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HomeMy WebLinkAbout12-15-14 1505611101 REV-1500 Ex(02-11) OFFICIAL USE ONLY PA Department of Revenue Pennsylvania Bureau of Individuat Taxes �M.I.E.1.1[vF County Code Year File Number PO BOX 28o6oi INHERITANCE TAX RETURN Harrisburg,PA 17128-o6oi RESIDENT DECEDENT ` ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 0y � z2- n1 It 02' 0 -,- 1 9 11 Decedent's )Last Name Suffix Decedent's First Name MI (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 4W 1. Original Return p 2.Supplemental Return (=) 3. Remainder Return(Date of Death Prior to 12-13-82) C=D 4. Limited Estate Q 4a.Future Interest Compromise(date of Q 5. Federal Estate Tax Return Required death after 12-12-82) Q 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe.Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) O 9. Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number ;37 © /4/\) M L E 14M )ri h 2-.0 ,3 F 80-7 5`3 ! REGISTER OF WILLS USE ONLY r^.S rV C5 C.) First Line of Address C . r. ' C l.7 C> rfi D � P- O O0D © P'- Second Line of Address rT c) O �A1 tea :M-^ - City or Post Office State ZIP Code � rl -tri..a CPt0, Le 7o CO cc nmr"n o Correspondent's e-mail address: y Lkvh l7� �-l+0 , hi Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPO ING RETURN DATE l10 Zp � _ s' ADDRESS A d 1320 o IOW c��.6 )2-.� c-R_L,0 s'ice1710/3 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 1505611101 1505611101 i' 2 1505611201 REV-1500 EX Decedent's Social Security Number Decedent's Name: LIE �� J ` ' 1 RECAPITULATION 1. Real Estate(Schedule A). . .. ... . . ... ... .... . ...... ..... ... .. .. .. .... . 1. • 2. Stocks and Bonds(Schedule B) ... ... . . . .... . ... .. . .... . ... . . .... . ... . 2. • 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) .. ... 3. • 4. Mortgages and Notes Receivable(Schedule D) . ...... . ... .. .... . ... . . ... . 4. • 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). .. ... . 5. • 6. Jointly Owned Property(Schedule F) 'O Separate Billing Requested .. ... .. 6. • 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property / (Schedule G) O Separate Billing Requested.. ... .. . 7. f l 2 Z 8. Total Gross Assets(total Lines 1 through 7). .... . ... .. ..... . ... . .... . . .. 8. 9. Funeral Expenses and Administrative Costs(Schedule H). ..... . .. .. ..... . .. 9. 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1).. .. . .. .. .. . . .. 10. ! 2 -3 7 11. Total Deductions(total Lines 9 and 10). ... .. . ... .. . ... .. . .. .. . .. .. ... .. 11. Z- 7 .S lD 12. Net Value of Estate(Line 8 minus Line 11) . . . ... .. ...... . .. .. ... .. ..... . 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) .. ... .. . .. . .. .. .. . .... . . 13. / p� 14. Net Value Subject to Tax(Line 12 minus Line 13) .... . . . .... . .. . . . .... . .. 14. TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.0_ 15. 16. Amount of Line 14 taxable / �J _z_ at lineal rate X.0� / � l 1!) a lQ 16. 17. Amount of Line 14 taxable at sibling rate X.12 17. • 18. Amount of Line 14 taxable at collateral rate X.15 • 18. • 19. TAX DUE .. .. . . .. . . .. . . ... . . ...... . .. .. . ... . .... .. . ... . . .. . . ... .. . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 1505611201 1505611201 ti REV-1500 EX Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME STREET ADDRESS 00 13/� 0OILW d o_ DJZ CITY Cys STATE ZIP r-70 (3 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) S77, Zy 2. Credits/Payments A.Prior Payments B.Discount �.5�� �(O Total Credits(A+B) (2) 3S7 j k& 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) f�] 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 6(—/ / qs 3� 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.......................................................................................... ❑ R b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ c. retain a reversionary interest .............................................:................................................................................ ❑ d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ 's 2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................................. ❑ 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ �" 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation? .......................................................................................................................: ❑ ®- IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)].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 decedent's 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)].A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1510 EX+ (08-09) pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF �� M rn�^ FILE NUMBER This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH %OF DECD$ EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER, ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE Ci�wa_4's l_E:I PA C70 n ►3 P 4 PEi2i`( 77W `vim W bN /5-v 20'D }� c�2199 �(PD9 /00710 -3 000 — /Yy/ (0� Apr/gfpr--Pk CE 0 EN s, o N ao/2-c 13 ".8 --r C +ECAC I'v) G ItA7�16o 71D 1�7Il7 f -<,AV 61 N CCS ,5)300.'(09 /19670 x;300 t 69 3-0;0TL.Y Ti*7-LED w i 4 u-o f /v "a l.N oiA-y) S O N o f Cc. D N 1/2-3/2,012 9� cftD; UAC_ SSS SED,4N 616— /0070 6 c -rAANSsFEklp-W iD j oiw m, l ►n'1 / so/\J OF �CC.4=_-0 EA)-r /\)0/\) _1Z51 r �f I-K07TDA 8-3 SPO F-100 P10e_'0P i 1 300 -- 100,70 300 /\JS-F%i2P-r.Q 77o o rfN *i , L-J#Yyvw/ S o/v o)= D E CEDEVVr O N -7)2#/201 If TOTAL(Also enter on Line 7, Recapitulation) $ ` (P 20 , L/2----- If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+ (10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OFL�2L_ V I j .� 11 � n � FILE NUMBER Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. H6FP-tM,4U1•—Q 4 T7• F% IJEAAL rj-DmE 1 q . 2, G1z/-V\J l -} ry1 mei o IV. -L P •5-0o , ofl qc B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: 77-,7 5 1 V 0 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 5. Accountant Fees: 6. Tax Return Preparer Fees: 7, TOTAL(Also enter on Line 9, Recapitulation) $ If more space is needed,use additional sheets of paper of the same size. REV-1512 EX+ (12-08) pennsylvania SCHEDULE I � DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. F5>Anr- 0r- 14mep-j' cA- "sTp,G9Jpz f-//Zr37 TOTAL(Also enter on Line 10, Recapitulation) $ /�Z� 3 7 If more space is needed,insert additional sheets of the same size. ON L" m aw m - M°' n o (n-0 z a mmm nOm j m ow � c1 a S v m {n S CO D m Z m r0Z m a N m C_ to CCD . D OS a -40 m 00 CA p m A C �6 St � "' m o m - y C7 < _ U) O m o g n n O = �„ w m b ::E CL y Z S N a mN A G N P O 4 z © O O .� O G O co -4._ r m rn o -a c 0 -1 0 m m N v o m a {,t vs t m D v Z y tQ w o :,� w o m b Cl a bE? tc y 377oy o + ; co m n M I DL ICD ID 0 � 3 n m { ? °a Z 00 6) -� W ro r,3 ' O O C7 O CII O CD . ....__._._..__._......_.......__.........................................._........__. ..............___.__...._........._._...___............._.. .__................ .......... f CERTIFIED PROPERTY IDENTIFICATION NU RS 29-16-,1092-017 - NORTH MIDDLET0141 CCGIS REGISTRY 09/20/2013 BY DC Tax Parcel ID: 29-1,6-10.92-017 THIS IND ENTURE,,made ther, day of in the yearTwo Thousand Thirteen(201), RETWEEN EARL M. LEHMAN, by and through his Agent,JOHN LEHMAN,of North Middleton Township, Cumberland County,Pennsylvania, GRANTORS A N D JOHN LEtiMAN,a single person, of North Middleton Township, Cumberland County, Pennsylvania, GRANTEE. wrrNESSETYI.,That in consideration of thesumof One (1.00) Dollar,in hand paid, the receipt whereof is hereby acknowledged,the said Grantors do hereby grant and convey to the said Grantee, his heirs and assigns, ALL THE FOLLOWING described improved,four(4) tracts of land situate in North Middleton Township, Cumberland