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HomeMy WebLinkAbout12-30-14 (2) REV-1500 EX(0241) 1505610143 OFFICIAL USE ONLY PA Department of Revenue Pennsylvania county code Year Fite Number Bureau of Individual Taxes OEPAR?UPWr OF REVENUE PO Box.280601 INHERITANCE TAX RETURN 21, 14 0463 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 04 15 2014 08 '18 1947 Decedent's Last Name Suffix Decedent's First Name Mi GUILLIAMS JOHN W (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 Prior to 12-13-82) 0 4.Limited Estate 4a,Future Interest Compromise 8, Federal Estate Tax Return Required (date of death after 12-12-82) • n 8 Decedent Died Testale �ii T paceaent MaintVned a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) L.J (Attach Copy of Trust) 9.Litigation Proceeds Received 10.Spousal PV Cred�t�Datgof Death E 1 i, fection to tax under Sec.9113 A between 1 - an 1-g5) ( ) (Attach Schedule O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number KRISTEN LIEB ESQ 717 237 4800 b REGISTER OF WILLS USE ONLY • First Line of Address C IT1 409 NORTH SECOND STREET t a Second Line of Address 71 W r SUITE 500 :> o EILED•p City or Post Office State ZIP Code t-,:; T HARRISBURG PA 171011357 ry r M N � Correspondent's e-mail address, tcristen.lielo bipc.com Under penalties of perjury;I declare at I e<ekalh!nod this return,including accompanying schedules and statements,and to the best of my knowledge and belief, It is true,correct and complete. a rat . of)treparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE °FILING RETURN DATE Michael E. Heffernan iz. ro"i ADDRESS 223 North Market Street, Mechanicsburg, PA 17055 S P PARER OTHER THAN REPRESENTATIVE DATE Aaron C.Jackson Esc!. ZY ADDRESS 409 North Second Street, Harrisburg, PA Side 1 1505610143 15056.10. 43 1505610243 REV-1500 EX Decedent's Social Security Number Decedent's Name: Guilliams, John W. RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 127 , 314 . 00 2. Stocks and Bonds(Schedule B)............................................................................. 2. 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. 2 ,363 . 16 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers&Miscellaneouso -Probate Property (Schedule G) X Separate Billing Requested............ 7. 108 ,498 .24 8. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 238 , 175 . 40 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 10 , 142 . 54 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 46, 879 . 59 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 5 7 , 02 2 . 13 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 181f153 . 27 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J)............................................... 13. 14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. 181 , 153 . 27 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 15 0 . 00 (a)(1.2)X.00 16. Amount of Line 14 taxable at lineal rate X .045 0 . 00 16. 0 . 00 17. Amount of Line 14 taxable at sibling rate x.12 108f498 . 24 17. 13, 019. 79 18. Amount of Line 14 taxable at collateral rate X.15 129f314 . 00 18. 19f397 . 10 19. TAX DUE................................................................................................................ 19. 32f416. 89 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 21-14-0463 Decedent's Complete Address: DECEDENT'S NAME Guilliams,John W. STREET ADDRESS 401 E. Portland Street CITY STATE ZIP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 32,416.89 2. Credits/Payments A. Prior Payments B. Discount 0.00 Total Credits(A +g) (2) 0.00 3. Interest (3) 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) 32,416.89 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;............................................................................... ❑ ❑x 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?.................................................................................................................... ❑ 0 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?.................................................................................................................. 0 ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1,1994 and before Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after 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 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-1502'EX+(01-10) SCHEDULE A pennsylvania REAL ESTATE DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Guilliams,John W. 21-14-0463 All real property owned solely or as a tenant In common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on schedule F. Attach a copy of the settlement sheet if the property has been sold Include a copy of the deed showing decedent's Interest If owned as tenant in common. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Real Estate located at 401 E.Portland Street,Mechanicsburg,PA-Assessed Value 127,314.00 ($128,600)x CLR(.99) TOTAL(Also enter on Line 1, Recapitulation) 127,314.00 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule A(Rev.01-10) Rev-1508 EX+(11-10) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Guilliams,John W. 21-14-0463 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 NUMBER DESCRIPTION OF DEATH 1 Police and Fire Federal Credit Union 363.16 2 2002 Hyundai Sonata 2,000.00 TOTAL(Also enter on Line 5, Recapitulation) 2,363.16 (If more space Is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev. 11-10) Rev-1510 EX+(08-09) SCHEDULE G pennsylvania INTER-VIVOS TRANSFERS AND DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Guilliams,John W. 21-14-0463 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OFDECD'S EXCLUSION TAXABLE INCLUDE NUMBER HE DATE OAF TRANSFE OF ER. ATTACH A COPY OFSFEREE THEIR TIONSHIP TO HE DEED FOR REAL ESTATE. VALUE OF ASSET EDENT AND INTEREST (IF APPLICABLE) VALUE 1 Thrift Savings Plan-Beneficiaries:Clarence Guilliams 108,498.24 108,498.24 (Brother)50%;James Guilliams(Brother)50% TOTAL(Also enter on Line 7,Recapitulation) 108,498.24 (If more space is needed,additional pages of the same size) Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule G(Rev.08-09) REV-1511 EX+(10-09) SCHEDULE H pennsylvania DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHSED NTTDECEDENTTURN R ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Guilliams,John W. 21-14-0463 Decedent's debts