: 08/11/14
Usage in Thousands of Galions Account Number. 00202978720000
4- ----
3 Pre�ious Balance $17.85
Payments Through 08/11/14 rrinNKrou $17.85CR
Z Balance Forward $0.00
Current Charges Due 09/OZ/2014 7.85
, , , , , ,���'�,� x�,� � ~
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apw sepio ae�s awoa oaov woos reet: e+an avrav rayav �w,io �wio ag�i
Next meter reading dnte:on or atsout Q9/10/2014 'PAY 8Y 09/08/2014 TO AVOID A�.5%LATE PAYMENT CHARGE
SERVICE TD: AIiCE B FETTERMAN ESTATE SERVICE ADQRESS: 4 HEARTHSTONE CT MECHANICSBURG PA
> _
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�..� � �,.r` r;:
57513440 07/10/14 08/'11/14 32 0301 030Z 1 MGl ACTUAI W07
EQU(VALENT TO 1,000 GAIIONS
SERVICE CHARGES $11.Od STATE TAX AD)USTMENT SURCHARGE $0.04 CR
WATER CHARGES $5.91 TOTAI CURRENT CHARGES $17.85
DISTRIBUTION SYSTEM IMPROVEMEN $0.98
SEE REVERSE SIDE fOR IMPORTANT ACCOUNT INfORMATION
'i 'i�',�c'?. �'L��.,s:�,�F�x�`%`�.�'� �_ �`��'�� � . -� a �` '� 3. �.. ,�r� .�`' �..�,.
�
...3�,'-��., „-�._..� ..,,,,,..na. .,,..k...� ....°:,: __..,,.,:' �.,��:, ��^ a .5.�;�� �.... .n �.: �A�
� J i €:
Your consumption is based on an actual rending of your water meter. ,
Effectiue 3uly 1,2014 the Distribution System Improuement Charge(DSIC}increased'From 5.29%to 5.79%.This charge funds the
replacement of water distribution facilires in Pennsylunnia.
Sa�e a stamp and go paperless today!Log on to ww�,u.unitedwater.com or call Customer Seruice to find out more information and to enroll in
eBilling:
Approx�mate state tax included on this bill$0.67.
� � � � g ✓iy�y DI FACF f1FTl1('N NFGF 4Nf117FTi1DIJ TNF Rf)TThM Ol1DT1(1N IAf1T4!Yllll�Df1YMFNT IN TNf OFTI IOA1 FAI\/q(1Df Up(1111f1Ffl m�e
.� �. y,. , , a�. o n . .
» tkri, Wnter Veansyltwnia
�• `a�. � 84�9�i ServiQ Cerita
� �` � Ul�T�D WATER ����n�,Tg36
olte:�17-56h-366Z
www. itedwaur.cnm
.\
USAGE HISTORV Billing Date�.. 07/10/14
umgeinTliousandsofGaltons ACCOUfItNUmbe'I�.._ Q0202478720000
i ---------------__ _-- -- __- - •�
,� _—_ _ - _ ___ Preuious Balance $11.56
i Payments Through 07/10/14 nwnrc 571.56CR
Z_ � _ _ _- _-- _-- Balance forwarQ $0.�0
I Current Char�es Due 07/30/2014 � .
, ` � ' TOTAIAMOUNT DUE - $'17.85 --
t_e ^ > � � o 0 0
° _ - -
.. ... s. � »,. � .,.. �.. .� � �, �.. „
Next mecer reading dote:on or obout 08/t�/2Dt:. 'PAY 8Y OS/OS/2014 TO AVOID A 1.5%LATE PAYMENT CHARGE
SERVICE TQ ALICE B FETTERMAN ESTATE SERViCE AODKESS:4 MEARTHSTONE CT MECFWViCSHUpG PR
- �T��
Meter Number � BmJs of -::. Meter Re0df99 __� _�L°f L � � _ �._...1
� �From r -.To ��� Prrvious�. Present Usoge Measurc �RmQingTypR ftote
57573440 06/10/14 07/70/14 30 0300 ~0301 "i MGl AC7UA� W07
EQUIVALENTTO 7.ODOGlILLONS
SERVICE CHARGES $'11.U0 STATE TAX ADJUSTMFNT SURCHARGE $0.04 CR
WATER CHARGES $5.91 TOTAL CURRENT CHARGES 517.85
DlSTRIBUTION SYSTEM IMPROVEM[N $0.98
SEE REVFRSE SIDE FOR IMPORTANT ACCOUNT INfORMATION
� IMPORTA�MESSA�ES -�
-__.� ..�
Your consuniytion is based on ar.actual reading of your wa[er metec
EffecpvE)uly 7,2014 the Oistribution System Improuement Char9e(DSIC)increased from 5.29%to 5.7946.This charge funds the
replacement of water distribucian facflities in Pennsylvanin.
Sau2 o stamp and go paperless taday!Log on to www.unitedwater.com or call Customer Seruice to find out more information and to enroll in
eBilling. �
Approxim�te stnte tox included on this bill$d.6'/.
• � .
� � ' i
cy (;����I�1 o d . ✓ *t r c�� ,�I dv:���
SJ`���'':A:° U N ITE D WATE R customer�o n Statement# TotalAmoi�pue g�l�Date
HomeServe• 01030330 34132182 $125.88 07{05/2014
Your Contract Expires on: 07/05/2014 Payment due prior to renewal.Non payment will result in the
cancellation of your contract.
To renew your coverage please mail your payment to:
0000005367-24-32 HameServe
Alice Federman Estate
4 Hearthstone Ct PO Box 773
Mechanicsburg, PA 17050-2700 Binghamton, NY 13905-9929
1����1�111��'�"�'1��6�I,II,I��II�J��6�11l�Ill�hl�t�lll���h�
. � � � � ' � '
(t's Time To Renew Your Service Contract(s)! � � � ,
RETAIN THIS TOP PORTION for your records until you receive your additional contract documents.
CONTRA�T PRODUCT PROPERTY �
�E NUMBER OF COVERAGE
T1fPE. COVERED SER11�E CALLS AMOUNT TERM PRICE
� ,�, ., ; ,. , ,.
6U Interior Plumbing 4 Hearthstane Ct 2 Up to$5,000 in 07/05/2014-
and Drainge coverage per 07/04/2015 � $725.88
year tor covered �
plumbing and ``�-''
drainage
emergencies
2nd Notice
Important: If there are any errors in your coverage(s}shown above, please correct them on the renewal form below,
or call 1-855-384-5865.
COVERAGE DETAILS
Co�rtract Type 6U=Interior Plumbing and Drainage Coverage
EquipmeM Covered The internal plumbing and drainage lines in your ADDITIONAL INFORMATION
home. For questions about your optional coverage,
Annual Coverage Amourrt Up to$5,000 in coverage per year for covered
plumbing and drainage emergencies. p�eaSe Call us at the number below and provide
Number of Service Calls Up to 2 service calls per year and up to$2,500 per Your service agreement number:
call. 1-855-384-5865
24 Hour Emergency Open 24 hours a day,365 days a year.
Hotline To place a service call:
Prioritp Response A licensed contractor will make your emergency their 1-$$$-sss_$�76
priority.
Local Approved Available for you. To ensure corrtinuous Interior Plumbing and Drainge,your renewal
Contractors payment must be received before 07/05/2014.
No overlap guarantee If you find you have coverage similar to HomeServe's
(although basic homeowners insurance typically does
�ot offer these types of coverage)your seroice
agreement fee will be refunded less any claims paid.
IF YOU HAVE ALREADY SUBMITTED PAYMENT FOR YOUR RENEWAL, PLEASE DISREGARD THIS NOTICE.
� PLEASE DETACH AND ENCLOSE THIS PORTION with your payment in the enclosed envelope.� UwRN2_6U
.�. _,� .� . , ,.�. , o , � � � � 5 �r�-5�
l/qiped Water Pennsyivama
Cta60m�SuvF�Cenw
� ��` UNtTED WATER ��:�,�b-.
Te?ephrnl�71T-5fi4-3G42
uSasE HISroRY B911ing Date: O6/10/14
Usage in Thousands of GoOons Account Number: 00202978720000
" ___
, ___ _ Previous Balance 51 L56
Payments Thraugh 06/10/14 rw,NK vcu $11.S6CR
Z = _ —_ _— Balance forword $0.0�
Current Char es Due O6/30/2014 $11 6
, ! � _ � ____ TQTAL RMOUI�iT DUE ` $11.56
a o 0 0 °_�_° ^ a . o
__ _ _ ._ ---
�. .� ., h �. ,.. � �.., .a �.. �. �.. ..,
Next meter reading date:on or about 07/7�/2014 'PAY BY 07/07/2014 TO AVOID A 1.5%IATE PAYMENT CHARGE
SENVICE TO:AUCE B fET(ERMAN ESTATE SERNCE AOURESS:4 HEARTHSTONE CT MECHANICSBURG PA
�� Meter Nurn� � Service �Days W�.. Mettr Rwdin4 �. - Onit of - . . :
- �� �From . To ��� � Premous '� Vres�Mt � ��9e Mmswe _ Reading TgOe: .'Rate �
5751344� OS/09{14 06/70/14 � 32 0300 0300 0 MGL �ACTUAI � W07
EQUNALEM TO O GALLONS
SERVICE CHARGES 517.00
DlSTR18UTION SYSTEM IMPROVEMEN S0.56
STATE TAX ADJUSTMENT SURCHARGE S0.02 CR �
TOTAI CURRENT CHARGES 511.56
SEE REVERSE SIDE FOR IMPORTANT ACCOUNT INFORMATION
_._.— _ ... ----
IMPORTANT M�SSA6E5
Your consumption is based on an actuoi reading of your water meter.
Saoe a stamp and go paperless taday!Log on to unuw.uniteduuater.com or cail Customer Seruice to find out more information and ta enroii in
eBilfln9
Annual Woter Quality Report
Starting]une 1,2014 you unll be able to view the United Woter Pennsyluania annual water quality report on-line at
wunu.0 itedwater.com/UWPA/Mechanic burq/CCR2013.This report contains important information about the source and quality of your
drinking water. lease ca11888.299.8972 if you would itke a paper report deli�ered to your home.