County., Pennsylvania;bounded and described as follows: TRACT NO, 1: Bl*--'GINNfNG at a point in the soutliem side of Schlusser Avenue, which point is a corner of Lot No. 17 on the hereinafter mentioned Plan of Lots; thence in a.southwardly direction along line of Lot No. 17, a distance of one hll,ndred ten (110)feet to apoint in line of "Valley View"Lot Development; thence in a westwardly direction along line of the latter,a, distance of fifty (50) feet to a point in line of Lot No. 15 on the hereinafter mentioned Plan of Lots;thence,in a northwardly direction along the line of Lot No. 15, a distance of one hundred ten(I 10) feet to a point in the southern side of Schlusser Avenue; the-nee in an eastwardly direction along the southern side of said Schlusser Avenue,a distance of fifty(50) feet to a point, the Place of BEGINNING. BEING all of Lot No. 16 on that certain Plan of Lots known as"Valley View Extension"as laid out and adopted by George, I-1, Schlusser,&-tid Plan cif Lots being entered of record in the Office of the Recorder of Deeds in.and for Cumberland County in Plan Book No. 6, page 6 J'RACT'NO. ?: B1 C11NIN, ING at a point in the southern side of Schlusser Avenue,which point is a corner of Lot No. 18 on the hereinafter mentioned Plan of Lots;thence in a southwardly direction along line of Lot No. 18, a distance of one hundred ten (11.0) fect to a point in line of "Valley View"Lot Development, thence in westwardly direction along tine of the latter,a distance of fifty(50) feet to a.point in line of Lot No. 16.on the hereinafter mentioned Plan of Lots,thence in a northwardly direction.along the line of Lot No. 16, a distance of one hundred ten (1110)-feet to a point in.the southern side of Schlusser Avenue;thence in an eastwardly direction along the southern side of Schlusser Avenue a-distance of fifty(50)feet to apoint.the Place of BEGINNING. BEING all of Lot No. 17 on the Plan of Lots known as`'Valley View Extension"above referred TRACT NO, 3: BEGINNING at a-point in the southern side.of Schlusser Avenue, which point is inline of land belonging now or formerly to EJ3, Arbegast;thence in a southwardly direction along land now or formerly of the,said ER Arbegast, a distance of one hundred ten(110)feet, more or less,to-a point,in the line of"Valley View"Lot Development; thence in,a westwardly direction,along line of the latter,a distance of sixty-eight (68)feet, more or less,to.a point in line of Lot No. 17 on the hereinafter mentioned Plan of Lots.; thence in a northwardly direction.along line,of Lot No. 17,a distance of one hundred ten,(I 10)feet.to a point in,the southern side of said Schlusser Avenue;thence in an emtwardly direction along the southern side of said,Schlusser Avenue,a distance of fifty-four(54)feet to a point,the:Place of BEGINNING. BEING all of Lot No. 18 on Plan of Lots.known as "Valley View Extension" above referred to. NIP,41 _(gttgricou,s1 stated as TRACT NO.5 in current owner de�d BEG I ING <<t a point on the southern side of Schlusser Avenue,which point is a corner of Lot No. 16 on the hereinafter-mentioned Plan of Lots; thence in a,southerly direction along said Lot No. 16 a distance of'110 feet,to:a point in the line of"Valley View" Development; thence in a westwardly direction along said latter line,A distance of 50 feet to a point in the line of Lot No. 14; thence in a northerly direction along said line of Lot No. 14 a distance of.110 feet to a point in the southern side of said Schlusser Avenue;thence in an eastwardl�y direction along the southern side of said Sclilusser Avenue adistancp of 50 feet to a point, the place,of BEGINNING. BEING all of Lot No. 15 on the Plan of Lots known as "Valley;View Extension"above referred to. BEING the same premises which.Earl M. Lehman and Ruth B. Lehman,husband and wife, by their Deed-dated May 18, 2011, and recorded on May 24, 20.11 in the Office of the- Recorder of Deeds in and for