must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 5,047.50 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zia Year(s)Commission Paid 2. Attorneys Fees 3,000.00 See continuation schedule(s) attached 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) Claimant Street Address City State ZiD Relationship of Claimant to Decedent 4. Probate Fees 303.50 See continuation schedule(s) attached 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1,791.54 See continuation schedule(s) attached TOTAL(Also enter on line 9, Recapitulation) 10,142.54 Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev. 10-09) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Guilliams, John W. 21-14-0463 ITEM NUMBER DESCRIPTION AMOUNT Funeral ExRenses 1 Bean Funeral Homes&Crematory 5,047.50 H-A 5,047.50 Attorney Fees 2 Buchanan Ingersoll&Rooney PC 3,000.00 1-1-132 3,000.00 Probate Fees 3 Cumberland County Register of Wills 303.50 H-134 303.50 Other Administrative Costs 4 Barry L.Heckard Sr.-Real estate taxes for decedent's residence-401 E. Portland Street, 1,640.99 Mechanicsburg,PA 5 Borough of Mechanicsburg-Utility bill for decedent's residence-401 E. Portland Street, 95.00 Mechanicsburg,PA 6 Cumberland County Recorder of Deeds-Copy of Deed for real estate 2.00 7 PPL Electric Utilities-Electric bill for decedent's residence-401 E.Portland Street, 53.55 Mechanicsburg,PA H-B7 1,791.54 Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-08) Rev-1512 EX+(12-08) SCHEDULE 1 pennsylvania DEBTS OF DECEDENT, DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Guilliams,John W. 21-14-0463 Report debts Incurred by the decedent prior to death that remained unpaid at the date of death,Including unreimbumed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Pinnacle Health Emergency 14.19 2 Pinnacle Health Hospitals 125.20 3 Santander-Mortgage to be paid on decedent's residence-401 E.Portland Street, 46,740.20 Mechanicsburg, PA TOTAL(Also enter on Line 10, Recapitulation) 46,879.59 (If more space is needed,additional pages of the same size) Copyright(c)2008 form software only The Lackner Group,Inc. Form PA-1500 Schedule 1(Rev. 12-08) REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Guilliams, John W. 21-14-0463 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT (Words) ($$$) Do Not List Trustee(s) I TAXABLE DISTRIBUTIONS [include outright spousal • distributions,and transfers under Sec.9116(a)(1.2)] See attached schedule Total 237,812.24 Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropriate. NON-TAXABLE DISTRIBUTIONS: II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10) SCHEDULE J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: John W. Guilliams 04/15/2014 181-36-7260 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 1 Clarence Guilliams Brother 50%Share of Residue 54,249.12 3073 Salmon Street Philadelphia,PA 19134 2 James T.Guilliams Brother 50%Share of Residue 54,249.12 503 Penns Lane Douglassville, PA 19518 3 Michael E.Heffernan Friend Real estate and 2002 64,657.00 223 N.Market Street Hyundai Sonata equally Mechanicsburg,PA 17055 with Teresa L.Hollinger 4 Teresa L.Hollinger Friend Real estate and 2002 64,657.00 223 North Market Street Hyundai Sonata equally Mechanicsburg,PA 17055 with Michael E. Heffernan Total 237.812.24 1 RECORD" ^; F1C OF Rc(, LAST WILL AND TESTAMENT OF 2019 (iff 13 An 9 19 JOHN W. GUILLIAMS C L OhPt'A COURT I, JOHN W. GUILLIAMS, of Cumberland County, Phi' y` va nia 'd'e&areRhis to be my Last Will, hereby revoking all prior wills and codicils. FUNERAL EXPENSES AND BURIAL INSTRUCTIONS FIRST: I direct the payment of my funeral expenses as soon as may be convenient after my death. It is my wish to be cremated. PAYMENT OF DEATH TAXES SECOND: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed,shall be paid from my residuary estate as a part of the expense of administration of my estate. SPECIFIC GIFTS THIRD: I give my residence and all its contents, located at 401 E. Portland Street, Mechanicsburg, Cumberland County, Pennsylvania 17055, subject to all mortgages and encumbrances, equally, as tenants in common, to Michael E. Heffernan and Teresa L. Hollinger. I also give all vehicles, subject to all liens and encumbrances, equally to Michael E. Heffernan and Teresa L. Hollinger. DISTRIBUTION OF RESIDUE FOURTH: I give the entire residue of my estate, including any funds received by my estate from any retirement pians I own at my death, equally to my brothers, James T. Guilliams and 'D-d<Guilliams. PROTECTION OF BENEFICIARIES (Spendthrift Provision) FIFTH: No interest in income or principal shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary before actual payment to the beneficiary. TRUSTEE OF ESTATE OF UNDERAGE AND INCAPACITATED BENEFICIARIES SIXTH: If any income or principal shall be payable to any person who shall be under the age of 21, I appoint my executor, as trustee to hold such income and principal and shall be entitled to apply such income and principal to the health, maintenance, support and education of such person without the appointment of any committee or any authority of court. My trustee shall be entitled to make direct application hereunder or to make application by payment of income and principal to the parent or other person in charge of such beneficiary or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act. Trustee may, in discharge of all the Trustee's duties, pay any beneficiary's share deemed impractical of administration to the parent or other person in charge of the beneficiary or to his or her guardian or to a custodian for the beneficiary under the Uniform Transfers to Minors Act. Any remaining income and principal to which such person shall be entitled shall be distributed to such person upon such person reaching the age of 21. My Trustee shall have the same powers as my executor and shall serve without bond. If any income or principal shall be payable to any person who shall be incapacitated for any reason, my executor,as trustee shall hold such income and principal during incapacity and shall be entitled to apply such income and principal to the health, maintenance, support and education of such person during incapacity without the appointment of any committee or any authority of court. My Trustee shall have the same powers as my executor and shall serve without bond. POWERS OF EXECUTOR SEVENTH: I confer upon my executor