Reporte Anual de Calidad del Agua
A partu del Primero de julio del 2014 usted podra ver en tinea ei informe anual de la caHdad de su aguapo table produclda por United Wa[er
Pennsyluama visimndo la Pagina de internet u���n��u�_w���_�.u�ni�te�w�ater.com/UWPA MechanicsbuSg/CCR2013.El reporte contiene valiosa
informacion acerca de las fuentes de obasto y ca ii'do�de su agua potab e. or favor ilame al 888.294.8972 si desea una capia impresa del
informe.
ApDroximate state tox included on this bill$0.44.
� a o o r� uxv PIFASFOETA('HHFREANDRETURNTTiEBOTTOMGORTiONW11MYIX1PPAYMENTINTHEPFTI/RNEMIFI(1PEPp(WI�if1 mu
...�. ,m. .�,. , , o.�. f � ��-E9 5 15 14 � 1 t.5[0
Z tinf�e�r 5eniice�entervanfa
s� � U N ITED WQTE R H`.�"'��°p�:,�o�
Telepflone:717 Sfi�-3662
USaGE HIS7oRY Billing Date: 05/09/14
Usagein Thousands of Gallons Account Number: 00202978720000
a
6 - -- - —----- Previous Balance —$11.59
� Payments Through OS/09/14.�K„ti, 511.59CR
� Balance foward $0.00
Current Chdrges Due OS/292014 511.56
- - ---
2 ' ' - - TOTAC AMOUNT DUE $11.5'
, , _ _. _- -
a o 0 o a � o 0 o a
-- — -- -- - -
----
.4 ._ .. ., � �. �. � k, ... W. .. �„
Next meter reoding date:on or about 06l10/2014 'PAY BY 06/04/2014 TO AV010 A 1.5%LATE PAYMENT CHARGE
SERVICE TO:AL10E B FETTEkMAN ESTATE SERVICE ADDRE55:b HEANTHSTONE CT MECHANICSBURG PA
.. Meter Num6er Suufce .._. Days of Metv Readin.� � . � Unft of � . . .
� from �� 70 3e�� �Prevfous Present Usage . Mepsurc . Readlnq Type. . Rcte
-- � '-- �. :._.. .--_ .__
57573440 04/09l14 OS/09/14 3� 0300 0300 0 MGl ACTUAI W07
EQUNAlENTTO OGaLLONS
SERVICE CHAR6E5 $'1'I.00
DISTRIBUTION SYSTEM IMPROVEMEN 50.58
STATE TAX AD)USTMENT SURCHARGE 50.02 CR
TOTAI CURRENT CHARGES $11.56
SEE REVE0.5E SIDE f4R IM�RTANT ACCOUNT�NfORMATION
IMPORTANT MESS�tGES
�--- ---- -- ._ ..- ---- -- _ _ __.___---_ _
Your consumption is based on an octuul readiny of your water meter.
Effectiue Apnl 1,2014 the Distribution System Improvement Charge(DSIC)increased from 4.79%to 5.29'ib.7Fiis charge funds the
replacement of water distribution facilities in Pennsyluania.
Saue a stomp and go paperless today!log on to www.unitedwater.com or coll Customer Seruice to find out more information and to enroll in
eBilTing.
Effective Apnl 10,2014 the 5[ate Tax Adjustment surcharge decreased from 0.1 Z%to(0.22%)
Approximate state tax included on this bill$0.44.
� o o . � .wu P�.EASE OETACN HERE ANO PETIiRN THE BOTTOM PORTION WITTI YOUR PAYMENT IN THE RFNRN ENVELOPE PROVIOEO. ma
_ c� v/�c��_�y � -�- r �� u .... _,.M._�, n�....T...�.�._...F.y�__�.
,:,.,,...,.Mm.�.�,,,__w.. rrr.,.,.... � ... r.. �_ .x.. �..: ..n �..�v��... , �__ .�_.. .e .... ..�. ��.F_ ._.w.._�..._m,..
' United Water Pennsylvania ��
�Z Customer Senrice Center
s,�`` �~ U N ITE D WATE R Humm�etstowno,PA 17036 �
Tetephone:7'17-564-3662
'����� www.unitedwater.com '
USAGE HISTORY Billing Date: 04/09/14
Usage in Thousands of Gallons Account Number: 00202978720000
_ ___ _
� _ ____ �; Preuious Balance $11.54
5 --------------------- - ,
5 5 Payments Through 04/09/14 �,waN�You $11.54CR
' Balance Forward SO.UU
:, -- ___ ___.___ _ _ _ _-------_----- -----
Current Charges Due 04/29/2014 $11.59
, _— =__-. _ _ ___---— ! TOTAI AMOUNT DUE $1'l.59
` ' � � ---- -- ------- -
--
0 D � V ] J U
G _'__ .—..._—_____..—__._�'_—_.__--�
a.�. nov >>r roi __ ... ,,. .�,: «., m� c.o ns c
Next meter reaeing date:on or about OS/o9/20�4 'PAY SY 05/05/2014 TO AVOID A l 5%IATE PAYMENT CHARGE
SERVICETO: AUCE[3 fETTERMRi.ESTAT[ StRVICe ADDRESS: 4 HEAR7HSTONE C.T MECHANIC5BUR�PA
--,- --- -- — __. _ . -- -
__._ __- ----
� Meter Number Sennce f Days of � __ Meter Reoding � Un�t of . �
_,__.
� Prom ; To Serv9ce � Previous � Present I Usage Mensure Rending Type � Rate
__ _ . __ `-- — � __. , __ _. _ _ _. ____ y_ __ __ --
57513440 03/11/14 04/09J14 29 0300 0300 0 MGL F '''.-A� W07
EQIIIVALENT TO 0 GAl f ONS
SERVICE CHARGES $11_00
DISTRiBUTION SYSTEM IMPROVEMEN $0.58
STATE TAX ADJUSTMENT SURCHARGE 50.01
TOTAI CURRENT CHARGES $11.59
SEE REVERSE SIDE FOR IMPORTANi ACCDUNI INFORMATION
--__ _ __ _..___-- ----_- ---------- -__-- _ - -_-- _ --- --- _ --------�
� IMPORTANT MESSAGES _ _____!
Your consum ption is based on an actual readin�of your water meter. � i
Effective April 1, 2014 the Distnbuiion System mprovement Charge(DSIC)increased from 4.19�n to 5.29°ro.This charge funds the
replacement of water distnbution facilities in Pennsylvania.
Save a stamp and go paperless today!log on to www.unitedwater.com or cali Customer Service to find out more information and to enroli in
eBilling
Approx�mate state tax inciuded on this bill$0.44.
. .
I�"
Ur�fted Watet Pennsytnania
� � UNfT�D WAT�I� e,�"��a�;�36 _
Tuelephune:Z1�-964-36ii2
.uirHtedwnter.cem
USAGE HISTORY Billing Dote: 02/12/14
Usage in Thousands of Gallons ACCount Number: 002Q2978720000
. --- __ ------
_ _
b ----- -- Previous Balance $5.04CR
: Payments Through 02/12/14 50.00
, • __ Batance forward $5.04CR
Current Charges Due 03/04/2014 $11.54
-- - —
--- __ __
, � � T07AL pMOUNfi DiJ� ' $8.5
° - _
,., .,� .. �., �.. .� ,. �. � .�, � �. .�
Noct mecer reading datc:on a obout 03l11/2014 •PAY BY 03/10/2014 TO AVOID A 1.5%IATE PAYMENT CHARGE
SERVIC�TO:ALICE B FEiTERMAN ESTATE SERVICE ADORE55:4 HEARTHSTONE R MECHANIC58URG PA
—
—
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M¢terNumoer _ Snvice p�of . HeterRepding . . �yafo{, ' � -�
� From �To Sefvice .��._..._._._.__ `- Uw e �
� Vrevfous , . present 9 Meosure L _. Reoding Type - Rote
.�_:.._ ...._� —�.--._. _---�,. � -- ` --- ------ .. --_.-__.�
57513440 0"Il09/l4 �2/"10/l4 32 0300 03D0 0 MGl ACTUA� W07
EQl/NAlFNTTO OG4LLON5
SERVICE CHARGES S"i 1.00
DISTRIBUTION SYSTEM IMPROVEMEN $0.53
STATE TAX A�JUSTMENT SURCHARGE SD.OI
TOTAI CURRENT CHARGES $'11.54
SEE REVERSE SIDE fOR IMPORTANT ACCOUNT INFOHMATION
L��_. �MPORTAh17 ME55RG�s _ __ -�
Your consumption is based on an actuol reading af your water meter.
Effective January 1,2014 the Oiscribution System Improvement Charge(OSIC)increased from 3.73%to 4.79%.This charge funds the
replacement of water distribution fncilities in Pennsyluania.
Save a stamp and go paperless today!log an to wunu.unitedwater.com or call Customer Service to find out more informotion and to enroll in
eBilling.
Approximate stoie tax included on this bili$0.44.
� e e n n. ,,.,,n G�EqSE U(TACIi HERE ANO(iEfURN TFIE BOTTOM PORTION WITFi YOUR VAYMENT IN THE NE?URN EMlELOPE PRWIDED. aoi
._ ........... .... . ..... ... .... ....... .. . .. . ...... .. _... .
c�. 1� r'7 f3 f � (a(
u��der�rui�ce�C�M�
�� � l�N1T�� WATER ���'3sfi�
�w�+r.unrtedwaEe..ears�
USQGE HISTORY Bllling Date: 12/09/13
Usage in Thousands of Gatlons Account Number: 00202978720000
p --—_. .__. _....___ _ _ --
i ----
6 ____—_ �________ _ Previous Balance 534.20
� PaymentsThrough 12/09l13�wwKrou 556.98CR
� , y • � 5 � — __- ---__------ Balance Forurard 522.78CR
Current Char�es Due 12/30/2013 11.4
� -— -:—. _ - --
_ ' ' -- b�NO'��AY �1"1.3bC
�
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lac N� s6 �6 4 4a K 4� � sa G� �w. 1'a
Nenr meter reading Aate on nr about 07I09/20�4 'PAY BY 07/06/Z014 TO AVOID A 7.5'%IATE PAYMENT CHARGE
SERVKE TO:AUCE B fETTERMAN ESfATE SERVICE AOORE55:4 HEARTHSTONE CT MECHANICSBURG PA �
Meter Number� �`�� � Ooys of - Meter Rmding i� '� Umt of � �
Serviee ( �' Usa e �ype ..i � ..