Cumberland County as Instrument No. 2011149.19, the Grantors herein granted and conveyed iinto Earl M. Lehman, the Grantor herein. The.said Earl M. Lehman, by his lawful Power of Attorney dated May 18, 2011, appointed John Lehman his true and lawful attomeyrin-fact, and he executed this:instrument pursuant to.the authority granted therein. TOGETHER with all and singular the buildings,improvements,ways, woods, waters, watercourses, rights, liberties,privileges, hereditaments and appurtenwices to the same belonging or in anywise appertaining; and.the reversion and reversions, remainder and remainders,rents, issues and profits thereof,and of every part and parcel thereof; And also all the estate,right,title, interest, use, possession,property, claim and dexnandvidiatsoever of the,.Grantors both in law and in equity, of, in and to the prernises herein described and every part and parcel,thereof with the appurtenances. To have and to hold all and singular the premises-herein described together with the and appurtenances unto.the Grantee and to Grantee's proper use.and benefit forever. AND the said Grantors do hereby covenant to and with the said Grantee that they shall and vrill warrant and forever defend the herein above described, ' mises, with the hereditarnents pre and appurtenances,unto the said Grantee and.assigns, against the said Grantors and-against every other person lawfully claiming or who shall,hereafter claim the same or any part thereof,by, from or under any of them. THIS TRANSFER IS EXEMPT FROM TRANSFER TAX AS A TRANSFER.FROM PARENT TO CHILD. IN WITNESS WHEREOF,the said Grantors have caused these presents to be duly executed the day and year first above-written. Signed Sealed and Delivered in the Presence of 'v. fSEA EARL M. LEHMAN, by and through his Agent,JOHN LERMAN COMMONWEAUFf OF PENNSYLVANIA SS. COUNTY OF DAUMIN N On,this, the I day ofK`14 201 3.,before me the undersigned officer,personally appeared John Lehman,Agent for Earl,M. Lehman, kno%Afn to me{or satisfactorily proven) to be the person whosename is subscribed to the within instrument,.and acknowledged that he executed the saine for the purpose therein contained, IN WITNESS WHEREOF, I have hereunto set my hand and notarial seal. A-17 NOTARIAL SEAL JACOUFUNE A KELLY Notary public LOWER PAXTON TWP,DAUPHIN COUNTY My Commission EXP res Dec 17. 2015- 1 hereby verify that.the precise address of the Grantee herein is: 160 Brooksyood Drive C.'arliMe.PA 17013 4z 9n BeKif of Grantee insL. s Z'Jd.J31L 16 - eage n OL 0 ROBERT P. Z:IEGLER RECORDER OF DEEDS CUMBERLAND COUNTY 1 COURTHOUSE SQUARE CARLISLE, PA 1.7013 717-240-5370 Instrument Number- 201331276 Recorded On 9/2012013 At 2:32:35 PVI *Total Pages- 5 •Instrument Type-DEED Invoice lumber- 1476115 UNer ID-BMM •Grantor- LEHMAh,EARL,M •Grantee.-LEHMAN,JOHN *Customer- SIVIP:LIFILE LC &RECORDING •FEES STATE WRIT TAX $0.50 Certification Page STATE JCS/ACCESS TO $23.50 JUSTICE DCS NOT DETACH RECORDING FEES — $11.50 RECORDER OF DEEDS PARCEL CERTIFICATION $15.00 This page is now part FEES Of this legal document. AFFORDABLE HOUSING $11.50 COUNTY ARCHIVES FEE $2.00 ROD ARCHIVES FEE $3.00 CARLISLE AREA SCHOOL $0.00 DISTRICT NORTH MIDDLETON TOWNSHIP $0.00 TOTAL PAID $67.00 I Certify this to be recorded in Cumberland. County PA ;474 RECORDER OF DEEDS yrao *-Information denoted by an asterisk may change during the verification process and may not he rettected on this page. STATEMENT PERIOD AUG.23-SEP.23,2014 GO 0 04319M NM 117 000003143 FIDS154IG70109231409 01 000000 p EARL M LEHMAN JOHN IM LEHMAN Noll 160 BROOKWOOD DR CARLISLE PA 17013-1112 SELECTED ACCOUNT SUMMARY ACCOUNT ACCOUNT INTEREST EARNED MATURITY ENDING jXPE NUMBEEI YEAR-TO-DATE QATE BALANCE ..