the right to sell or otherwise convert any real or personal property at public or private sale, at such time or times, in such manner, and for such price or prices, and upon such terms and conditions as my executor shall determine,and to execute and deliver good and sufficient conveyances, assignments and transfers thereof, without liability of any purchaser for the application of any consideration;to borrow money and to secure its payment by mortgage of real or personal property,pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof; to retain any investments at discretion; to invest and reinvest at discretion,without restriction to so-called "legal investments;"to make distribution in cash or in kind; and to do all other acts and things necessary or appropriate in the management, administration and distribution of my estate. APPOINTMENT OF EXECUTOR EIGHTH: I appoint TERESA L. HOLLINGER executor of my will. If TERESA L. HOLLINGER is unable or unwilling to qualify as executor or having qualified is unable or unwilling to act, I then appoint MICHAEL E.HEFFERNAN as executor hereof. I direct that my executor shall not be required to furnish security in any jurisdiction. INTERCHANGEABILITY OF LANGUAGE NINTH: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. HEADINGS TENTH: The headings used on the various paragraphs of this will are included for convenience only and shall have no legal significance. I have signed this Will on January 14, 2014. JOHN W. GUILLIAMS Witness ��Witndss ACKNOWLEDGEMENT and AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA: SS. COUNTY OF DAUPHIN I,JOHN W.GUILLIAMS,the testator herein,and Y15 L1 e.� (A.f t 1'�c�J,t r' , the witnesses to the last will,the attached or foregoing i4strulnent, who have signed the instrument, having been duly qualified according to law do depose and say: (a) that I, the testator, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the testator sign and execute the instrument as his last will, that he signed it willingly and executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the will as a witness and that to the best of our knowledge the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. JOHN W. GUILLIAMS Witness L. itnes SUBSCRIBED, sworn to or affirmed and acknowledged before me by the above-named testator and by the witnesses whose naives appear above on the 14th day of January, 2014. !,Notary Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal Jacqueline Marie Hamer,Notary Public Lower Paxton Twp.,Dauphin County MY Commission Expires March 24,2017 MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES Yropeq Mapper w Parcel Search " Adroulf x Ima . Features Selected,i Imagery2012— � g�Y2008 ImageryON r BUlld 9 Asses,ed Value S; Total Assessed Kafue 93700 ` Safe Price ; $ 128600 : i Sale Da 76000 ; 901E PORTLAND Sun Dct 11199808: STREET YearSulk: 00:00PM Mu 1953 PIN;IS- I �pabt:MEO{4WSBURG 3RD WRD 220519199 Heightin Stories; Deedbook;00186 01120 Type of Dwell, ; Owner."GUIiT Primary Eeno g DETACH Land Use MMS'JOHN W SasementPerCen co • Code;101 Air Cond#tioring;N percentage: ( A ropeNY TY R " O i aeage;0.12 € Square Feet,1135 iv 12 Taxable , IStatus:T Clean Green Status,• ,, ' tandAsses led Value :34900 gAsseed Value TotafAssessed $;93100 f 14 ' ,. SafaPr<ce$;76000ue ;128600 ' %• .° Sale Date:SIM Oct 111498 0&00:00 PM 4gl E0 Year Year Built: 44) r r 44 E47tAIVDS 41 D x g 401 fir �5 •� Rim, TLR BRN TER TIC AMOUNT TRAN;t! 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S1 SAVINGS xi 36S. 15 363.1 0.01 CHECK AMOUNT `363_16 363.16 0.00 LESS ADJUSTMENT No•236?056 POLICE AND FIRE FEDERAL CREDIT UNION 901 ARCH STREET PHILADELPHIA,PA 14107 8'd 90£Z-L69-L lL-L eoirueS food s,ueuae-49H dLZ£0 17L£Z l00 2002 Hyundai Sonata Sedan 41)Prices, Values & Specs -NADAguides Page 1 of 1 NADA I GUIDES The Power of Vehicle Information ® Close Window NADAguides.00fm 6/20/2014 2002 Hyundai Sonata -4 Cyl . Sedan 4D NADAguides.com Price Report Rough Average Clean Clean Trade-In Trade-In Trade-In Retail Base Price $925 $1,500 $1,975 $3,550 Mileage: (100,000) miles $475 $475 $475 $475 Total Base Price $1,400 $1,975 $2,450 $4,025 Options: Power Windows Std. Std. Std. Std. Power Door Locks Std. Std. Std. Std. Cruise Control Std. Std. Std. Std. PRICE with Options $1,400 $1,975 $2,450 $4,025 The history of a vehicle � o impacts its value Get the history at AutoCheckcom/NADA ides p ,� ©Copyright 2014 NADAguides.All Rights Reserved. ©Copyright 2014 NADASC.All Rights Reserved. http://www.nadaguides.com/Cars/2002/Hyundai/Sonata-4-Cyl/Sedan-4DNalues/Print 6/20/2014 Thrift Savings Plan Death Benefits Processing Unit Ar DEDIS — P.O. Box 4450, Fairfax, VA 22038-4450 THRIFT SAVINGS PLAN 011/0588 01 AB 0.403 'AUTC) 1605.126'19538874403 -COl-P10598-1 JAMES GUILLIAMS SR It 503 PENNS LANE i 06/24/2014 DOUGLASSVILLE PA 19518-8744 Dear Sir or Madam: A death benefit payment has been processed from the Thrift Savings Plan (TSP) account of Participant's Name: JOHN GUILLIAMS Date of Payment: 06/24/2014 Total Amount of Payment: $54,249.12 TRADITIONAL Amount paid to you: $54,249.12 Federal tax withholding: -$10,849.82 Net payment to you: $43,399.30 Payment method: CHECK The amount paid to you by check or direct deposit includes any minimum distribution required by the Internal Revenue Service (IRS). The total amount of your payment will be reported to the IRS in January of next year. The appropriate IRS Form(s) 1099-11t, Distributions from Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc., will be sent to you. If your address shown is not correct or if your address changes before Form 1099-R is mailed to you, please notify the TSP immediately at the address on this letterhead. Materials mailed to an incorrect address may not reach you. If you have questions, call the toll-free ThriftLine at 1-877-968-3778. Callers outside the United States and Canada should call 404-233-4400 (not a toll-free number). The TSP's hours are Monday through Friday, 7 a.m. to 9 p.m., Eastern time. You can also write to the TSP. Please include your daytime telephone number as well as the participant's TSP account number- (or Social Security number) on all correspondence. Website:www.tsp.gov ThriftLine: 1-TSP-YOU-FIRST(1-877-968-3778).------ ------'----" Fax,NuMh-_r-__4 B - E - A - N FUNIER,L HOMES & CREMATORY May 15,2014 Bean Funeral Homes& Mr. James T. Guilliams Cremation Services,Inc, 503 Penns Lane North 16th&Rockland Sts. Douglassville,PA 1951$ Hampden Heights Reading.PA 19604 -..