��- t from To� .Prevaus P�rsent � 9 . Meqsure Readi T i RoGe.
_-J -�--�--�---�------- —''-- — — --- ' --.—.—
57513440 � Y 11/OS/13 12/09/13 31 0299 0299 0 MGl ACTUAL W07
EQUNA(ENTTO OGALf.ONS
SERVICE CHARGES $17.00
DISTRIBUTION SYSTEM IMPROV[MEN S0.41
STATE TAX ADJUSTMENT SURCHARGE 50.0�
TOTAL CURRENT CHARGES 511.42
SEE REVERSE SI�E FOR IMPORTANT ACCOUNT INFORMATION
- —�- — -_. -- -�— --- ---
� __ fMPURTANT ME5S/t�ES
Your consumption is based on an actual reading of your ura[er meter.
Effecci�e October 1.2013 the Distribution System Improuement Charge(DSIC)increased from 3.19%to 3.73%.This charge funds the
replacement of water distributian facilities in Pennsyluania.
Saue a stamp and go poperless todoy!Log on to www.unitedwater.com or ca0 Customer Service to find out mare information ond to enroll in
eBilling.
Approximate state tax included on this bill 50.44.
+ a o n a�ru PlEASE OEfACH HENE AND RETUPN THE BOTTOM fqRT10N WI7H YWR PAYMEHT IN TME RETURM ENVELOPE PROVIOED. ��
.... ... . ...'__"_ ..... .. __ ..... ... . . . .. ..... .......... .......
*** CANCELLATION ACKNOWLEDGMENT *** ������T�
i�arvcEcokcnnr
GPAND PAPIOS,MICHIGAN
PLEA5E REQUEST CHANGES TNROUGH YOUR AGENT
381-Q09-�15-144-4 01
FOREMOSS iNSURANCE COMPANf
P. O. BOX 2454 THE ESTATE ALICE FETTERMAN
GRAND RAPIDS MI 49501 3020 GETTYSBURG RD
CAMP HILL PA 17011
----------------------------------------------------------------�
PLEASE KEEP THIS FOR YOUR RECORDS
YOUR FOREMOST AGENT IS : POLICYHOLDER :
TNE ESTATE ALICE FETTERMAN
6EIC0 INSURANCE ACENCY INC
C/0 FULFILLMENT DEPT LOC 2200 �
PO BOX 375$ POLICY DESCRIPTION :
GRAND RAPIDS MI 49501-3758 381-Q09-Q15-144-4 01
BASICS ONE DW"ELLING
1-800-95$-6121 CANCELLED AS OF 09/04/ 14
CANCELLATION ACKN04JLEDGMENT
ACKNOWLEDGMENT QF CANCELLATION FOR PQLICY NUMBER 381-009-015-144-4 Q1 ISSUED
BY FOREMOST INSURANCE COMPANY. COVERAGE CANCELLED ON 09l04/14 AS OF 12 : 01 AM
STANDARD TIME . YOUR POLICY WAS CANCELLED DUE TO YOUR REQUEST.
YOUR TOTAL PREMIUM PRIOR TD CANCELLATION WAS . . . . . . . . . . . . . . . . . . ..Q�
HE AMOUNT EARNED BY TNE CANCELLATION DA7E WAS . . . 1 416.
PREMIUM $1,392.00t, SERVICE CHARGE $24.d0, INSPECTION� FEE � � $0.
HE AMOUNT CREDITED TO YOUR ACCQUNT WAS . $1,925 .00.
THEREFORE, WE WILL SEND A REFUND Of $509.00� TO� THE � APPROPRIATE PARTY
U N D E R S E P A R A T E C 0 V E R . `� r-�--- ---------•--------
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733684 04/88 �
6369 3 f- 1 7��� �
8 W90 6
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rage �' oT -' ` STATEMENT
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ORLANDO VACATiON SUITES It U.S.and Canada: 1-877-465-3152
40-3193 �alloo^^�N��M xSSo��AT�oN,�N�. Worldwide: {407)722-3119
� � � •
Orlando Vacation Suites Condominium Association, Inc
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� 1�� II �I ��d II 1 �1� 1� 1 l �i h� Ilh�l�ll 1 � �
— � i i 1 � i� i nl i I li I i III Ini i il �
_ � Carl C. Fetterman and Alice B. Fetterman
4 Hearthstone Ct DUE DATE IS JANUARY 1 2014
°�;22 Mechanicsb�rg, PA 17050-2700 '
t r � . . . .
BALANCE FORWARD 0.00 0.00
1/1/2014 2014 Operating Fee 629.98 0.00
1/1/2014 2014 Reserve Fee 228.84 0.00
!1I1/2014�'�-�-"'�R'ea s at�xes�"�, 164.97 0.00
�--.•..•.--__.._._.
1/1/2014 2014 Club Dues 136.00 0.00
1/1/2014 Voluntary ARDA Fee 5.00 0.00
SEE REVERSE SIDE FOR IMPORTANT INFORMATION t � � • � 1,164.79
Failure to pay the Total Amount Due within 45 days of the Date Due will result in the imposition of a LATE CHARGE OF$25.00 per ownership interest,
Failure io pay the Total Amount Due within 45 days of the Date Dua wiil result in the imposition of a FINANGE CHARGE. The FINANCE CHARGE will
be applied to the past due balance(maintenance fees and assessmentsj and wiil be computed at a rate of 1.50%per month. This is an ANNUAL
PERCENTAGE RATE OF 18.00%. All payments and credits are deducted from the past due balance prior to computation of the BALANCE CHARGE.
If you are an Owner at more than one owners association,a separate check must 6e prepared for each association to avoid co-mingling ot funds.
vccn rwc nno�nnni cno vni io ocrnonc
Page 1 of 1 STATEMENT
� t�. - + 1 � 3 � I� � � �/ � l �5
• - - • -+ M
ORLANDO VACATION SUITES II tU.S. an Canada: 1-877-465-3152
40-3193 GONDOMINIUM.ASS4C�AI�ON,INC, yyO�IdWI . �YO/)722�J��9
. � � r
Orlando Vacation Suites Condominium Association, inc
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�
— i�l�l�lllnli���hh���ill�ll���r�l����il�i�l�ll�llif�i��iil�li� a `� �
,_ f�Y. Carl C. Fetterman and Alice B. Fetterman
oQ� 3020 Gettysburg Rd DUE DATE IS JANUARY 1,241
T� Camp Hill, PA 17011-7205
� t � . . . .
BAIANCE FORWARD 0.0 0.00
1/1/2015 Operating Fee 642.58 0.00
1/1/2015 Reserve Fee 242.57 0.00
1/1l2015 Real Estate Taxes 181.47 0.00
1/1l2015 Club Dues 140.00 0.00
1/1/2015 Voluntary ARDA Fee 5.00 0.00
SEE REVERSE SIDE FQR IMPORTANT INFORMATION i � � ' • i 1,211.62
Failure to pay the Total Amount Due within 60 days oi the Date Due will result in the imposition of a lr4TE CHAftGE OF$25.00 per ownership i .
Failure to pay the Total Amount Due within 60 days of the Date Due will result in the imposition of a FINANCE CHARGE. The FINANCE CHARGE will
be applied to the past due balance(maintenance fees and assessments)and wiil be computed at a rate of 1.50%per month. This is an ANNUAL
PERCENTAGE RATE OF 18.00%. AII payments and credits are deducted from the past due balance prior to computation of the BALANCE CHARGE.
if you are an Owner at more than one owners association,a separate check must be prepared for each association to avoid co-mingling oi funds.
KEEP THIS PORTION FOR YOUR REGORDS
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THE� ���� � EXPERIENCE. � � � ���� _
WE SPEAK NOUSE ceRnfleo
INSPECTOR .... .
,�Cpha Hnme tnspecfiion
Office: 717-914-1600 Fax: 215-701-6979
mike@aiphainspection,net
www.alphainspection.net '
HOME INSPEGTIUN AGREEMENT
This HOME INSPECTION AGREEMENT("Agreement”)is made this date: 05/13/2014.
Between:
Alpha Mome Inspection Co. Carol Custer
201 Faculty Road, Duncannon, Pa. 17020
For the property located at:
4 Hearthstone Caurt,Mechanicsburg,PA. �i7050
1. Inspection Services.The Inspection Company will perform or arrange for the following checked inspections and the client shall pay the
Inspection Company the fees set forth in this Section. _y--�_ -1
. . ,•1
Home Inspection(pravided)..................................:$300.00 Radon Test(provided)..................... ...��..r�.....
Wood Destroying Insect(provided)........................$ WaterTest(provided).........,,...............�• ._::�
Administrative Fee(arranged).............................. _.,.,.
Total due for provided and arranged services... ... QOAO�"�
� �;�
2. Time of Payment; Release of Inspection Report. �'�" ✓ shall pay the Inspection Company the sum of$3Q0.00("Inspection Fee")for the
home inspection service.Additional services may be purchased through the Inspection Company and are to be considered separate from
the home inspection.Qther services may,as a courtesy, be arranged by the inspection Company and are not subcontracts.By arranging
for and providing ordering and billing for any such services, Inspection Company does not warrant or assume responsibility for the work of
such provider(s)and/or for provider's contract with the customer,which shall remain strictly between Client and provider(s).Payrrient is
due at or befare the fime of insQection and/or a#the tirne of s�nrices rendered:
3. Home Inspection Law.The Home inspection and this Agreement comply and reflect the provisions of Act 114, Section 75,known as the
Pennsylvania Home Inspection�aw.The Glient acknowledges and agrees that the purpose and scape of the Home Inspection of the
Property by the inspection Company is to discover readily visible,apparent or obvious Material Defects at the time of fhe inspection and
assist the Client in evaluating the overall condition of the Property and provide an inspection report describing the Material Defects
acco�ding to Standards of Practice and Code of Ethics of a Pennsylvania State compliant National Home Inspection Association.A
Material Defect is defined as follows:"A problem with a residential real property or any portion of it that would have a significant adverse
impact on the value of the property or that involves an unreasonable risk to people on the praperty.The fact that a structural element,
system or subsystem is near,at or beyond the end of its normal useful life is not, by itself,a Material Defect."
