The URL can be used to link to this page

Home My WebLink About04-27-15 (2) � x.��"=�pennsylvania 15 0 5 614],0 5 �� DEFANTMENTOFIIEVENVE EX(03-14)(FI) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO Box 280601 INHERITANCE TAX RETURN �� r j- �� Narrisburg, PA 17128-0601 RESIDENT DECEDENT `�r ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 07272014 10231947 DecedenYs Last Name Su�x DecedenYs First Name MI __ _ ____ __._ __ _ _. _ Hoelscher Barbara M (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1. Original Return p 2.Supplemental Return p 3. Remainder Return(date of death prior to 12-13-82) p 4.Agriculture Exemption(date of p 5. Future Interest Compromise(date of p 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) p 7. Decedent Died Testate O 8. Decedent Maintained a Living Trust _ 9. Total Number of Safe Deposit Boxes (Attach copy of will.) (Attach copy of trust.) p 10. Litigation Proceeds Received O 11.Non-Probate Transferee Return O 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) O 13. Business Assets � 14.Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number ___ ---.__. __..__ _---_� _._. _ . _ . _.__ John R Steffee, CPA, CSEP (717) 975-8500 First Line of Address _. .. _ _ _ _. _ _ _ '342 N Front Street Second Line of Address Ciry or Post Office State ZIP Code Wormleysburg , PA 17043 _ __ _ _ . CorrespondenYs email address: john@prStax.Com , o ;� R ISTER OF WIL-C$US N 'r � �'[7 G7 p REGISTER OF WILLS USE ONLY � � DATE FILED MMDDWYY f�T+"l � C7 � � �� .'a r_A r N 5.•.r ��l _ t...-,� --.7 , �=�' �"" ,� i"> � � - ,�� o:� -;-y ... �...� C�> � .,�e„ ...� " DA�'E��LED STAMP�"..:: C7 ��`7 �� PLEASE USE ORIGINAL FORM ONLY Side 1 ��5I�III I6II1I4��1�0��5��)�� 15 0 5 61410 5 J � �` � 1505614205 REV-1500 EX(FI) DecedenPs Social Security Number oeoeae�rs Name: Barbara M Hoelscher 184- RECAPITULATION __ _ _. __ 1. Real Estate(Schedule A). ...... ..... ..... ..... ............. .. ........ 1. 346,215.00 2. Stocks and Bonds(Schedule B) 2, 506,461.37 ........ ....... ................. . .. . . .. 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) . . . .. 3. 0.00 4. Mort a es and Notes Receivable Schedule D 4. 0.00 9 9 � ) .. ............... .. . .. .. .. . _ 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E)..... .. 5. 40,564.53 _ _ _ . _ 6. Jointly Owned Property(Schedule F) O Separate Billing Requested .. .. .. . 6. 7. Inter-Vivos Transfers 8�Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested..... ... 7. 8. Total Gross Assets total Lines 1 throu h� .......... ... a. 893,240.90 � 9 ).. .............. 9. Funeral Expenses and Administrative Costs(Schedule H)............. ... .. . 9. 23,501.64 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)... ........... . 10. 4,554.33 11. Total Deductions(total Lines 9 and 10)............ ................. . . .. 11. 28,055.97 12. Net Value of Estate(Line 8 minus Line 11) ......................... .. .. . 12. 865,184.93 __. _ ._ . _. _. 13. Charitable and Governmental Bequests/Sec.9113 Trusts for which an election to tax has not been made(Schedule J) 13. 20 000.00 ..................... .. . � _ ., _ _.. _ . 14. Net Value Subject to Tax(Line 12 minus Line 13) .. .... .... .. ........... . 14. 845,184.93 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 at lineal rate X.0_ 16. _ _ _ ___ _ _ . _ . 17. Amount of Line 14 taxable 101,422.19 ' at sibling rate X.12 845,184.93 �7, _. _ _ _ __. _ 18. Amount of Line 14 taxable at collateral rate X.15 18� _ . .. . .. .... .. .. .. .. .. . .. . . �9. 101,422.19 19. TAX DUE ... .. . .. ................. ...... . _ 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT � Under penalties of pery'ury,I declare 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 oth r than the person responsible for filing the return is based on all information of which preparer has any knowledge. SI E O RES SIBL R FI TURN ATE � �-��Y r� ADDRESS 1 Crossgate Circle Lemoyne, PA 17043 SIGN OF•PREPARER THE T AN PERSON RESPONSIBLE FOR FILING THE RETURN DATE , �� 1�11�� ADDRESS 342 N Street Wormleysburg, PA 17043 ��5�0��1��2��I��I��I�� Side 2 ],5 0 5 614 2 0 5 � � REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Barbara M Hoelscher STREETADDRESS 262 Conway Street CITY STATE ZIP Carlisle PA 17043 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 101,422.19 2. CreditslPayments A.Prior Payments 80,000.00 B.Discount 4,000.00 (See instructions.) Total Credits(A+g) (2) 84,000.00 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) 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 17,422.19 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 ............................................ ❑ � c. retain a reversionary interest .............................................................................................................................. ❑ � d. receive the promise for life of either payments,benefits or'care?...................................................................... ❑ � 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 step-parent 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 decedenYs siblings is 12 percent[72 P.S. §9116(a)(1.3)].A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1502 EX+(02-15) �'�i�� pennsylvania SCHEDULE A � DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Barbara M Hoelscher 21-14-0747 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 compelied 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. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1• Residential Residence-262 Conway Street 350,000.00 Carlisle,PA 17013 Verbal Offer Received April 24,2015 Written Offer of$296,000 Tumed Down Anticipated Closing Costs 1%Transfer Fee -3,500.00 Deed Preparation and Notary -285.00 TOTAL(Aiso enter on Line 1, Recapitulation,) $ 346,215.00 If more space is needed,use additional sheets of paper of the same size. REV-1503 EX+(02-15) ��'fM�P Y SCHEDULE B t:�� ; enns Lvania ��? DEPARTMENT OF REVENUE � INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER Barbara M Hoelscher 21-14-0747 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1' Morgan Stanley AIC#410-8965-012 137,917.73 Traditional IRA-No Beneficiary Designation 2 Morgan Stanley AIC#410-893236 368,473.93 Investment Account Accrued Interest and Dividends 69.71 TOTAL(Also enter on Line Z, Recapitulation) $ 506,461.37 If more space is needed,insert additional sheets of the same size REV-i5o8 EX+(08-12) c��i�� pennsylvania SCHEDULE E �� DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC. INHERITANCETAXREfURN pERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Barbara M Hoelscher 21-14-0747 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH �. M&T Bank-Checking AIC#580295 10,909.98 2 Orrstown Bank-Savings AIC#706002988 4,004.54 3 Toyota Corolla 11,200.00 4 PSERS Death Benefit 337.93 5 VISAIMastercard-Refund of Overpayment 712.70 g Cash in Home 37.38 7 2014 Form 1040-Income Tax Refund 2,117.00 g Chateau Rose Sterling Silver 2,000.00 g Wicker Dale China Service 695.00 10 Antique Opal Ring 3,200.00 11 Black Opal Ring 350.00 �2 One Carat wl Two One-Half Carat Diamonds-Ring 1,500.00 13 Three Diamond Ring 1,000.00 14 Household Fumishings 2,500.00 TOTAL(Also enter on Line 5, Recapitulation) $ 40,564.53 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+ (02-15) �. �� SCHEDULE H x� � �� pennsylvania � DEPARTMENTOFREVENUE FUNERAL EXPENSES AND INHERITANCETAXRETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Barbara M Hoelscher 21-14-0747 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' Hollinger Funeral Home 10,058.25 2 Nell's Food Store-Food for Funeral Reception 342.86 s Honorarium 80.00 a John McAdoo-Minister Fee Reimbursement 100.00 s Christian McAdoo-Supplies and Postage Reimbursement 185.25 B. ADMINISTRATIVE COSTS: i. Personal Representative Commissions: Name(s)of Personal Representative(s) ChClSfiall MCAd00 __ street address 1 Crossqate Drive City Lemoyne state PA_ZIp 17043 Year(s)Commission Paid: 2015 0.00 2. Attorney Fees: 0.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimantto Decedent _ 4. Probate Fees: 675.50 � 5. Accountant Fees: 1,250.00 6. Tax Return Preparer Fees: 650.00 7. Conway Street Utilities 1,853.12 a Century Link 106.65 s Legal Notices 212.44 �o Comcast 182.84 11 Lawn and Snow Removal-A Touch of Green 1,006.14 �2 See Attached-Additional Administrative Costs 6,798.59 TOTAL(Also enter on Line 9, Recapitulation) $ 23,501.64 If more space is needed,use additional sheets of paper of the same size, Estate of Barbara Hoelscher Funeral Expenses and Administrative Costs Number Description Amount A FUNERAL EXPENSES 1 Hollinger Funeral Home 10,058.25 2 Nells Food Store - Funeral Reception 342.86 3 Honorarium 80.00 4 John McAdoo- Reimb Minister Fee 100.00 5 Christian McAdoo - Reimb Supplies and Postage 185.25 B ADMINISTRATIVE COSTS 1 Personal Representative Commissions 0.00 Name: Christian McAdoo Address: 1 Crossgate Circle Lemoyne, PA 17043 2 Attorney Fees 0.00 3 Family Exemption 0.00 4 Probate Fees 675.50 5 Accountant Fees 1,250.00 6 Tax Return Preparer Fees 650.00 7 Utilities-Home on Conway Street UGI 1,319.73 PP&L 458.57 Borough of Carlisle-Water and Sewer �4•g2 8 Century Link 106.65 9 Legal Notices 212.44 10 Comcast 182.84 11 Lawn and Snow Removal-A Touch of Green 1,006.14 12 Larry Hughes- Repairs to 262 Conway Drive 236.25 �' 13 Rahal Toyota - Brake Repairs 104.59 � 14 USAA Insurance -Auto Insurance 523.68 6,798.59 15 Storage and Disposal Costs 1,238.72 16 Charles Holtry- Real Estate Tax 1,502.24 17 USAA Insurance - Homeowners Insurance 2,243.11 ; 18 The American Abatement Group-Asbestos Removal 950.00 �. 