�. Robert E.Bean.Srrpv. (610)3?6-0935 Services for John W. Guilliams,who passed away April 15,2014. 129 East Lancaster Avenue We sincerely appreciate the confidence you have placed in us and will continue to Shillingwa,PA 19607 assist you in every way we can.Please feel free to contact us if you have any Kevin M.Bean.Septi. questions in regard to this statement. (610)376-1120 THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, Bean Funeral Homes& AND MERCHANDISE THAT YOU SELECTED. Crematory,Inc. 362 Penn Avenue Simple Cremation $4,565.00 Sinking Spring,P.4 19,06 Fiberboard Cremation Casket (included) Terrence J.Shcamon.S1rpv. (610)376-1129 Makenzie Urn $3$5.00 Obituary $112.50 6 Fairlane Road Funeral Newspaper Notice (included) Exeter Township Reading,PA 196{]6 Certifiedp. Copies of Death Certificate 10 $60.00 Joseph G.4fc-0411oagh,Supe. Coroner's Authorization to Cremate $25.00 (6101 r,9-2800 Day of Service Discount 4100.00 ww%v )eanfuneralhomes_com Total $5,047.50 -- -- Paid-iii FUR— Thank Thank you, 7 Cait[in Mercer Secretary e,d 90£Z-L69-L LL-L aoiaieS iood s,ueu'9J40H d9Z:E0 t,L£Z loo 0 0 31 m C)Cl) man33 r-:E > r p,91ioD rn' OMF 5"m mmZm MOM -4 vmm C2C)mc > zKr zr- MOO 0 Mtn> m>0G) zog -jAQ ;u Z M 0 x(n;0 r-r z >0-< cv 0 cA Cn M -0* 07'r- U) r- M mmo > r c - V) �,Q�,L rm r-c- r--jA zo O:f in m CU>(:) Aochc/) m �,Z b m wwm CZ -n 0 QQ 0 WM0 OE: mg ZO" Ct) ra 1?--4 :002 m m C)>jLX G) G) -1 -4 pm Cz—c mor > go p r, MZO i Enu) E! >mm 9 -4 cr) 1 2 i-4 iLn 0) En m CD Ul -4 N3 T -4 C)m Ln fFl cn im R� 0 HV to ao p X N W 0Ca- U3 .8 a A to CD 33 n 14 Z co m,u tt rr- 0 M 0CD -i Mj b LI). 0)0- c3i 71 RZM mit cn V?ca fn > W,=3(D 0 (D =r Sl-4 SS D 2) CLV,(A 0 0 -0 M 0 ID -< :0> 00 C) 0 0 CCD su -n 0-4-4 tj ts 0- L9 --- I :*g c: CD 0)At ft (1) 0 TT-1 0 M 05 -0 CL CL-0 W,r " w --=rn z -50 -I>B R Rju > 0�) LT ch --h b--4 m 0--4a CD w 0) — -W T Cl.-3 0;6--1 ii m io ca m x 40 M trw tD a) cL=1-0 3 m m -n 437 ti (D C3 to CL minim' wo 44 tr V) M 0 0 71 0 CL -n � LO , .,* Cq 6M% z 0 0 4D MEE L ,,9 CD 0-CD O 990 0 N ,e6t-'IU �44 CD ti w CS OTT o BOROUGH OF MECHANICSBURG 36 WEST ALLEN STREET MECHANIC5BURG,PA 17055 (717)691-3310 UTILITY BILL ACCOUNTHMRMA N AMOUNrDUE ACCOUNT NO: 3222-0 LAST PAYMENT: DATE:08/06/14 AMOUNT:85.00 LOCATION: 401 E PORTLAND ST PREVIOUS BALANCE: 0.00 81tLING DATE: 10/15/14 CURRENT CHARGES: 95.00 DUE DATE: 11/17114 TOTAL DUE: 95.00 fTlAItENT M ER ACTIItITY SPEOAL MESSAGE PREWOUS READING CURRENT READING USAGE Billing Period: 10101!2014 to 12x3112014. SEWER 06/13/14 0 09/12/14 3000 8000 The Borough Office is open from 8.30 AM to 4:30 PM, Monday through Friday. You may also pay your bill on the Borough's Website at W Ww.ntectianicsburgborough.org. CURRENTCHARGES DETAIL After hours payments may be deposited in the box to the right DESCRIPTION UNITS ! RAT USAGE TOTAL of the front entrance to the Municipal Building. SEWER-REGULAR RATE 1.00 85.00 10.00 95.00 If you have any questions,please feel free to contact the Borough Office at(717)691-3310. The Borough Office will be closed on November 28th&29th, j December 25th&26th,2014 and January 1,2015. Water Usage History 8 I I PAYMENT COUPON-PLEASE DETACH AND RETURN MIS PORTION ALONG WITH YOUR PAYMENT ACCOUiYTINFORMA710N AMOUIYrDUE ACCOUNT NO: 3222-0 DUE DATE: 1V17/14 LOCATION: 401 E PORTLAND ST TOTAL DUE: 95.00 BILLING DATE: 10/15/14 YEAR: 2014 PERIOD: 4 AMOUNT ENCLOSED MAKE CHECKS PAYABLE TO: BOROUGH OF MECHAN(CSBURG JOHN GUILUAMS 36 WEST ALLEN STREET 401 E PORTLAND STREET MECHANICSBURG,PA 17055 MECHANICSBURG,PA 17055 b'd 90CZ-L69-L LL-L e0IA.leg 100d S.UBUJ949H d9Z:£0 b L CZ loo PPL Electric Utilities ' 2 North 9th 5tr'eet CPC-GENN1 Allentown, PA 18101-1175 V •.•,. Tel.800.358.6623 Fax 484.634.3713 P�, ppWoctric.com _ PPL Electric U011fte AB 01 003036 77376 B 6 A tl.Lul. ,�lll,.Illllil4lul.ItullllllllLl�t,��l,.�t�ly�,t,l JOHN GUILUAMS September 11,2014 401 E PORTLAND MECHANICSBURG PA 17055-3357 -BillAccbunt No:07710-67004- Aint Past Dile: 553.55 Dear Customer: m Your final bill with PPL Electric Utilities is overdue for the amount shown above. We understand it is easy to forget a final bill when moving or changing service. For this reason,PPI. Electric Utilities offers various methods of bill payment such as credit card payment,speed pay (%N,e automatically process your check over the phone),and payment agreements. If your account remains overdue,we may refer your balance to one of our collections agencies or attorneys. An unpaid account balance could have a negative effect on your credit rating. To avoid collection action,please contact us within the next 14 clays. Our telephone number is 1-840-358-6623 and our hours are 8 AM to 5 PM. When you call,you can either pay the me amount you owe or set up a payment agreement. — If you have already paid this bill,thank you for your payment. lfyou have any questions please call us at the above telephone numbcr. Mailed payments must be sent to PPL Electric Utilities, Attn;GPC-GENN1.2 N.9thSt_;Allentown.PA 1-8101. Revenue Collections Supervisor 9'd 90£Z-L69-L LL-L 901/!88 food s,ueuae-4eH dgZ:£0 t, £Z iu0 FBUREAUOF ACCOUNT MANAGEMENT mont Avenue,Suite 502 75 PA 17001-8$75 Telephone: 1-717-214-3017 Toll free: 1-800-599-0423 Monday-Thursday 8:30-8:30(EST) Friday 8:30-5:00(EST) October 1,2014 In Re: Pinnacle Health Emergency Amount Due -.$14.19 — John W Guilliams Account# :29191702 401 E Portland St Client Ref. # :0001002139-Pch Mechanicsburg,PA 17055-3357 Date of Service :01-18-14 John W Guilliams: We sent you a first notice,which included your rights under the Fair Debt Collection Practices Act. Your account remains unpaid and we have not heard from you concerning your rights. This past due account needs to be paid in full. If you have any questions call our office using the account#as a reference to your file. Your payment should be made directly to this office for prompt credit to your account. A twenty-dollar service charge will be added to all checks returned to us by our bank. Should you desire a receipt,a self-addressed, stamped envelope is required. This is an attempt to collect a debt by a debt collector and any information obtained will be used for that purpose. Bureau Of Account Management - - - - - - - - - - - - - - - - - - - - - - - - - - - DetachandRetumwithPayment- - - - - - - - - - - - - - - - - - - - - - - - -- - - To pay by credit card,please complete the information below: PO Box 8875 Check one: ©Visa ❑MasterCard Camp Hill,PA 17001-8875 Card Plumber--- —_—___—_,———_——— Return Service Requested Expiration Date: I I Payment Amount: Signature: Amount Due :$14.19 Account# :29191702 Client Ref.