4. Not a Warranty.The Home Inspection and the Inspection Report do not constitute and shall not be considered to be a warranty,either
express or implied,concerning the present or future condition of the Property,the presence or absence of latent or hidden defects that are
not reasonably ascertainabla in a competently performed home inspectior,or the remaining useful life of any system or comparent of the
property.
5. Further Evaluation. If the person conducting your home inspectian is not a licensed structural engineer or other qualified specialist
whose license authorizes the rendering of an opinion as to the structural integrity of a building or its other component parts,you are
advised to seek a professional opinion as to any defects or concerns found in this report prior ta closing.
6. Not an Appraisal.This home inspection is not to be construed as an appraisal and may not be used as such for any purpose.
7. Permissian to i�elease Report.The Gompany will issue an inspection report to the Client only.This�eport becomes the confidential
property of the client and may not be relied upon by any other person th�ough unauthorized distribution of the inspection report.The
Client may give the authority to the Inspection Company to release a copy of this report for his or her named representatives sole use
in this specific real estate transaction only by initialing:_ ,and providing the representatives name:
have read and agree to the terms,conditions, limitations and exclusions found in both this document and the limitations and exclusions
locument that follows.I agree to the terms of limitation of liability and the provisions of the Pennsylvania Home Inspection�aw. I
mderstand that if I do not agree to the terms and conditions set forth that I have the right to cancel the inspection at this time and I have the
ight to hire another inspection company.
Inspector's Signature: Client/Name or Representative Signature Date
' ' � OMB NO.2502-0265 T
a B. TYPEOF LOAN:
U.S.pEPARTMENT OF HOUSING&URBAN DEVELOPMENT ��OFHA 2.QFmHA 3.OGONV,UNINS. 4.QVA 5.QCONV.INS.
6. FILE NUMBER: 7. LOAN NUMBER:
SETTLEMENT STATEMENT URENKO-CSC-2014
8. MORTGAGE INS CASE NUMBER:
C. NoTE: This form is furnished to give you a statement of actuai settfement costs. Amounfs paid to and by the settlement agent are shown.
ftems marked(POCJ"were paid outside the closing;they are shown here for informational pu�poses and are not inctuded in the totals.
1.0 3/99 (URENKp-CSC-20�4.pFDNRENKO-CSC-2014�
D. NAMEAND ADDRESS OF BUYER: E. NAMEAND ADDRESS OF SEILER: F. NAMEAND ADDRESS OF LENDER:
Mike Urenko
1531 Rudds Store Place The Carl C,Fetterman andAlice B.
Hemdon,UA 20170 Fetterman Revocable Living Trust dated
April 14,2005
G. PROPERTY LOCATION: H. SETTLEMENTAGENT: I. SEfTLEMENT DATE:
4 Hearthstone Court Charter Settlement Company
Mechanicsburg,PA 17050 September 4,2014
Cumberland County,Pannsylvania PLACE OF SEfTLEMENT
15 Cenfral Bouievard
Camp Hill,PA 17011
J.SUMMARY OF BUYER'S TRANSACTION K SUMMARY OF SELLER'S TRANSACTION
100. GRdSS AMOUNT DUE FROM BUYER: 400. GROSS AMOUNT DUE TO 5ELLER:
101. Contract Sales Price 187,500.00 401. Contract Saies Price 187,500.00
102. Personal Pro e 402. Personal Prope
103. Settlement Char es to Bu er Line 1400 3,705.50 403.
104. 404.
105. 405.
Ad'ustments For items Paid B Seller in advance Ad'ustments For/tems Paid B Selier in advance
106. SchoolTaxes 09t05/14 to 07/41/15 1,379.82 406. SchooiTaxes 09i05/14 to 07/01/15 � 1 379.82
i07, Cou Taxes 09Io5/14 to 01/01/15 192.31 407. Coun Taxes 09/0511a to 01/01/15 192.31
108. C' Taxes to 408. CityTaxes to �
109. Quarter Trash 09/05/14 to 10t41/14 10.78 409. QuarteHyTrash 09/05/14 to 10/01l14 i 10.78
110. 410. I.
111. 411. �
112. 412. I
120. GROSSAMOUNT DUEFROMBUYER 192,788.41 420. GROSSAMOUNTDUETO SELLER � 189,082.91
200. AMOUNTS PAID BY OR IN BEHALF OF BUYER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. De osit or earnest mone 1,500.00 501. Excess De osit See lnstructions
202. Princ' alAmount of New loan s 502. Settlement Char es to Sener L'me 1400 13,223.44
203. Existin loan s taken sub'eCt to 503. Existin loan s taken sub'ect to
204. 504. Payoff of first MorEgage
205. 505. Pa off of second Mort a e
206. 506.
207. ( 507. {Deposft disb.as proceeds
208. ! 508.
209. 509.
Ad"usfinents For ltems U� aid 8 Se(ler Ad'ustments For lfems Un aid B Seller
210. Schooi Taxes to I 510. School Taxes to
211. Coun Taxes to 511. Coun T�es to
212. C� Taxes to ! 512. Ci Taxes to
213. 513.
214. 514.
215. 515. (
216. 516.
217. 517.
218. 518.
Z�g. 519.
220. TOTAL PAID BY/FOR BUYER 1,500.00 520. TOTAL REDUCTIONAMOUNT DUE SELLER 13,223.44
300. CASH AT SETTLEM£NT FROMlTO BUYER: 600. CASH AT SETTLEMENT TOlFROM SELLER:
301. Grass Amount Due From Buyer Line 120 192,788.41 601. Gross Amount Due To Seller Line 420}
302. Less Amount Paid By/For Buyer(Line 220} ( 1,500.00) 602. Less Reductions Due Seiler(Une 520) (
303. CASH(X FROM)( TO)BUYER 191,288.41 603. CASH(X TO)( FROM)SELLER 175,859.47
The undersigned hereby acknowledge receipt of a compieted copy of pages 1&2 of this statement&any attachments referred to herein. ���L
` ' (��S//2�fC�S�
Buyer ��� � � Sener The Carl C.Fetterman and Alice B.Fetterman Revocable �
e Urenko Living Trust dat,,e,�rd�Apri}l 14,2.0/0�5� / �,(�
av ( �'2�'G/, C.L�Gu9 �G`�"r�G���'
, L.SETTLEMENT CHARGES
700.TOTAL COMMISSION Based on Price $ 187,500.00 6.0000% 11,260.00 A41D FROM A41D FROM
Divislon of Gommission tfine?40 as Follows: euv��s ��s
701.$ 5,625A0 to lawyers Reatty,LLG PUNDSAT FUNDSAT
702.$ 5,825.00 to TeamPete Reafty Services,Inc. s�r�+�T SEt��nn�T
703.Commission Paid at Settlement 11,250.00
704. Broker Fee to TeamPete Realty Services,inc. 395.00
800.ITEMS PAYABIE IN CONNEC710N WITH LOAN
801.Loan Origination Fee 1.0000 % to
802.Loan Discount °/a to
803.Appraisal Fee to
804. Credit Report to
8Q5. Lender's Inspection Fee to
806. Mo a e Ins. .Fee to
807. Assumption Fee to
808.
809.
810.
811.
900.ITEMS RE4UIRED BY LENDER TO BE FAIO 1N ADVANCE
901.Interest From to @ $ /day { days %)
902. MIP Totins,for LffeOfLoan for months to
903.Hazard Insurance Premium for 1.0 ears to
904.
905.
1000.RE5ERVES DEPOSITED WITH LENDER
1001.Hazard Insurance months $ er month
1002.Mort a e fnsurance months $ er month
1003.School Taxes months $ er month
1004. Coun Taxes months $ er month
1005. CiiyTaxes months @ $ per month
1006. months $ per month
1007. months @ $ per month
1008. months $ er manth
1100.TITLE CHARGES
1101. SetUement or Glosin Fee to
1102. Abstract ar Tdle Search to
1103. Tax Certificate to Charter Settlement Com an 20.00
1104. Titie Insurance Binder to
1105. Deed Pre aration to
1106. Nota Fees to Ca ozziAdler,P.C. 10.00
1107. Attorney`s Fees to
includes above item numbers:
1108. Titie insurance to Old Re ublic National Titie Insurance Com an 1 340.00
(includes above item num6ers.Endorsements 100,300&8.1 }
1109.Lender's Coverage S
1110.Owner's Coverage S 187,500.00 1,340.00
1'l11.
1�12. Closing Protection Letter FirstAmerican TiUe Insurance Company
1113. Federal Express Charges Charter Settlement Comparry
1114. Charter Settlement Company
1115.
1116.
1117. D�sbursement Charges
1918. Charter Settlement Company
1200.GOVERNMENT RECORDING AND TRANSFER CHARGES
1201.Recording Fees: Deed $ 85.50;Mortgage $ Releases $ 85.50
1202.Ci /Coun Ta�Stam s: Deed 1,875.00•Mort a e 1,875.00
12D3.StateTau/Stam s: '1.875.00;Mort a e 1,875.00
1204.
i 205.
1300.ADDITIONALSETTLEMENT CHARGES
1301. Surve to
1302. Pestlns ecfion to
1303. Finai Sewer B81 to Silver S rin Townshi Author' #879-884 78.44
1304.
1305.