- CLASSIC CHECKING 000002670033360 0.00 471.74 RELATIONSHIP SAVINGS 015004200926424 0.51 5,300J7 TOTAL DEPOSITS 5,772.51 a ACCOUNT EARL M LEHMAN CLASSIC CHECKING -TITLEJOHN M LEHMAN g ACCOUNT NO. 2670033360 HIGH STREET-CARLISLE A INTEREST EARNED FOR STATEMENT PERIOD $0.00 ACCOUNT SUMMARY BEGINNING DEposrr§,&OTHER CHECKS PAID OTHER DEBITS CURRENT ENDING BE + ALANCE CR ( I INTEREST PD BALANCE NO, I AMOU N5' I AMOUNT NO. I— AMOUNT 591 $149.18 2 $1,591..0000 5 $1,109.231 3 1 $159.21 $0.00 $471.74 ACCOUNT ACTIVITY .POSTING TRANSACTION DESCRIPTION DEPOSITS&OTHER WITHDRAWALS& DAILY DATE CREDITS(+) ER DE fw) BALANCE 08r23/2014 BEGINNING BALANCE $149.18 08/25/2014 CHECK NUMBER 5043 VX*$71.50 77.68 08/2612014 WEB XFER FROM SAV 15004200926424 677.68 08129/2014 NATIONWIDE INS PREM 1 63,02 08/29/2014 CHECK NUMBER 5044 Y 66.95 08/29/2014 CHECK NUMBER 5045 V-Il04.30 08129/2014 CHECK NUMBER 5046 V24.43 418-98 09/02/2014 Centuryl-ink SPEEDPAY V,-f7.25 361.73 09/03/2014 SSA TREAS 310 XXSOC SEC 991,00 09/0312014 NATIONWIDE INS PREM V-138,94 1,313.79 09/05/2014 CHECK NUMBER 5047 V-18,42.05 471.74 1 ENDING BALANCE 1 $471.74 PAGE lOF5 STATEMENT PERIOD AUG.23-SEP.23,2014 EARL M LEHMAN JOHN M LEHMAN CHECKS PAID SUMMARY CHECK NO. DATE AMOUNT CHECK NO. DATE AMOUNT CHECK NO. DATE AMOUN 5043 08/25/14 71.50 5044 08/29/`14 66.95 5045 08/29114 104. 5046 08/29/14 24.43 5047 09/05114 842.05 WE WOULD LIKE TO INTRODUCE THE M&T BANK OPINIONS PANEL,AN EXCITING RESEARCH COMMUNITY OF M&T BANK CUSTOMERS LIKE YOU. AS A PANEL MEMBER,YOU WILL HAVE OPPORTUNITIES TO PARTICIPATE IN VARIOUS SURVEYS TO HELP US IMPROVE OUR SERVICES.TO SEE IF YOU QUALIFY TO BECOME A PANEL MEMBER, VISIT WWW.MTB.COM/PANEL TO COMPLETE A PANEL QUALIFICATION SURVEY. AFTER YOU COMPLETE THE SURVEY,YOU WILL HAVE AN OPPORTUNITY TO ENTER A SWEEPSTAKES FOR A CHANCE TO WIN ONE OF FIVE$200 PRIZES,EVEN IF YOU DO NOT QUALIFY TO JOIN THE PANEL ACCOUNT EARL M LEHMAN RELATIONSHIP SAVINGS TITLE' JOHN M LEHMAN 9 ACCOUNT NO. 15004200926424 HIGH STREET-CARLISLE INTEREST EARNED FOR STATEMENT PERIOD $0.09 ACCOUNT SUMMARY EBEGINNING DEPOSITS&OTHER WITHDRAWALS& CURRENT ENDING a 1; CREDITS 11) 040ER DEBITS(-) , INTER PAID 13ALANCE NO. I AM -0. 1 AMOUNT F$5.900-68 01 $000 11 $60000 $0.091 $5,30017 ACCOUNT ACTIVITY POSTING DEPOSITS&OTHER WITKDRAWALS& DAILY MATE TRANSACTION DESCRIPTION ,.,, - CREDITS(+I OTHER DEBITS ALANCEl 08/23/2014 . BEGINNING BALANCE $5,900.68 08/26/2014 WEB XFER TO CHK 00002670033360 ...........—— 71 09/23t2014 INTEREST PAYMENT v-' $60000$0.09 so,09 0.77 0* ENDING BALANCE 1'---$5,300.77 ANNUAL PERCENTAGE YIELD EARNED=0.01% PAGE 20FS 1994 Cadillac Seville Sedan Base What Your Car is Worth http://www.edmunds.com/Cadillac/seville/1994/tmv-appraise-results... Make. Model v Year.. Car Used Car Nissan's Type Cars Research Home> Used Cars> .Cadillac> Seydie> 1994 Seville Sedan> Prjces_W1th Options> Holiday Event Prices with Options Results _._..ADVERTISEMENT Use Edmunds.com to accurately appraise your used car. 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GEICO .�v�._R.ed�..M 92eY Don't waste your time,compare multiple real Insurance quotes at once! irTsurarnr•cfirrrT 1 of 12/11/2014 3:14 PM CarMax AOFFER Name: JOHN LEHMAN Address: 160 BROOKWOOD DR Appraiser: CARLISLE PA 17013 TONY BECKETT Vehicle: 1983 FORD F100 2D REGULAR CAB (no trim) Mileage: 43,462 Engine. 4.91. 6013-MECHANICSBURG,PA VIN: 1FTCF10Y3DNA38239 Date: Color: WHITE 12/0312014 FEATURES CONSIDERED CONDITIONS ASSESSED 7053 Front Seats: Good Condition Rear Seats: Good Conditior VINYL SEATS Carpet: Good Condition Transmission: Good Conditior MANUAL 3 SPEED TRANSMISSION Engine: Good Condition Front Tires: Good Conditior Rear Tires: Good Condition Wheels: Good Conditior t: APPRAISAL OFFER $300 This offer is valid until the close of business on 12110/14. If you purchase a CarMax vehicle while selling us your vehicle, you could be eligible for tax savings up to $18.00 This offer is good for 7 days and will be honored at all CorMax stores. After 7 days,your vehicle will need to be reappraised and the offer may change. Comments Your Appraiser CONDITIONS NOTED: ENGINE SOUNDS