#:0001002139-Pch Date of Service : 01-18-14 PERSONAL&CONFIDENTIAL Amount Enclosed : $ John W Guilliams 401 E Portland St Bureau of Account Management Mechanicsburg,PA 17055-3357 PO Box 8875 1111111u(tlhu[loll h+1nn111[fill 11111 Camp Hill,PA 17001-$875 tp,lllhilli �,iii„Iltlmtildhlllt�t �ithyttilgl.t D02 000645P 1 298 000630 274 076608 Z-CRE 9.d 90£Z-L69-L 6L-l EIVNEIg food 9,ueuae}}9H d9Z:00 t,L£Z too 8o not send correspondence to this addi'E±l;S. Lis 0NAMSY01 PO Box 1022 Wixom AAI 48393-1022 ADDRESS SERVICE REQUESTED 111 Lancewood Road • Columbia.SC 29210 Phone: (717)221-1294 64210229-1003 425844809 Toll Free:(888)467-2563 1ll���nl+1,l!`Jl�ll'If'�"�!1l1I1�llullll11JI1J1911�11IlIIIIII John W Guilliiams Date: October 17,2014 401 E Portland St Mechanicsburg PA 17055.3357 Account#: 457933 Total Due: $125.20 Your account with Pinnacle Health Hospitals is due now. Your creditor has asked us to contact you to collect payment in full. If you are unable to pay in full,now, representatives of your creditor are available to help. It is your responsibility to send the balance or make the proper arrangement for payment. Pinnacle Health Hospitals PO Box 2353 Harrisburg, PA 17105 (717)221-1294 (888)467-2563 Unless you notify this office within 30 days after receiving this notice that you dispute the validity of this debt or any portion thereof,this office will assume this debt is va4d. If you notify this office in writing within 30 days from receiving this notice that you dispute the validity of this debt or any portion thereof, this office will obtain verification of the debt or obtain a copy of a judgment and mail you a copy of such judgment or verification. If you request this office in writing within 30 days after receiving this notice this office will provide you with the name and address of the original creditor, if different from the current creditor.This is an attempt to collect a debt Any information obtained will be used for that purpose. This communication is from a debt collector. SEE REVERSE SIDE FOR BILLING DETAILS AND OTHER IMPORTANT INFORMATION 807ONAMSY011003 V TO ENSURE PROPER CREDIT,DETACH AND RETURN LOWER PORTION IN THE ENCLOSED ENVELOPE T IFPAIANG SYNASTERCARD.DISCOVER.VISA w AMEWCAN WRESS FILL OUT BMW Date:October 17,2014 Ir Creditor:Pinnacle Health Hospitals Account:457933 caRn NJt1BFR Service Date: 11/29/13 MUST INCL.UDE 3 DIGITEXP.DA-E AMOUNT SECURITY SECURITY CODE FROM - B $125.20 ' aA-�X OF CARD SIONATURE *IT MAKE CHECK PAYABLE TO: PAY BY CRECARD Pinnacle Health Hospitals John W Guillrarns PO Box 2353 401 E Portland St Harrisburg PA 17105-2353 Mechanicsburg PA 17055-3357 it[sill 11,11"1111.,,11,11111,11,ti1,lJ„11L,1,l,,,l1„Lhl L,d 90EZ-L69-L 6L-l eOIAJeg food s,ueuae}feH d9Z:£0 t,L £Z 100 Oct, 22. 2014 7:56Aly SANTANDER Bang, too. 1678 P, 2 Ruun+nta75e�`_Wnlr"`__.A•nON OF PRINTED DOCUMENT Mortgage Statement 'latwzoi4 Da!gj,7J{75.161-90e 3 rkese da Pat Send pryrr l"tp 1rr::ddrva Contact Information Phone: 1-600 232-5200 Customer 5erACOe Monday-Friday 1124 a,Mo6astaaao�eoa pta0004CD &:00 am.-7-,DC p.m.ESt' Fatc us on the web at: www.santanderbank.co;r. JOIN W GURUWS Account Number 03567%346 401 E PG9 ttAWD ST Payment Due Date 11101/14 MECHAMOBURG PA 17055.3357 - Amount Due $612.07 If pav"ntit rKiC in:f aker 11;104,a S 14.37 late fee will be charged. Account Information Explanation of Amount due ftperty Address. 407 E PVRTL 340 57 PnncDal 5136.07 MECFAMMURG PA 17055 Interamt 5191-52 Outstanding P-indpal $d5,:6ae1 Escrow(for Twos and/or fnrarance; $224.43 Impres.Rare s.000Yo OctjanaiInsurance 1.00 fscraw 3alanm 5562.46 Renu ar Monthly Payment S IL07 Taxes Paid 12,144.78 Fees Ove $.00 Prepayment Penahy No P4Tnent Pan Due(as ct 11!011141 S._0 Unpaid tate Charges i.JO Total Amount Due $612.07 Transaction Activity 09/09114- 10/06/14 T1t"'N DE5CR1PilON IRAN FR!Nf,10AL NI 37 ESCROW LATE 07HER END WNGMl DAT_ M-10UN7 PAID PAID PAID GHAAGES PAID BALANCE 0447-14 Escrow DLS mrr, 366U.00 $0.00 50.00 5650.ao 50.00 10.00 545,75P.27 10.05.14 DAtgPeymert 8512.07 S195.26 $19233 S114.C8 50.00 50.00 Si451964.0t YOUA Lczm rA1j me R IS torUR IO NTU W1DV Md roan lie Stared w'*n o4irld m W rift%e lnfwv%4ma on jowr kwb We conshdle your loan(an'MordZI and vv ramrw dm egfit ro dednt to afmw Pevrimn dwVs.M4,Aj;yro roan laor,A71o0m mrmEar, Q 4 s Past Payments Breakdown Important W5sa es Paid Fane Pafd to LeRSmtemerrt Date Ss-e:t:me and money Kignirg Up for o-r FREE a` Kaanic Payrrzru process Epzy. The easy to All out form and InsvrxtionS are on the Principal 5.95,26 5',915.54 back of this statment• If you`Wve cny Quesaaons,please call us at Interest. $19,1.33 $1,959.36 '-80D-732-5ZC0. Mcnday throuyn Friday, b-tv�n +a hours of Escrow(Taxes and Insurance) $224.68 52,241.80 8:00am and 7Mpm Easttm T1me and a (ZTlamer 58rvlm Fees 30.00 Met) Representative wits be happy m salt you. '3:e Charges SD.00 Mao Did you know than your mongage loan information as well as aa.-m Paniai Payrriert Unapplied' 50.00 ,o your monthly statement and year end 109a5 are available through Santander Bank,N.A.'s Cin'ine Bancina system? if you-wculd like to take ad'zMaga of this FREE service,please cal;u5 at 1-800-M-5200. `FaRiel Payments'-Ary parka1 paymentst%at you make are not Monday through friday, to ween the hours of&ODarr,any 7:OC,om applied fa your mortgage.b-it instead are held;r,a separate Eas%-m 7kne and a Cvstoncr Service P.epresentative Will be haFpy ro unapplied funds account if you pay the balance of a partial assist you. p5yrne•rt,Ste funds will then be apolled kc your morcga ge• 724 el1Ing Stmt. RelM 10'DBlta ° �o^°l intrmatbn s a ev�d m the bait of t e satemeni OET4tJ1 A.'1D R en:RN BgiTOM rb 0.:gN Wa'M Y W R PprRIkNT Lo"Num%ER PAYMENT our.DATE ArrlouNT Our s r a 0356145346 1101118 1612.07 )OHNWGUR.UAM5 IFRECEMAPMR LATEPAYb1MAMr 11AW4 5531.44 rinse rELLUSNOWTOAwrrTdS AnnMQUAL AMOtiHh5srr-Tl4 PAM SANTANDE'RIRMr,NA. Plndcx; ' P.D.BOX 12649 READING PA 19612-2649 eSgowNAPrwaNO tsa4rmr. ant. 6•d 90EZ-L69-L LL-L 801NOS food s,UeUae}48H d LZ:£OVL SZ 10C) Oct, 22, 2014 7:58ANI SANTANDER Bank- No. 1678 P. 4 lt1 w'wmMmisa�todeiy -' P.O. mElson ATIONOFPRINTEDODCU%(ENT IIII Mortgage Statement 09,108j2014 � brM'l.1X75L61-?953 Plerstd0 notamd palr+nw co m6 aeac+ Contact Information Phcna: 1-800.232.5200 Custorner Service: Morita$-f(day 1-720.63Dsa.pmraaa.c0a.aoy�ti¢aoc.Occ 8:00 a.m.