1d00.TOTAL SEfTIEMENT GHARGES (Enter on Lines 103,Section J and 502,Section K) 3,705.5D 13,223.44
' By Si9n�9 A�1 aFttds stateme`C,tl�e signaiories acWn�vledge recei�da comqeted copy d page2 d Ws two page stetemerd
��,;,...-.�.,�-.�'..�1,.--'--�,�-,.���'-.-�-�,,..___�
Charter Settlemept-Company
SettlementAgent
Cerfified to be a true copy.
v3oizo14
Estate of Alice B Fetterman Estate of Alice B Fetterman
Carol Custer Carol Custer
3420 Gettysburg Road 4 Hearthstane Court
Catnp Hill,PA 17011 Mechanicsburg, PA 17050 ��
� SERVP'RO of New
�� ��� 107 North Market Street
�. �� Mechanicsburg,PA 17055
��
JOB DATE REP SOURCE
7/30/2014
Nonrestoration cleaning on residential property�a,4 Hearthstone Court, 759.2$T
Mechanicsburg,PA 17050-Carpet&Upholstery Cleaning
Sales Tax 45.56
^ 1 �• i
` 1
$804.84
�3��`�'� �v�� 5���ys7�. 547735
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"�STOMER'SORDEflN��CpEPARTNIENT� ���5 DATE
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fJ``2..�.�,�)� C`C t�f v'�' L'.�' �-�GZ t`-����;l`7�. � _
/� � CITI;STATE,ZIP �---��
= r�:�,:,-J1!'- r'�-' '�"Y "�l�/-� �,� • (2�'..SS
� „ SOLD BY CASH C.O.D. CVWFGE ON.ACCT. MOSE.RET�. PNO OUT
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QUANTIiY DESCHIPTION PRICE AMOUN7
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RECEIVFD BY
*�a�<��� KEEP THIS SL-IP FOR REFERENCE °'""
p� ..��, �S � f 1� �/ � t� � � ��,Q �
BSEC, INC. B�E��
i1 TEXACQ ROAD
MECHANlCSBURG, PA 17050
717 697-5425
invoice 34292
Biil to: Job: 131014
CAROLCUSTER
3020 GETTYSBURG RD
CAMP HILI., PA 17011
invoice#; 30292 Date: 07/31/14 Customer P.O.#:
_ ..___ _ _ _ __
___. _ _ ....
_
Payment Terms: NET 1fl DAYS Salesperson:
Customer Code: CUSTCARO
Remarks:
� �- . . .
4 HEARTSTpNE CT,MECHANICBURG
INSTALL TWO BREAKERS
1.000 ELECTRICIAN HR 50.00 50.00
MATERIALS �g�
SERVICE GALL 27.00
Subtotal: 77,97
---
THANK YOU FOR YOUR BUSINE5S! Totat: ��,gJ
Print Date: 07/3V14 Page: 1
'VVilliam Kennv, Inc. t nvo i ce
93 Hillymede Dr.
Harrisburg,PA 17111 DATE INVOI�E�#
Tel. (717)220-1540 7/9l2014 2855
BILL TO
Carol Custer
3020 Gettysburg Rd.
Camp Hill,PA 17011
P.O. N0. TERMS PR�JECT
Upon Receipt Roof at 4 Heathstone Ct.,...
QUANTITY DESCRIPTION RATE AMC)UNT
Initial invoicing for project per proposal. � � 7,374.00 7,374.00
Tatal $7,374.00
�----.�„�tox _ �.ce zease ,� ' Page 1 o�r 2
, ,��.� ��'��c��� �--� (t�1����:`�� ) � `� � �7� � ���:cR�c�
Storag��pac�L�ase
� �s Agre�rne, �nt is��e�d�ntered in this ��da of /4 +"�I ,20�between
K(3C� %. �, af �'.>��� � z - �. `� w � � hereinaf�er referred to
as "Lessor" anc{ S�{e� F�..�.��,,1,�„ , o f s� ��,,$„ r,;,,,L� +-�+��z ,he inafter referred to as
��Lessee". �'s{�� ���` •'��t��..F"�,4E,.,,.. �� .
+tit...�✓r�CSi: �EUr ��j.
W�IEREAS,Lessor desires to le to Less e and Lessee desires to lease from Lessor the pxemises
generally described as�' �r � ? � ,i�is herein agreed as follovvs:
�� �c� ..��� I ���r•
.�.Lessor hereby leases to Tenant�,the pr�mi s descn d above for a term of , ���, � ����, �eginning
(a r` .�(,��,and ending: on�Il G;7 �t
� 2.Tenant agrees ta pay the rent here�nn provided subject to the terms aaid conditions set forth herein.
3.Rent shall be payable in equal monthly installments to be paid in advance on the�day of each
month,to the address of Landlord as stated above or at such other address as Landlord may,fram time
to time,require.
4.Upon receiving any payment of the re�t in cash,Lessor agrees to issue a receipt sta.ting Tenant's
name, a descriptio f the premise�,the amount of rent paid,the date paid and the peri cl for which rent
is paid.
� Et�i ����U►v`C" = ��-C�C,j �C�� n1t�n�1
5.Lessor eovenants that the leased premises are clean and dry and that there exists no violatian of any
applicable building code,law or regulatian.
6.Tenant agrees to use th�premis�s exclusively far the storage of personal properly,merchandise,
supplies or other material ovvned by Tenant and f�r no other use.
7.Tenant understands and�grees that the use of electricity for food freezers,refrigerators and other �
appliances is not allowed.
8.Tenant agrees ta keep the irnmediate premises i�good order and to advise Lessor ar lus agent of any
needed maintenance or repairs.
9.Tenant shall not store any items outside the s�era�e area nor dispose of any trash outside the storage
area other than in containers provided by Lessor.
10. Tenant shall not keep or have in or on the leased premises any article or thing which mig�t be
pronounced"hazardaus° ar "e�ra hazardous"by any responsible insurance campany.
il.Tenant agrees not to commit a nuisance in or upon said premises so as to substantially in�erfere with
the comfort ar safety of occupants of adjaeent buildings.
12.Lessor is not responsible for any loss or damage due to fire,theft,water,wind,hurricane or any
cause whatsoever ta the property af Tenant,nor is Lessor requirecl to carry any insurance to cover same.
13.Tenant,at his own expense,shall obtain his own insurance, if any,to the property stored in said
premises. ,� ,�
�Ph't� ��7 5�,��- Gr X �5 = � '��' p �''--
http://www.freebies4ya.com/agreements/realestafe/storage_s�ace_2ease.asp 3/�/2014
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�� ,� ` �"���f��� a���.�"���.' �'� �� �' ��Number 1326 � ��
�
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� � � � x . Date 7/26l2014���_�
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Bi(i To Ship To
Alice fetterman Estate Go Sunshine Q.C.S
Carol Custer 1119 State rd.
�he�rthstane Ct. ����```�,.., Duncannon,Pa,17020
�' Mechanicsburg ,Pa ,17055 � Usa
____�_��____.�_._..__ ..__.�__�
PO Number Terms Praject
residential Cleaninf saturday July 26 and Tuesday 29 residential cleaning
Date Description Hours Rate Taxt Amount
Saturday July 26 residential cleaning 1.00 $180.00 v $180.00
supplies residential cieaning $17.Q0 � $17.00
Amount Paid $0.00 Discount $0.00
Amount Oue $208.82 Shipping Cost $0.00
Sub Total $197.00
Sales Tax 6.00%on$197.00 $11.82
Tatal $208.82 f;
/
0-30 days 31-80 days 61-90 days >90 days Total
$0.00 $0.00 $0.00 $O.QO $0.00
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COMMONI�VEALTH CODE
INSPECTION SERVICE, INC. 0(���/O���
]76 Doe Run Road U U �/
Manheim,PA J 7545 DAT�/1'7/2014 INVOICE
71?-6�4,2347 N� 61119
BILL T0:
, - T ��ol Cust�r $ �(D(J!� '------
�STATE 4P r"�LICE I'E�TT�Pv'�-1�I� C/U Ci�, AMOUNT ENCLOSED
3020 GE'ITYST3URG ROAD
C�'�'ii'I3ILL I'A 170]1
P�EASE DETACH AND RETURN WITH YOUR PAYMENT
DUE UPON RECEIPT
DESCRIPTION AMOUNT
$60.00
CAROL CUSTER
4 HEARTHSTQNE COURT MECHANTGSBURG
ELECTRICAL ii`SPECTiON FOR 200 AMP PANEL, CORREGT BKR. STZE ECT.
�F�+ �`i`�"�, k:k�:'a..��`�:��� ''��� ����.�.'T �T� `•��. ,v"�.."t `�.�iae�Y`'+ 1!C�'�`�� �' 'n..` -:ix��•��
��� ,�..� ... .' �� .
80142 18 6
ESTATE OF ALIGE B FETTERMAN 313 20�
CAROL E CUSTER EXEGUTRIX / ,��7 /
3020�aETfYSBURG RD. �����.�/ b�C�(
E CAMP HILL,PA 17011
€ �4�L��aZe'�(l���,���C�c- ��.�,�C',�``�7 �2�G� I $ ���
x pAY T't3 GT�iBI^..�OT' C�✓/�'
r f � c�11Z�. tL.Y�..c� ✓'� � �- � �...a..a
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c IISTENING IS lUS7 THE BEGINNING m
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�:03i30L422�: 000 ? L02073�i' 0 �86
y,� '`,�,.. ,�'`.. 't ,}W�;� '�' fr� r;b+°" �a ..,.;e"u fi "�. `':f"��'-��.s'*.� «�'i....y, ;�. ,�a�, '�Y..;o-����4'�'>~..
r � �s ,.. �t?:. ,'�'.�.�::..'wi. .�`��' K ,t._�`r'+'`:a�.. � ..a.�.. " .,.. _...���2.I � . .. #iSa �k'3'""�e�r�_�? •�+�i v�
�
1.53a INTEREST FEE PER MONTH ON ANY ACCOUNT OVER 30 DAYS;NOT TO EXCEED 18%PER YEAR
TQTAL �6a.00
INVOICE
717-664-2347
GOMMONWEALTH CODE INSPECTION SERVICE, INC. 176 DOE RUN ROAD,MANHEIM,PA 17545 �0 6111
� "One tall for All Your g�� ` �� � C � ! � �� t �� � � 4�`''�"-''
Hnme iare Needs" �
� Zimmerma INVOICE
PLUMBING,HEATING
&A!R CUIVDtTIONING ��,
�� �
PA i N c 0 a v 0 n a T [ P �.���m����3 v� :�.�� � s
110 East Allen Street $/2612014 0000030Q64 0001110
Mechanicsburg,PA 17055
Phone:717-697-3528 or 717-249-7923
web:www.ezimmerman.com
� ��M'�,�,.�,��"�'��`
Carol Custer Alice Fetterman Property
3020 Gettysburg Raad 4 Hearthstone Court
Camp Hilt PA 17011 Mechanicsburg PA 17050
• � - - � .. , , - , ffi
NET 30 Bill Orris
. ,: �, � � � �
• - � » ..
° " ���� � � � �� � "*��, �. ; �� . -��
�
1.00 Disassemble shower drain and clean off old putty. Put on 175.00 175.00
new putty and reassemble drain.