GOOD. TIRES IN GOOD CONDITION, DAN R. EXTENSIVE PERFORATING RUST TO SEVERAL PANELS. -CarMax Certified Appraise THANKS FOR HAVING YOUR VEHICLE APPRAISED We've appraised more than 12 million vehicles.Your appraiser can provide a detailed explanation of how we determined your offer-just ask! SELL US YOUR CAR Llf > _ AND WALK AWAY WITH PAYMENT IN HAND TO SELL US YOUR VEHICLE When you sell to CarMax,you can avoid the hassles of selling your Title(if it is not with a lienholder) car yourself: • depreciation • additional car payments * costly Valid registration advertising • the uncertainties of an unknown buyer(inspections, Valid state-issued photo ID for all titleholders negotiations,and payment). All keys and remotes(if applicable) We don't play games;'we'll buy your car even if you don't buy oursio See other side for important BankAmericard® BankofAmerica'�W' EARL LEHMAN/RUTH LEHMAN Account Number:5490 5000 2637 4830 September 9-October 8,2014 Account Information: www.bankofamerica.com e38 Mail billing Inquiries to: New Balance Total.......................................................................$120.72 Previous Balance.........................Bank of America Current Payment Due......................................................................$25.00 Payments and Other Credits........... P.O.Box 982235 Purchases and Adjustments................120.72 EIPaso,TX 79998-2235 Total Minimum Payment Due............................................................$25.00 Fees Charged....................................................0.00 Mail payments to: Payment Due Date........................................................................11/5/14 Interest Charged...............................................0.00 Bank of America P.O.Box 15019 Late Payment Warning:If we do not receive your Total Minimum Payment by New Balance Total...........................$120.72 Wilmington,DE 19886-5019 the date listed above,you may have to pay a late fee of up to$35.00 and Customer Service: your APRs may be increased up to the Penalty APR of 29.99%. Total Credit Line................:...........$6,600.00 1.800.789.6701 Total Minimum Payment Warning:If you make only the Total Minimum Total Credit Available.....................$6,479.28 Payment each period,you will pay more in interest and it will take you longer Cash Credit Line...........................$2,000.00 (1.800.346.3178 TTI) to pay off your balance.For example: Portion of Credit Available for Cash.......................................$2,000.00 i , - i • . _- a - Statement Closing Date...................10/8/14' . Days in Billing Cycle..................................30 Only the Total 6 months $128.22 Minimum Payment If you would like information about credit counseling services,call 14866-300-5238. i \ \„ Transaction Posting Reference Account Date Date Description Number Number Amount Tote, Payments and Other Credits 09/27 09/29 BA ELECTRONIC PAYMENT 7138 —368.68 —$368.68 Purchases and Adjustments 09/11 09/12 TURKEY HILL#0266 Q69 HARRISBURG PA 7487 4830 36.00 09/11 09/12 FAMILY DOLLAR#8446 CARLISLE PA 3644 4830 7 09/12 09/13 CRACKER BARREL#431 CA CARLISLE PA 2128 4830 25. +p contlnued on next pageO ... (� j f�. ttC f v G.T 07 0001207200002500000368680005490500026374830 BANK OF AMERICA Account Number: 5490 5000 2637 4830 P.O.BOX 15019 WILMINGTON,DE 19886-5019 New Balance Total .............................................................$120.72 Total Minimum Payment Due...................................................25.00 Payment Due Date.......................................................11/05/14 EARL LEHMANr t e Enter payment amount RUTH LEHMAN 160 BROOKWOOD DR CARLISLE PA 17013-1112 Check here fora change of mailing address orphone numbers. Please provide all corrections on the reverse side. Mail this coupon along with your check payable to:Bank of America is 5 240 2 2 2 50il: IS 9000 26 3 748 30no