-7:09 p.m.EST Pi,,d(is on the Web at vAVW.Santarderbank-com JOHN W GU#LUAMS 4C1 E POR'f(AND SiAccent Numbor 0?56105346 N ECNA4lc53tJRG PA 170553357 Payment Due Date 10JUIlt4 Amount Due $612.07 If ptyr.cMis rec ived after 1WI&Ia,a St3.37 lat?fee Wlu he charged. Property Address: 401 E PORTLAND ST MECHANICSBURG FA 17055 Account information Explanation of Amount Due OtrSMnQrng Ptlndpai 346.159.27 Principal 3195.26 Intarest Rate 5.000%; Interest 5192.33 Errsow Balance 399798 Escrow(for T4x--S anNcr In$UrnM) 5224 as Tax-esPaid52,144;!8 0 onallnsurance S.00 Prep±ymentPenalq tib Ragu arh'icntitlyPayment 361107 rtes Due ' Soo Payment Past Due(a;of 10ri)IJ14) SAD Unpaid Cave Chases S.DO Total Amounr Due s612,07 Transaction Activit (08/02114-09/08114) 'RpN DESGPiPTION TRM PRNOPAL INTEREST ESc"W WE O%S BO PFIVCIPAt DATE AMOI,WT Pah PND IW CHMGES PAJo SAIAW-C CB-12.1a Eacsra3'aarar m St,48197 5010 30.00 31,46137 30.00 50,00 S46,35.3.72 os-o&le. mig payment $612.07 5154.45 1193,14 3224za 30.00 50,00 Sa6,159.27 YOUI toM NUMBER IS Yrtm JOENTBir.ATIeN end'a VS ba resod%b .aAm a udar j for InlO ado M ywjr=n.Wt Ox6dre you loan mrfidm'%d end w•e rnrrvr the 6-ght to deJne to d"oNa t'�tr Igen de;alc»itho'et the loan�Jertif neon mrm3tl, r n 0 r . NN C h Past Payments Breakdown Important Messages PaidSnxe Peiayear to 1as25tatemenT Dora to the intent your original obligation was dachsrg-ed- or is subject fa an automvG'C nay orbenkruptci w*dei T7te TJ of Principal J,,oe-43 51,721.28 we Unired5wres Cod_- this sraremenr is for Compliance and Interest S153,14 51.75-7.03 or infornstatfonal IorrpaSIS only and does nor coa6trt4e an Escrow(Taxes and Insurance) 322&.4a 42,0;0.3Z attempr m cotle-cr a dEbr or to impose perianal liability tar Fees 40.00 3D.00 r rrd abliyation,However 5antender Bank, p a,retains r/ghu Late ehaw 50.00 50.00 under its.eCurhy lnsrrvmeny Including the right ro hreclosa PardwPaymen-,Unapplied, MOO ialien. `Fartial Payments;Any partial paymerns that you make are lot appoed to your mo-P3age,but instead are held it a separate tnapplied funds account.f you Fay the Ealanee of a pbnlal payment,the funds walthert to appUed w your mgrrgage. 724 AAGrtH stmt. go✓sgd 01no/1 s AddtiondIn'arnation 0 pro'Aded on the bark of t'hemTemert CErAfHANDAETUAN EOTTOIJ rOArOrv'MrNYOUa PAYMEM 1 - f 03355 6105346 1QNJifi4 3612,07 JOHNIN GUILUAMS '���■ilii3il 10/16!1'4 S631,4d V$TELT.us NOW To gssCY TAE m�omONA AMnbnsaE►+crn13 SANTANDER UNK,N.A. P.O.ROX 12649 Ira, READING PA 19612-2649 te"nr t°P`"vt ..etoemrqu: oar. 0b'd 90£Z-L69 L GL-4 GOVU93 food s,UeUJG40H d LZ:£0 b l•£Z hO Vci. 22. 21114 8:LOAM SANTADER BankrEDROouMEVT No. 1678 P. 6 Rendu MW Seel,-e(Sr �.._.. -. .._. V.0.9=619063 ' D,edt,Tx 7 3 26 1-1100 Mortgage Statement 0810112014 Ptdarc as nersend paymenC m artacdiea Contact Information Phone: 1.3C0 232.5204 ar:aa3ess.cou=iSa.>rrzaxGl�OtmaW customer 5erotce: 1vlonday-Friday 13:00 a.m.-7:00 p.m.EST Find us on the web at: vo wa.santanderbw*.com JOHN W GUILUANr15 401 E PORTLAND ST Account Number 03 56 10 5346 mac"9WICSOuR13 PA 17,05S-3337 Payment Lh;e Date 091,01/14 Amount Due $612.07 if pa}mlem b rd.-eind after M9 G(la,a S19-37 Ian fee will be dta;ged. Property Address: -01 E PORTLAND ST WCHAN16SURG%A 17D55 Account Information Explanation of Amount Due Ourarandenp Principal 1x6,353.72 Prindpal S194.45 Interestfta:e S.00090 Interest 5193,14 csawr Balan:9 52,235.x7 Escrow(zr Taxes and(or lmumr<e) S224.a.B Tues-saw 1682.al Optional Snstrrarce 5.00 Prepayment Penaiy Mc Regu(ar Monthly Payment 5612.D7 Fres Du_ $.00 Payment Past Due(as❑f 09?01114) S.00 Unpaid Late Charges S,DO Total Amount Due f61Z.07 Transaction Activity 07/02/14-OS/01/14 7RAU TPAN PRiNOPAL INT@FEST SCRLKv LAn OTHER END PRINCBgL 7ATE )ESCK( ON AMOUNT PAID PRO rA1p CHARGES LAID EA ANCP 98-01-14 r6"-arm nt %12.71 5193.54 3193.95 S224.49 So.00 s0.0e S46,352.72 YOUR LOAN MJMa5R IMM&DRMICAT'AN end rmn De feted vrhen t2l'Ing a wKIIn9 far hrbrmdon an yu 1=.W e ronsidcrTar lwn catffdmtlat a+d w�aas a tho Ag!n M dadly co dscaS teff loan daq.}widW r a4d iron i wwefladon mmwp. LL P rl ,o A h Past Payments Breakdown Important Messages —' 'veld sinee PaidYrarto ro rhe advent your arlg/nor obtf0don was dlt urged, or$ L OreterrreR Dare subject to an au07rnaric step ofbenkruptcy urJser T/tre ft of Principal 5193,64 51,528 s f/:9 1107Had Stales Codd,th&qs v vrwnf is for carrWlianea and/ Interest S193.95 51.573.85 or informadawl ptxposeg On&and does not corutritrte an Escrow(Taxes and Insurance) S224.42 51,795.34 ertempr ro ro/lets a debt or vo impure DVSor+a/94,6;lio•fol Fees 50.00 $0.00 such obligation.However, Santander Banks ALA.retains rights Late Charges SOS-0 $0.00 under try pecurffy lnsrrvmenf,W10479 ttie r/ghe to{oletlofe Partial Payrnent Unapplied' 40.00 Ar en. Did you know,that you can make a payment r`rough our toll free -Fartidi Faymens:My pardal paymenisthatvov make are not summer service line 24 hours a day 7 days a week using the app6e ro your mortgage,but lastead are held u a separate Western ON=speed Pay service? Just can BCC-2212-SSCO enl2r your unappFed funds account If you the Wance of a areal loan l nL Th m I at the promos and sake optbn 4 to Hake a 7 ?ay P payment Them Is a nominal fee fpr this sanAce. payrlent,the funds will then be applied toyeur mortgage. 724 aurd,o<tmc Rawad o1(tot a, Additional inicm atbn is provided on the hac<of the iiater eot ' OETACMAVD Iir1WiN 8oYfOM WRTICN SVIlMYOLROAYNFJlT 0356105346 39/01/14 5612,07 JCaW\JGUICLAtv15 a• 09/l W14 3631.44 PLELrF Tat US MOW 70 APPLY M pnomowu AeeOUPM SONG PAM SANTANCER3rNK y.0. IM-Ant F.O.BOX rZ549 READING PA 19612-2649 aW rvrx°emb�_ iQk C`dA1tt 71/G� �'d 90£Z-L69-L 6L-1 e0l/U8S 1004 s,UeUJe}4aH d8Z:`✓0 t £Z 100 Oct. 22. 2014 8�02AM 7, EAiVTMER Bank. noocUMEnrr ho. 167E P. 8 _. .......e ab.e�616; Mortgage Statement 07101120 114 Oams,7X 73261.9063 PFaaa x rat swo PaymenK to this edilm Contact Information Phone: 1-800-232.5100 C wtom2r SQWce: MonBey-Riday a-72az-aaase++.am'-onwnsmo.cca 8:00 a-m.