1.00 Plumbing PMA Discount -26.00 -26.00
1.00 Plumbing Service Call Trip Charge 69.00 69.00
1.00 Plumbing Caupon -25.00 -25.00
� � � '—^"
��� --� 1 �
C�� � ��,^l
� \����.��
TOTAL $193.OQ
"One(nOFarAIlYour �`"' ' �7��S�j� � � r�� `� 5���'��
Nome Care Neetls"
' Zimmerma INVOtCE
PLUMBING,HEATING
&AIR CONDITIONING ' ; � � � �"7
PA4 I N C 0 R P 0 R A T E 0
110 East Allen Street 7/15/2014 0000028022 0001110
Mechanicsburg,PA 17055
Phone:717-697-3528 or 717-249-7923
web:www.ezimmerman.com
� i
Carol Custer Alice Fetterman
3020 Gettysburg Road 4 Hearthstone Court
Camp Nill PA 17011 Mechanicsburg PA 17050
• e
NET 30 Jon Beck
� � r � � o
Maint visit 1/1
1.06 Replace blower motor starter 133.00 133.00
1.00 HVAC PMA discount -20.00 -20.00
1.00 Replace dual motor starter 206.00 206.00
1.Q0 HVAC PMA Discount -31.00 -31.00
1.00 Air recovery treatment 275.00 275.00
1.00 HVAC Coupon -25.00 -25.00
TOTAL $538A0
PAID Check 169 {� $538.00
BALANCE $0.00
� PMA EHective Date: PMA Expiratiun Date: H Z��O
� ��� � � "Dne Call Fur All Yaur DATE
w Home Care Nesds" "j �j -�
R-22/R-410 LBS. ` Zimmerma OATE OROERED
PLUMBING,HEATING DATE SCHEDULE
&AIR CONDITIONING
• = a N xisTirv ' '
PA4770 I N C 0 R P 0 R A T E D PHONE
' ` OMPLETE �P 110 EASTA�LEN STREET• MECHANICSBURG, PA 17055 w.�H NE �
' "` ❑MFGJZPH ❑ PARTS/LABOR (717)697-3528 or(717)249-7923 FAX(717)697-6746
' ' � ' ' � :• - www.ezimmerman.com AC PMA DATE
i �
PROPANElNATURAL NO7ZLE SIZE N ! HEATING PMA Df
/ /
INLET GAS PRE5S. OXYGEN ST EEj WORK PNONE
MANIFOLD PftESS. DRAFT ��'��
��TY STATE PA 21p CELL PHONE
LOWFIREPRESS. SMOKE ��� t?05�
MEDIUM FIRE PRESS. G02 ` �` � � �f ' •! � a
HIGH FIRE PRESS. CO PPM '
SUPPLY A�R TEMP. FIUE TEMP. '
RETURN AIR TEMP. EXCESS AIR � ,
DELTATEMP. EFFICIENCY o �
.� ,�
OILPRESS. '� BLOWERMOTORAMPS. A .r � � �„j�
OIL FILTER k � AMPS.
PUMPSCREEN# wnr�aPa�ss. FILTER SIZE:
� �D G�Sx LOCATION:
:tt���ir�z�ii)i�R: ..; .-DE'scRtPrioN f-�€Gc�aaAe��,T�onrs� : pc�ar.:t� -
' AMBIENT TEMR � SUCTION LINE PRESS. • . , �
�N
OUTDOORCONDfT�NS SUCTION LINE TEMP.
�
INDOOR DB SUPERHEAT ' '
INOOOR WB LI�UlD IINE PRESS.
.�"' .
3 SUPPLYAIR TEMP. '�� LIQUID LINE 7EMP.
�
�� REfURNAiRTEMP. SUBCOOLIN� � �
�� DELTATEMR � COND.MOTORAMPS. �;�.�M , �
DISPATCH ARRIVAL DEPART D ' ,
TIME TIME I� TIME 'd r �•�
TECHNICIAN ( '
�.Jdv1. � �� "+�
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Q GASH Q�GHECK O CREDIT CARD -C°�-,� /�j• �( : � ;n,��� �--
(CIRCLETHECARD) � . .
YlSI �.` �,
Authorization No.
Check No. �O ����` �'`M �' S
Amount Collected$ .°�y:
si�rv � D
We wish to provide ihe hghest levei of professionalism and qualtty service along
with the best customer assurznce policy in the industry.Our serviee repair warranty
poliCy is: .
1
t,All parls repiaced by us will be warranted to be free of de(ects for e period of � � � � � �{�'yq�. � ���,
.Many service companias provide 30,60 or 90 day war- -
ran es. e ee ihat t e parts we inatall have Deen carefWry selected arnf ineet or � ��E THE AUTHORITY TO ORDER TFiE ABOVE WORK AHD DO SO AS TRtP
exceed manufacturer specKcaOons.For tbis reeson,we feel comfortable oHering OUTLINED ABOVE.IT IS AGREED THAT THE SELLER WIL�RETAIN TITLE TO CHARGE
thia excel�ent wartanty.Tha labor to install the warrantad part(s)(s discussed in
iiam ff2 below. ANY EGUIPMENT OR MATERIAL FURNISHED UNTIL FINAL 8 COMPLETE P�
PAYMENT IS MADE;AND IF SET7LEMENT IS N07 MADE AS AGREEO,THE �
2.Our repair labor is warranted for a period of • SELLER SNAIL MAVE THE RIGHT TO REMOYE SAME AND ALSO WILL BE NELD ���—'`—
This is the labor te repair or replace Ihe pert we insiall repav,an not to covect ���ESS FOR ANY D GE RES�G FROM THE REMOVAL THEREOF. COUPONS ��.
other problams thaf iney have ansen in the mterim, 5 k CAN LLATION E�
ABOVE ORDERED WORK HAS BEEN COMPLETED f ,�
X � AN I N WLE G RECEIPT OF MY COPY. �/ � �� �C���� � • ��Q ;�
�'�'�`'" �'�'�� lIS//'� �� AUTHORIZEDSIGNATURE a • ! U
DA /�
Ih�ti` / �� ��'. •. �7 ��
j��` 7��t�1� +� � l7�}
William Kenny, Inc. �Il VOI C@
93 Hillymede Dr.
Harrisburg,PA l7l 11 DATE _ INVOICE#
Tel. {717)220-I540 7/17/2014 285$
BILL TO
Carol Custer
3020 Gettysburg Rd.
Camp Hill,PA 17011
P.�. NO. TERMS PROJECT
Upon Receipt Roof at 4 Heathstone Ct.,...
QUANTITY DESCRIPT{ON RATE AMOUNT
Baiance due for roof replacement per praposal (this item plus 6,450.00 6,450.00
item 4 in the amount of$3,550 equal the amount due per the
proposal of$10,Q00).
Credit for drip edge not replaced at gutter edges due to gatter -150.00 -150.00
installation detail(the gutter is nailed through tlie original drip
edge which we discovered while working; it was unnecessary to
replace the original).
Replacement of roof sheathing at parch roof valley due to rotten 220.Q0 220.00
wood{labor$180;materials$40).
Balance due for laundry room floor and closet work per proposal. 3,550.00 3,550.00
Replacement of brown aluminum trim on front parch gable and 640.00 640.00
right side house gable as agreed.
Credit for savings on vinyl floar(allowance included was$350, -217.00 -2I7.00
actual cost was$133).
Clean and caulk araund main sewer line in basement as agreed. 75.00 75.00
Caulk around electric meter base as agreed. SOAO 50.00
Tear out and replace rotten sub-floor in closet of laundry room 225.00 225.00
(labor$180; material $45).
Ta#al $i4,843.00
._ � �� +�,e .c � N rti.—.. .., m C � ,
'• + 1
WebBEST Receipt �1 �� ��,���q� ��,�.�,� _m o�,�����„5�5 Page 1 of 3
, . r�. �j��� �,� „j -� �� 1 �� i� �.��
In-Tawn Rental(OUT)-Saturday,4/i3/2014 10:12 AM Contract No,,:92120915 II'll�'I���II'�IIII"II�I��IIII'I'll��ll
�{.QADSIDE{�,S.SESTANGE:,mvuhauLcom or 1-800-528-0355-TM 1444D'
Dispatched From:811052-Safe-Prqtectlon:(YES)
Customer: 717-627-5261 R�egfiing Locatian:
steven fetterman 717-824-0926 • U-Haui Moving&Trailer Hitch Center oP
8 Irvin drive DL:xxxxx5892,PA,0817 L•ancaster-.(811052)
Lltitz,PA 17543 sPetterm@gmail.com 5456 Main St
EAST PEfERSBURG,PA 17520(717)569- �
4538�
Rentai Out Date/'fime: 4J12/2014 10:12 AM Rentai Due Date/Times 4/12J2014 SAU'�f�t�
•Fatiure to retum the equipment by the Rentai Due time may resuit in additional charges.
Equipment MI Out MI Rate MI Charge Coverege Rental Rate ental Charge,_ Estimated Charges
}fM 1444D 43866.0 $0.99 X SOQ,O $99.00 SefeMove$14.00 $19.95 $19.95 - $132.95
� �AD98279 AZ '
RE6ULAR CHECK-IN - EMAIL ON FILE �stimated Environmental Fee: $i.0o
.' Estlmated 5ubtotal: $133.95
Estimated Rentai Tax: $10,72
FUEL TANK CAPACITY: 33 GAI.LONS � °: Estimated Motor Yefiicle Tax: $2,00
� i�!'� i�`� 3�'$ 1�� 6�$ ��� a�g EsNmated Charges Paid: $0.00 ��
,'' Estimated Totai Charges: $146.67
{ r ! i ' � r ' E E � t 1 � � � f r
28 28.6 25' 23 21 y'8.5'17 '18.� 74 12.5 11 95 B 8 4 2 =� .
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Estimated gailons needed to returri to dispatched levei of Full .
Card Type: Accouot: Auth-
DISCOVER XXXXXXXXXXXXXXXXb818 01267P
The bank has placed a HOLD for$146.67on your account.Thts hold may appear on your statement.U-Haul will not Net Pafd Today: $b.00
charge/credit your card untll you return the equipment and your rental charges are calculated.
•I agree to verify my truck's fuel level is Full before Ieav(ng the premises.I agree to return this truck with this amount oF fuel or pay a$30.00 fueiing
fee and a minimum oP$5.�0 per galion for fuel used,U-Haul does not relmburse if this truck Is returned with more fuel than when it was dispatched.U-
Haul pays for oil(saye recelpts).