•7:00 p.m.EST Find us on the web at wwwsar11anderbanitcOm JOHN W GUIUJAAAS 4or E POHi1AND ST Account slumber 0356195346 htKK4NiC58URG?A 1205S-3357 Payment Due Dat~ 081191$14 Amcunt Due $612.07. N paVrrent�s re,=*j&tier cv?6,14 as 72.37 are fee wM be ch;r0ed. Property Address 401 E PORTLAND ST 1AECHANICSSURG nA 17055 Account Information Ex lanation.&Amount Due. Outstanding Principal 546,54736 P,indPdl 5193.64 interest Rate 5.00c% interest S133aS E=v+r Balance S2,010.99 "-s2ro-(fcrTaces ardrer Insurance) 5224.46 Taxes Daid 5682.81 C rionallrsurance S.Oo Prepayment Penalty No RegukT Mon 7 Payment 5612.07 Fees Due S.00 Payment➢bst Due{as of OF.f07l14) 5.00 Unpaid Late Cham _ _ _ _ _ $,00 Total Amount Due S612 07 Transaction Activ 06/10/14-07/01/14 TRAri TP AN PRINOPAL INTEREST ESCROW tATB or t R tEND PRINCIPAI, DATE f�F.i�Jtr h Ahtowl PAID PAID PAID CK4RGE5 PAID RAI AlrE 06-23-74 Mtgftw7atu 5912.07 S19Z54 $194113 5214AS 50.00 50.00 5efi,547.36 vot1R tDPri terwaea 1s 7W R IpF?nlfiCATFOfi auI mut Se stexa wlrn trIGM'�r'-riCM t!lnronmCan Oq Yin IeEn.Wg ecn9d9r)ttK Ian�rd�gmdal and wo romeva tow�}'r. ro damns a dzus ymr or.r da.Yls addleut fwtaan iGerenmricn rror+rper. LL C ti r n Past Payments Breakdown important Messages.. -� Paid Since Patd Yearto To the erfent L7stkawmam DatR your or,Final obligation war dischorged, or Is sublvct to on,automatk srey of 6nnkmptry under Title 11 of Pnodpal 4192.34. $1,333.19 rhe Untred Srares Code!his staterffenr is#6r compliance and Interest S194.75 51.379.94 or-inlrarmatianal purposes only and does not consGture an Esvaw(Taxes and Insurance} S224AS S1,S7136 arrempt to ralfeer a debt or W rmpam Petzan'w-t habiw fa^ foes 10.00 50.00 sr+th obli o on. Atowew, Senandsr Bartle N.4,retetns rights -ate c_narges 50.00 - SO-00 under ft serutir/fnsvument including the right to fanacfore Partial PaymentUnapoGed• 50.00 -Partin]Payrne w.Any part'al payrmnU that You make are not app,ed m yore rromzIgA bn instad are held In a separate unapplied funds account tf you pay tha balance of a oaejal payment the Ands 49 Ther be apWted to your mortgage. 729 BlGIr,Q Sum. Re+lsed 0;lt4rta Adds oral inbrmaiibn b p•rn5cL-d on th)Rhmk of theSmternet DtTACJ AND RErVM BOTTOM FDWTW nrnv YC'JRPATM-NT c3ss l 09349 09/01!?4 s6 12.07 JOHR W GUWAMs �• 09116114 5631 A4� • n -sf-Tru.US F•OPr TO AtPLY Tid: A07=14!j p1yC_ MUENG PAID %AWANT)ER BANK,N.A. TM,� D.O.BOX 12649 REAVINrj PA t361Z 2649 tau om•o s oder. Z L•d 90EZ-L69-L LL-L 801Aleg 100d s,UOUJa a � H d8Z:£0 t1L`;Z 104 Oci. 22, 2D14 6:44W SANTAUER hnk NO, 1678 IP�sweirentwry�r rrnte�ED DOGU MENT Rerun trtm7 Sema rty - P.O,am1615063 Mortgage Statement 06/09/2014 tteFc,t7t 7s2:s.st�7 PFa+e da no[SRnd;W—rAI to Dat WO= contact information Phone: 1-800-23Z-5240 s+raaa�ataaoe>?102-o0o-0taaoa oro Customer Ser im: 'A01Way-Friday a:04 a.m.-7:00 p.m.EST Find us on the web at www,santanderbankxom low wGVILU ATS 401 E PORTLAND S1 Account Number 0ASb105346 MECHANICSBURG PA tr,,s3.3367 Payment Due Date 07.101n4 Amount Due $612.07 it p2yment ly r=ived after 07A S 1 a,a S19,2!7 We fre+,01I to aa"pd. Property Address: 401 E PORTLAND ST MECHANiCSBURG PA 17055 Account information Explanation of Amount Due 0ut31andin9 P-Indpal+-_ 546,740.20 Fdndpal $192.44 Interest Raw 5,000% Inreres[ 3194.75 Esraw Balance 51,786.'51 Escrow(fo•Twes anVor Insurarce) 5224AS Tates Paid • 3662.11 Optional auurance $.00 Prepayment penaiiy No Regular ManihTy Payment 561207 Fees Due 3.00 Payment Pas:Due(at of 07/01114) S.00 Ur,pa.d Late Charges 3.^e Total Mount Oue 161Z.07 Transaction Activity 8S102/14-06/09114) TRAHTFAN PNISICIPAL INTEREST El(R0•+N LA79 M--R FNP IP:L- PRINC , DATE CESCRIP110T1 AMOUNT PAID PAID KID CeARGSS ?AD B,'uMCE De-06.14 tagra)mert setz,o/ st9t.0a 5195-5; su4,W 50.00 sa.aa 546,740.20 Yf%1RLAIRMJu@ER4YOURIOEMIFNCATpNandmus6oraaodnimm'lin6arrvrRltrgbllydmrraPrttortyyaImn Wetaaideryxrtoscartrid-malerdvr_eesmethe ear, a dediae to dde.HSyMe bvt deti'Gw:cHot[tree Coen knndMxkn n:n'�. LL 0 s s F Past Payments Breakdown )m ortant Messages Yald 51n a Pa)d Year TO Cast Scrdrmafx Datc To tha axlant your or/g1n.41 obllgrtiorr ;set dLre1Tvysd, or it sVbrecr ra an auronretie sray of bankruptcy and v TN/e f F of Principal 5192.04 S1,140.35 the unfired States Code, fhisA# nlen!It for empllb/Ice ar)d Inleres: 5795.55 51,185,14 of jnf0tt)arlont1 ipwpdses or),b and does nor eonv-jY&2 an EsornH;Taxes and insurannI SZ24,46 51,34S.a6 srfempt to cnifect a debt or to t;WPze perronal l/a hirl far Fee3 SID" .0.10 such oNNgatien.However Ssgtshder6enly,N-,4.retains rights Law Charges $0.00 $0.00 under hs security ins&unwn4 ineWing the rIgnt to foreclose Partial Payment Unappl ed' 5D.00 Ar lien. Did you lmaw that you can make a payment tf(ough our t6l free 'Panda.P ants:An anal custom r SGNICe ))ne 24 hours a day 7 days a week uslg the aym y p pzyrn"ts Thal you make are r10t Western Union Saeed Pay mice! Suit taJ 800-232.5Z00 enW your applies:to your r^ortgage,but iw,--;d are held in a separate lczn informatior at the prampts and take option a tc make a una0led funds account,if you pay the balance of a sar", payment. Thea 5 a nomb+ai fee for th-rsservice. paym:ht•thefund3 tart!Than be apPlled to your MOrtgage, 72461111ng5:mt Relr3edClnate AdSooralinformetenisFrovi�donthehackofthe swenent ' OETAOi AhORn%W9M70M FOt010tj vmt•.Yq VRPP,,wNT - 03:6i05346 07/01/14 $612,07 JOHNVIGUIUJAMS { 'S{ - 07/16tl4 3631, PLEASE TELLUS HOW 7O APRY THE ';LAMC',M[S VM4 PAID SANTAUDER BANK.HAA, PA.ECX 12645 READING PA196)2I649 r- DIAd'tr°m' - tar_Ctvpes ' aMc £L'd 90£Z-L69-Z bL-b eolnJeg food s ueuja eH d 6Z:£O til£Z 100 Oct. 11, 2014 S: 11A 3'ATANDBR Bank.ePSD. 1 76 12!17 a aacuPAENT P.C.Bel6t9oi3 Mortgage Statement •05/0112014 pRlOs TX:5241-9x63 Pkaxdo Rotsuid IPaNrtRr+rp "add— Contact Information Phone: 1 saa2az-szoo a�`a acro+o oPa6c�+ac aaa„t-0oomo Cusorner 5en+tce: Monday-Friday 8;00 a.m.-7:00 p.m.EST Find us on the web at vuww.Santanderbankcom +Or+N W GUILLWAS 401 E POAl14ND ST Account Number 11356105346 MECHAMC58VRC PA T7053-3357 Payment,Oue Date 0"1174 Amount Due $612.07 if peyrnem Is received after 05+16r1a.s S t 9-T Lott:ia=—3 ba c4areei_ Property Address: 401 E PORTLAND ST MECHANICSBURG PA 17055 Account Information Explanation of Amount Due Okestandinp Pr.repal 346,932 2d Plindpal 5192.0. Mterer.Raw 5.00094 rnteresz 5195.55 Escjw aaianca 51,562.03 Estiowr(for Taxes anotor Imranc0i 527.4.49 7a1RsPald 5682.81 001jonal rnsrrance 5.00 PrepaymNrrt Penalty Regu at Mon—thy Payrnent $6,iL07 Fees Due S.CD Payment Past Due(as V G&D11141 5.00 Lraaid tate Charges 1.00 Total Amount Due $612.07 Transaction Activity 44!08114-05101114 T.%" TRAN MINC6ER AL MEREST ESCROW Lok— diH?R 60 PRWL7?AL DATE D.SCRI"rI,.N• AMOLNT PAID PPJD PAID CHAFtGFS P,rJD BA LAME 34-29.14 WK9 Payment 1612.07 5191.24 51 635 S'24.48 30.00 40.00 346.932.2 YOCA OMAN 14MRR 6 vacgr v0.MFq.A=N end mux bo w od,Al c-Nog er Ymerrr far 6,omveJd n a1 your loan.%t rnn9aer yaur loan(onn'_erwJ yid,—ra—th4 dghr to de7tr-Oo Tsars foa+!oan the Iaan I640ait4=aq ncmSar. v 4i e1 rr n - past Pa ments Breakdown Important Messages Aeid;lMe PatdYearto Data To To e extent your original obligo6orl rr/id dirtha+ye$ or IS lax SLatehlant subject M aR dutOmar/C.Slay ofbsllf.Tt+ptry Jndei Tale YY Of Prindp0{ 5191.24 194a.31 rhe Ur!iree Stens Code, OAr srBternent Zr far ccmplfanre and l tnietest; 3196.35 5989.64 or k7&rmational purpasrs onbe and doss not const arm on Escrow;faces and.insurance} 5214.4$ $1.122.44 errempi ro evilecr a deter or to impose personal liability for Fees 50.00 10.00 such oblfg.Won.Hvlwreh Santander$snk Nei.raw4v rights J;te Charges 50.00 39.00 W**or AS ACCUtio�i Ltertrrn!74 Inc+udln9 rhe rlghr ro foreda;e Partial Paymntll Unapptild" 40.00 i�rier. Partial Payments:Any parcel payments that ycu crake are not rpplled to your mvnoaq%but Instead are held In a separate unapplied funds account_If you pay.7,e balance of a partial payment,ha fundsvnil then be appifed to your mortgage. 774inWng1tmt. Relsed01rt9J14 J1dd,:lanai!rtfcrtratcrttsTavi4danth�tWCtcf7tesgrerrxne DfTA4lANDq ETlM8J a01-0Mrors,rorr WRN YOVRPTYNSl.T oas61os3•aj 06I01n4 se12-09 JOHict W GL'IUJ"S FUNEMM o5r16lid 163 i.d4 J19A5V T.lLU540WTp APKYTHe ADOPirtNAl AMOUNTS BL1N4Z PAP SAPf'ANOER BANK,N.A.• Pnrcaat P.C.BOX 12649 kE AII N6 PA I B6 12-2649 i'V d 9Q£Z-L 69-L L L-L 901AJaS 100d s,UBUJO.4eH d6Z:W VL£Z 100 k Oct. 22. 2614 8: 12AAM SANTANDER Bank.EO No, 1673 14/17 aGt1m16iall,S�mCrig-•,...._.._. ....... DOGUtRENT �� _ p.0.tly(619p63 Mortgage Statement wo72ma Ga11as.�t7S2Ei-5953 Mese da rwesstd pe)mentl la this add,aa _ Contact Information Phone: 1•$00-d32 5206 a� w�ocot46>s�ama rtoawma Curcmer samce: Monday-Friday 8:00 a.n -7:00 p.m.ES Find us on theweb at: www.santanderbank.com JOHN W GUILLLAM5 .act a FORTW40 sT Account Number 0356105345 MECHAN'CSBURG PA 17055-3957 • Payment Due Date 05101114 Amount Due $612.07 If payment a received after 05l15Itl,a 579.37 tele fee wi'3 be charged. Property Address: 401 E PORTLAND ST TJECMJCSBUF.C-PA 17055 Account information Explanation of Amount Due Out urging P(ncipal 347,TZ9.46 Principal 5191.24 Interest RGte 5.000% Interest $196.35 Escrow Be lance 31.33755 Batwf:cr-raKesandlorinsurancO 4224.48 Tares Paid $682,816 ff irsurance S ro Prelsaymani Pena10 No R2gular Monthly Payment 5612.0 Fees Due 5.00 Payment Past Due(95 of 05709/14) 5.00 Unpald Late Charges S.00 TotalAmount Due 5612.07 Transaction Activity 03/11/14-04107/14 TRAN CiESCKi7T10N TMN FMCIPAL IWEREO E5CROW LATE oTFIER CW ia1NCTAL DATE AMOV.W PAID PAID PAID-CW(!E'. PAID aMANIC= 04-01-14 fscrowoipb mnt 568291 50.00 50.00 5662.01 50.00 $0,00 i47,31d.93 04-07.16 M[q Payment $612,07 519C.45 5197.14 524.48 SO.00 50.00 547,123.'48 MOUS LOAN KUWER ISYpR V13•rnnCAMON WA mac tC red when calEay a mhing forlu niedon on yes Isms.we conideryaur loan 1=Kdenr.a1 end arc mmt ow 0" b de0ne to diSM99 your loan dembw"LA+he Wo*xrnl 4miorl maker, n r • t3 d - N Past Payments Breakdown Important Messages Paid Slnca Paidywr-o To the enfant;our or nal v6li af/Ort rvaa drarha d ar rs La aeS�t-_mens 9ese Q suiSJea ro an automarlc fttey of Isankruxr2cy under We 17 of Principal 5190.45 5757.07 the United States code, this statement Is for compliance and (r;tBfeSt $197.14 379329 ae Igformetiona7 purposes only and does nor consrirure_an Escrav;Tares and Insurance) 5224.48 1897.42 attempt to e0dect a debt or W impose personal Cabin)for Fees $0.00 10.00 such obrtgadon•Ifoweeer, Sanzender ffanfr V_4.r_1Wjns rlgher Ute Charges 10.00 50.00 under kf security insrrument, Indudirrg the right to forearase Partial Payment Unapp!ied' $0.00 iff rmn• Old you know tt-at you can make a payment throJgh oLr toll tree *Parts'Daymersts:Any part!a1 psyments that you make ora not customer service li-ie 24 hours a day 7 days a week using the Western Union Speed Pay Service? jus call SCO-232-52M enmr your applied to ypu-mzrtaage,but instead are held in a separate loan info yr a ion at the prompts and take option A to make a unapplied funds account,tf ycu pay the balance of a partial payment.There is a nominal fee fcr this se-Ate. payment,the surds will ter he applied to your moraage. 720 atleng stmt nevcsd aln�;4 '�dtJara!'nformatbn is po+•tdee cn ihelaee't c61hes1a'rn>rnt fICtTN4rA�+AFst7RN 9rlTr�a ti0 R>I CPI WRMYOl70.PAYMEM1tt 0356105346 05!01/74 $612.07 ]OY.N VJ GUILUAti15 a. ' 05/16714 $631.44 K.EASE rRIUSHOW TO aP1Y T1E AV9MW4.AM0'JNTS Et1YG PAD SANTANDER P.AI•l14 HA w«c t P.O.Bax 12644 READING PA 1--612-2629 dee.,M wm's.Nh tan a.ey� Oth¢ 9 4'd 90£Z-L69-L 6L-4 901rueg food S,uewe}4eH d0£:£0 b 6£Z loo Buchanan Ingersoll AL Rooney Pc Attorneys&Government Relations Professionals 409 North Second'Street suite 500 Harrisburg, PA 17101-1357 Kristen Web T 7112P 4800 717 237 4962' F 717 233 0852 kristen.lieb@bipc.com www.buchananinbersoll.com December 29, 2014 ry VIA REGULAR MAIL Register of Wills Cumberland,County 1 Courthouse Square 2: Room 102 , Carlisle, PA 17013 ` ° ry r CI Re: Estate of John W. Guilliams File No. 2114-0463 Dear Sir or Madam, Enclosed please,find an original and two copies of the Inheritance Tax Return for the above referenced estate for filing. Also enclosed, please find an original'and one copy of the Iliventory. Please time-stamp and return a copy of each in the enclosed self-addressed stamped envelope. Two checks are,.enelosed for the inheritance tax due, one in the amount of $24;411;:30 and another check Jh the amount of$8,005.59 for a total payment of$32,416.89. Also enclosed is a check'for$100.00 to cover the additional probate fees. Should you have. any questions, please do not hesitate to contact me. Thank you. for your cooperation in this matter. Very truly yours, e� Kristen Lieb KL Enclosures California :: Delaware :: Florida :: New Jersey :: New York :: Pennsylvania :: Virginia :: Washington,DC r tl N n' t DU O U c o coo l CY) U. 5 C14 V' J � d3.CINE1 0 0� oolJdSeeu U IbeW X;ucNd a ro I o 41 civ cut" a _ Al_ Com-C.9 C 3 r W tL a 'OC . � 1-4 0u 3 p Z 4-1 �} N H � i o rr��■