•U-Haul provides the Customer with minimum Iimits oP protection requlred by that state or province where arises any claim,suik or cause of action.
This provided protection is in excess or secondary to any insurance coverage(s)oF the Customer.Customer assumes Sole Responsibility for any and all .
Itabflity that exceeds the applicable minlmum ilmits of protectton for that state or province.
•1 understand that this equipment must be returned to fhe same U-Haul location where it was rented.I understand that the minimum rentai charge
for equipment retumed ta a different location is txice the amounk of the c(�rrent Cne Way rats from this U-Haui locatlon to•the actual drop-off location:
•I understand that the equipment rented is water resistant and not water prooF.
�I acknowtedge that I have received the approprlate User Instructions and acknowiedge my respons(bility to Fuity read and understand these User
Instructions before operating the equipment.
•I agree to submit ali claims against U-Haul ln accordance with the U-Haul Arbitratfon Agreement,Incorporated by reference,and avaflable at
uhaul,comlarbitration oc from your local U-Haul representative.
•Watch for overhead objects and lock-up the cargo box.I understand that a collislon with an overhead object and theft of my cargo are just two
speciFit exclusions not covered by SaFemove or Safetow protection.
•I agree that distrocted driving is dangerous and that driving while distracted is Ifkely to lead to an accident/crash causing serlous i�jury or death.I
agree not to use a hand heid mobile phone(other than for an emergency call)and not to text while driving any U-Haui truck or towing any U-Haui
Trailer,Tow Doliy or Auto Transport.My agreement not to do so is material to U-Haul's decision to enter into this Agreement.My failure to comply is
material breach of thls Agreement.
•The following shall be admissibie as evidence of negligence and breach of contrecr����••�-•�•suft or arbitration: i)that the driver of tfie U-Haul truck,
or vehicle towing any U-Haui Trailer,Tow Doily or Auto Tr�^�^-" {hat the driver of the U-Haul truck,or vehicie towl� L'
_�_..__.�._.. __...._..4
any U-Haul Trailer,Tow Do11y'or Auto Tran'sport,�ya§usir S free or for an emerg �- � • �
•I acknowledge that 7 have recelved and agree to the te� ` ,^`�nd t� Rental Cc
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(717)569-4538 b�54 Carlisle pp�'�1� Time 3��7;�6 p�t�
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1 03 Praduct : Unleaded
' , u Na: -� P'ump Gallans Price �
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., ; `�� ,��, , tlnleaded � $
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East Pennsbaro Ambulance Service Inc `' 4` �~-
Billing O�ce 13-207170 11I14J2013 � � $150.00
,
PO Box 726 . - �
_ . .__._..
New Cumberland, PA 17070-0726
QUESTIONS ABOUT THIS BILL? Phone: 877-214-6p18 Espanol: 86b-724-4114 Pax: 717-214-fi020 Email: Info@ambulancebiilingoffice.com
Date of Setvice: 9/7/2013 19:20 Please visit our website to provide insurance or make payment, and
Patient Name: FETTERMAN,ALICE B. for additional payment options and frequently asked questions;
From: RESIDENCE www.ambulancebiltingoffice.com
To: <TreatmentlNo Transport>
. � , ,
This rype ofservice is not covered by ambulance memberships, Medicare, Medicaid ar�d most secondary insurances Payment
is your respansibility.
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9/07J13 BLS Response or Refusal A0998 1.0 150.00 150.00
Total 150.00 0.00 0.00
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_DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT.
RETURN TOP PORTIOhI•RETRIN LOWER PORTION
WE ARE IN THE PROCESS OF 7RANSITIONING TO A NEW SYSTEM. YOU MAY RECIEVE
TWO DIFFERENT STATEMENTS FROM QUR PRACTICE.
Insurance Charges Pending: 102.00
Appointment Service Description Charge Payment Adjust Patient
09/27/13 GEISINGER HE Payment 0.90
19/31/13 - ALICE - LUPINACCI, MICHAEI. F, M.D.
BALANCE FQRWARD 1 32.90 32.90
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LA5TPAYMENTRECEIYED Current Over3@ Over60 Over90 Over126 Patient
60/0@/00 0.60 32.90 @.00 0.00 0.00 0.00 32.98
plEpSE PHYS OF REHAB, IND & SPINE MEDItINE, PC
MAKECHEC 4318 LONDQNDERRY RD, STE 166 � i ii��
PAYABLE TO: HARRISBURG, PA 17169 '
Payment Due Date 11/16/13 32.90
Ph:(717)-561-4242 5tatement Date: 11/01/13 Acct#:519 Page 1 of 1
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Enhancing lives through
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GOLDEN LIVINGCENTER - W
P.O. Box 180970
Fort Smith, AR 72918
CAROL CLUSTER
302 GETTSBURG RD
CAMP HILL PA 17011
DEC 31 2013
RE: Name --- ALICE FETTERMAN
Account Number --- 123104-00285-45839
Current Balance -- 2275.00
Dear Responsible Party and/or Agent:
Please accept our condolences on the death of your family member. We
appreciate the difficulties you are experiencing at this time and would
like to offer our assistance in resolving the outstanding balance at
GOLDEN LIVINGCENTER - WEST SHORE.
In order to assist you we would appreciate if you could provide us with
the following information:
1) Has an estate been established? If yes, please provide us with the
name, address and telephone number of the attorney handling the
estate. If an estate has not been established, do you plan to open
an estate?
2) Have you made payment arrangements with the facility to satisfy the
outstanding balance?
3) Was balance paid prior to the receipt of this letter? If yes, please
disregard this letter and accept our thanks.
Please call me at 877-367-17;16 t tol.l fr.ee ) if you ha�r�
any questions or need additional information.
Sincerely,
GEORGIA TACKETT,
Recovery Specialist
877-367-1716 - to11 free
(21>
www.goldenliving.com
Po goX 1 ao��o
Fc�rt Smith, RR 72918 � Phone: 877-367-1716 � Fax: 479-478-2625
�� �� Account Number Amount Due
1/" � 717790-0604 ;719�84Y 589.1$
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h��Y ��eC Phone; 717-790-0604
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Vertzon News ' ' _.__ ....... . _._ __. �� --- ----_ __ _._._.
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Before You Move...
Call 1-888-416-9691 and we'll heip set up your New Charges
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be up and running in no time!DON'T WAIT!And be Current Aciivity —$3J5
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sure in ask if FiOS is available in your area.Service Ta�ces,Governmenlal Surcharges aral fees $,�g
availa6ilityvaries. _�.. _ ____. .._,.._ .__.._._____ _.._ _.__ ____
Verizon Surcharges and Other Charges&Crediis —S�,pS
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W8 V81UU OU�CU5t4R1@I'S Total New Charges _�5,�g
We appreciate your business&war�to deliver the very
best entertainment to you.Caii us at Tatai Amount Due—Please Pay Now . $89,�
1-888-576—�502 to lind out abaut the new ways " � '"
Verizon can save you money.We enjoy being your Your account has 6een disi:o`nnected.Any otha charges oc�qredits w� appear
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Verizon representatives are standing by to help review
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View your hills in detail at verizon.com or call 1-800—VERIZON(1-800-837-4966).
Enter your ten digit number�17-790-0604.Use 719'rf asked for your cuslomer
ideniiiication code,Customers wfth disabilities cali 1-800-974-6006 TTY.
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166-20-2653 FE 1300912027
PAYMENT AMOUNT
FETTERMAN
ALICE B
$ 94 .�0
3�2D GETTYSHURG R4AD
C A M P H I L L Make check or money order
P A D E P A R T M E N T U S E 0 N L Y Payable to the Pennsylvania
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ESTATE OF ALICE B FETTERMAN � 3f3 1�'0 15 5
CARQL E CUSTER EXECUTRIX /
3020GETTYSBURGRD. ��C����- —r/ZQ. �l� '7Q('�J
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Notice Date:
Due Date: Rentat Period: 9����14
10/17/�4 Store Name: Branch Number:
10117I14- 10/17/�5 Simpson Ferry ��8 8ox�umber:
Amount Due:
Pfease be advised that the account referenced below wili be c�ar � ��234 ���a0
have any questions p►ease contact us at 1-8gg_937_p004 or visit an
g d for your safe deposit box rent. if you
y of our convenient Metro Bank lacations.
G-��2L.-E.CllST..�R_
OR DAVIp O CUSTER Savings Accaunt: XXXX-28gp
3020 GETTYSBURG RQ
CAMP HILL PA 97011
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REV-1513 EX+(01-70)
� � r� pennsylvania SCHEDULE J
'��� DEPARTMENT OF REVENUE
- � � INHERITANCETAXRETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Fetterman, Alice B 21 - 13 -01050
RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$)
RECEIVING PROPERTY Do Not List Trustee(s)
I, TAXABLE DISTRIBUTIONS[include outright spousal
distributions,and transfers
under Sec.9116(a)(1.2)J
1 Carol E. Custer Daughter one half of net 450,329.04
3020 Gettysburg Road estate
Camp Hill, PA 17011
2 Stephen D. Fetterman Son one half of net 450,329.05
8 Irvin Drive estate
Lititz, PA 17543
Enter dollar amounts for distributions shown above on lines 15 through 18 on 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
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET O.00
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. I I
LAST WILL ANO TESTAMENT
OF �
ALICE B. FETTERMAN
I, ALICE B. FETTERMAN, residing at 4 Hearthstone Court, Mechanicsburg,PA 17050
�' 1CUMBERLAND County), make this, my I.AST WILL AND TESTAMENT, and revoke all prior
Wills and Codicils.
ARTICLE I - IDENTIFICATION - FAMILY MEMBERS
1 .1 Spouse. My spouse's name is CARL C. FETTERMAN. All references in this Will to "my
spouse" are to said spouse.
�
1.2 Child or Children. I have the following children: CAROL E. CUSTER and STEPHEN D.
i FETTERMAN. All references in this Will to my "children" are to said named children.
' �i
� ARTICLE II - DEBTS AND EXPENSES i
;
�! 2.1 Debts and Expenses. I direct my Executor to pay my funeral expenses, my medic�l
I expenses, the costs of administration, including ancillary, and such of my enforceable debts,
�j other than those secured by praperty specifically devised under this Wili or secured by
; property passing outside of this Will as my Executor, with sole discretion, determines shall I
; be paid. !
��
jf ARTICLE III - RESIDUE I
;; i
i� 3.1 Residuary Pour-0ver. I devise all the residue of my estate, but expressly excluding any
� property over which I have a power of appointment, of whatever kind and wherever I
jsituated, to the Trustee of my Revocable Living Trust which I previously executed today, to �
` be administered in accordance with the terms of the Trust Agreement now constituted and �
from time to time hereafter amended. i
ARTICLE IV - FIDUCIARY APPOINTMENTS f
4.1 Fiduciary Appointments. I appoint CARL C. FETTERMAN as Executor under this my
��
Will. If for any reason CARL C. FETTERMAN fails to qualify or ceases to act as Executor,
;; then I appoint CAROL E. CUSTER and STEPHEN D. FETTERMAN as Co-Executors in his
JoseleA.Finney � place and stead. If for any reason one of them fails to qualify or ceases to act as an
Attarneyaal.aw Executor, the remaining ane of them shall serve as sole Executor. No Executor shall be
OncGrecncreeCeave ; required to furnish bond or other security in any jurisdiction
Suire 201
Mazlton,New Jersey
08053-1536 ARTICLE V - ADMINISTRATIVE PROVISIONS
Pennsylw.tnia QfFices
"' S.1 Survival Presumptions_ If my spouse and I shall die simultaneously, or under
PhiladelPhia and _. ____.
KingufPn,ssia circumstances which render it difficult or impossible to determine the order of death, then
Last Wiil and Testament �
� ALICE B. FE7TERMAN
ii
.. .
my said spouse shall be deemed to have predeceased me. If any other beneficiary fails to
survive me by thirty (30) days, then such beneficiary shall be deemed to have predeceased
me.
� 5.2 Taxes. I direct that all estate, inheritance or other death taxes (including interest and
penalties, if any) payable under the laws of any jurisdiction by reason of my death, whether
or not the property generating such taxes passes under this Will or any Codicil (other than
any generation-skipping transfer tax, tax an property over which I have a power of �
appointment, or tax imposed on qualified terminable interest property, which taxes are to be �
paid according to applicable law or from said property), shall be paid out af my residuary
estate, without contribution, reimbursement or apportionrnent.
,� If my residuary estate shali be insufficient to pay all such taxes or charges, I request
I that payment be sought from assets of the Revocable Living Trust which 1 previously �
I. executed this date.
I
' 5.3 Facility of Payment. The Executor may make distributions and payments of income or
principal to or for the benefit of any beneficiary who is a minor, or who in such fiduciary's
judgment is incompetent or incapacitated, in any one or more of the following ways: (1y
directly to such beneficiary or to his or her attorney-in-fact; (2) directly in payment of the
debts or expenses of such beneficiary; or (3) to the Guardian of the person or property of
such beneficiary, the parent or parents of such beneficiary, a custodian for such beneficiary �
� under a Uniform Transfers or Gifts to Minors Act, or any other person who shall have the ;
i care and custody of the person of such beneficiary. There shall be no duty to see to the �
Iapplication of funds so paid, and the receipt of such person shall be full and sufficient
� discharge.
I;
' ARTICLE VI - FIDUGIARY POWERS
;
;� 6.1 Fiduciary Powers. Any power or discretion conferred upon my Executor (inciuding any �
;� substitute or successor Executor) under this Article or otherwise may be exercised without i
i) court approval. In addition to all powers conferred upon them elsewhere in this Will or by
i� law, I authorize my fiduciaries:
i
I
�
' 1a? To retain any property for such periods of time as it shall deem advisable, without
'; regard to any principle of diversification and notwithstanding the same may be of a wasting
�; nature or may not be recognized by law as legal investments for fiduciaries;
,.
�� ib} To sell, transfer or otherwise dispase of the same at such time, to any persons in
JoseleA.F1IlIl�y ; such manner either at public or private sale, and upon such terms and conditions as shall be
Attnrn at Law i
� � deemed advisable;
One Greentree Centre !
Suite 201 �
Mazlton,NewJersry � (c� To invest and reinvest my estate in stacks, bonds or other securities, notes,
OS053-153G i mortgages, shares or other interests in investment companies or investment trusts, legal and
1'ennsylvaniaOffices � discretionary common trust funds or stock of a corporate fiduciary if one is named or in any
in
Philadelphiaand other property, real or personal, witho�it being limited by any statute or rule of law '
KingofPrussia i concerning investments;
� � Last Will and Testament 2
� ALICE E3. FETTERMAN
I
I I
,
, {d) To vote in person or by any proxy ail stocks held in my estate;
�, j
(e) To exercise any election or option in connection with the camputation of Federal
estate tax and federal income tax liabilities, Pennsylvania Estate Tax and/or Pennsylvania
Inheritance Tax, including disclaimers.
(f) To join and consent with my spouse, or my spouse's estate, in the execution and
filing of any federal income or gift tax returns for the year in which my death occurred and
for any years prior thereto. Any deficiency, interest or penalties as to such tax returns shall
be allocated in such manner as my Executors in their discretion deem equitable and proper;
i
ig) To hold property in its own name or in the name of a nominee or bearer; �
{h) To exercise the power to allocate to any property, whether or not such property is
part of my probata estate, any exemption from the federal tax on generation-skipping
transfers provided by IRC 2631 , et se�c. with respect to which I am treated as the transferor;
(i) To borraw money for purposes of the administration of the estate from anyone,
including my Executor or the Trustee under the Revocable Living Trust established by me or
my spouse with or without pledge or mortgage of any assets of my estate;
�
(j) To continue my interest in any business or enterprise, to incorporate any such j
business and to hold the stocl< as an investment or to become a partner, general or special, �
in any business which my Executor deems advisable for the benefit of my estate or to take ;
any other action with respect to any such business, interest, partnership or corporation;
�k) To renew, assign, extend, compromise or release, with or without consideration, or
submit to arbitration, any obligations or claims held by or asserted against my estate;
,� (I� To allocate all stock dividends and liquidating dividends to principal and all other
�� dividends ta income; and i
I (m) To make distributions either in property, or by selling property and distributing the
� proceeds. in this regard, the Executor will have the sole discretion; no beneficiary under this
Will shall have any right to require a distribution of property in kind, despite any applicable
i law to the contrary;
6.2 Accounting. It is my desire to avoid the expense and delay of a public or judicial
accounting of the administration of my estate. An accounting of my Executor approved in
! writing by all the then current competent beneficiaries of income and principal and the ,
JoseleA.Finne ''
AttorneyatLaw y �� competent beneficiaries who would be entitled to my sstate shail be conclusive and binding
upon all persons having an interest in my estate, directly or indirectly. This shall not
a,ec�«,�«�c�n�Te ; preclude any fiduciary from electing to submit an account for judicial settlement.
sut«zoi
Mazlron,Ntw Jersey
08053•153G ARTICLE VII - DEFINITIONS
Pennsylvania Ot�'ices
Philadelphiaand 7.1 Definitions. References in this Will to "descendant" or "descendants" shall mean child,
Kingofl'russia childrer�, and issue, whether born or adopted befare or after execution of this Will, provided
Last Wili and Testameni 3
� • ALICE B. FETTERMAN (
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that any adoptee is under the age of eighteen (1 S) years at the time of adoption. The
singular shall be deemed to include the plural, the masculine the feminine, and vice versa.
Headings and captions are for reference only.
IN WITNESS WHEREOF, I subscribe my name this GZ�day of it�'��� , ZOU�.
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�� �. .��'�,Y�����
ALICE B. FETTERMAN
SIGNED, SEA�ED, PUBLISHED and DECLARED by the Testator to be his/her Last Will and
Testament, in our presence and in the presence of each of us, we all being present at the
same time; and we, at his/her request, in his/her presence and in the presence of each
other, have hereunto signed our names as attesting witnesses.
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, WITNESS
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�� �--'`� , WITNESS
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COMMONWEALTH OF PENNSYLVANIA ) I
) SS. j
COUNTY OF CUMBERLAND !
, I, ALICE B. FETTERMAN, the Testator, sign my name to this instrument this �
day of (�Ij�,,�v{r , ZO u�_, and being first duly sworn, da hereby
deciare to the undersigned authority that I sign and execute this instrument as my Last
Will and Testament and that I sign it willingiy, and that I execute it as my free and
JoseleA.Finney voluntary act for the purposes therein expressed, and that I am 18 years of age or older,
AttorneyatLaw of sound mind and under no constraint or undue influence.
One Greentrec Centrc
Suite 20!
,�Iarlcon,New Jersey
08053-153G
Pennry(vania OAiees __�{"� i i �%� <-/'�.(�~�jh.s�`%t,�`
"' ALICE B. FETTERMAN
Philadelphia and
King nE Prussia
Last Will and Testament 4
ALICE B. FETTERMAN
��
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and , the witnesses,
being first duly sworn, do each hereby declare to the undersigned authority that the
Testator signs and executes this instrument as his/her Last Will and Testament and that
he/she signs it wiliingly, and that each of us states that in the presence and hearing of the
Testator, we hereby sign this Will as witness to the Testator's signing, and that to the
best of our knowledge the Testator is eighteen 118) years or older, of sound mind, and
under no constraint or undue influence.
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� , WITNESS
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, WITNESS
Subscribed, sworn to and acknowledged before me by ALICE B. FETTERMAN, the �
Testator, and subscribed and sworn to befare me by and
, witnesses, this �� day of ���+��.._�..�_}, , 20 I
07 I
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A OTARY PUBLIC OF PENNS VANIA
MY COMMISSION EXPIRES: ����1�,,-_ �-� :�c,rt�
Ct'}MMONWEALTH�f���Ei�E�gYLVA�t1A
I Notarial Ssa1
Laura R.Delar�ey�NotarY Public
Lower AAan Tv�p.,Cumberk�nd County
ivly Commission F�ires Nov.27,2010 �
.Tasele A.Finney Member,Pennsylvania Assoclation of Nptar(9s �
Attorney at Law
One Greencrec Centre �
Suitc 201 I
A4arlcon,tv'ew Jcrsey
080i3-1536
1'cnnsylvania Offices i
in
Philadelphia and
Ki�ig uf Prussia
�� Last Will anci Testame�Y 5
AUCE B. FETTERMAN
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