23,501.64 F:\Clients\Hoelscher Estate\Hoelscher Summary REV-1512 EX+(02-15) .�� SCHEDULE I ,�� ,�j�;� pennsy vania �y� DEPARTMENTOFREVENUE DEBTS OF DECEDENT, INHERITANCETAXRETURN MORTGAGE LIABILITIES & LIENS RESIDEfJT DECEDENT ESTATE OP FILE NUMBER Barbara M Hoelscher 21-14-0747 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medicai expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1• Kohl's and AT&T Universal Credit Cards 626.15 2 Refund of Bridge Club Dues to Club Members 66.00 3 AT&T Phone Bill 17.17 4 CTI Networks,Inc 24.95 5 2013 PA Personai Income Tax Assessments 35.87 6 Chris Holtry-Tax Collector 3,739.19 7 Pinnacle Health 45.00 TOTAL(Also enter on Line 10, Recapitulation) $ 4,554.33 If more space is needed,insert additional sheets of the same size. REV-1513 EX+ (02-15) ��i`�;` pennsylvania SCH EDU LE J �� DEPARTMENTOFREVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Barbara M Hoelscher 21-14-0747 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRI6UTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] 1• Valerie McAdoo-Silverware and China Nephew's Wife 2,695.00 2 Vivian Rose McAdoo-Jewelry Nephew's Child 2,500.00 3 Grace Elizabeth McAdoo-Jewelry Nephew's Child 3,550.00 4 John McAdoo-50%Residuary Brother 418,219.97 _ 5 David McAdoo-50%Residuary Brother 418,219.97 ENTER DOLLAR AMOUNTS fOR DISTRIBUTIONS SHOWN ABOVE ON L1NES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON TAXABLE DISTRIBUTIONS A, SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. Second Presbyterian Church 20,000.00 528 Garland Drive Carlisle,PA 17013 TOTAL OF PART II- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 20,000.00 If more space is needed,use additional sheets of paper of the same size. LAST WILL AND TESTAMENT OF BAgBARA M.HOELSCHER I, gp,ggARA M. HOELSCHER, of the 262 Conw�lls or cod cilsitoewill made by County, Pennsylvania, make this my will. I revoke any othe me. ARTICLE I. DISTRIBUTION OF MY ESTATE A, I give my tanSible personal property to John H. McAdoo, presently residing in C�::s:e,P��.nwyt�'�' ^�a.�?`�TJ�."eri R.M�Ar�ne,rrPsentl;�x'esic�i�g in�rncutor.�Tangible personal in shares as nearly equal as possible, at the ab t doesnot include other money or stock certificates property includes stamp or coin collections bu p p does not include ts or interests. Tangible personal ro erty or other evidences of intangible righ oses or used in connection with anY any property that is held primarilY for investment purp death. business in which I may be engaged or in which I maY have any interest at the time of my g, I give the following specific gifts and bequests: 1. to the Second Presbyterian Church in Carlisle Pennsylvania the sum of twenty thousand dollars; S�rrounded with diamonds 2. to Grace Elizabeth McAdoo the Antique Opal ring which was given to me by my parents; 3. also to Grace Elizabeth McAdoo the Black Opa1 rinS surrounded with diamonds which was given to me by Judy Johns and made by James Joseph Jewelers of Mechanicsburg; one carat and two one-half carat 4. to Vivian Rose McAdoo the three diamond ring— diamonds; wliich has three smaller 5. also to Vivian Rose McAdoo the t�u'ee diamond ring diamonds; 6. to Valerie McAdoo the Chat�i ker Da1e china serv e for fifteen by Spode. 7. also to Valerie McAdoo the C, I give the residue of my estate to John H. McAdao and Da eX R•to cAdoo, per stirpes,in shares as neazly equal as possible, at the absolute discretion of my D, Whenever property is to be dislributed to the descendants of a person(the "ancestor"), such property shall be divided into equal shares,one share for each then living descendant in the first generation below the ancestor in w�ion who has a descendant then lvgmg• and one share for each deceased descendant in such generat Each share created for a living descendant shall be distributed to such descendant.Each share B.M.H.�Z� Page 1 of 5 created for a deceased descendant sha11 be divided and distributed according to the directions in the two preceding sentences until no property remains undistributed. E. A person who has a relationship by or through legal adoption sha11 take under this will as if the person had the relationship by or through birth, except that a person adopted after reaching age iwenty-one and descendants of such a person sha11 not so take. . F. Any beneficiary or the legal representa.tive of any deceased beneficiary shall have the right, within the time prescribed by law,to disclaim any benefit or power under my will and the interest so discla.imed shall be distributed as if such beneficiary had predeceased me. ARTICLE II. PROVISIONS FOR INTERESTS VESTING IN BENEFICIARIES UNDER AGE TWEN7CY-�NE Notwithstanding the foregoing provisions,whenever any interest in my estate vests absolutely in a beneficiary under age twenty-five,my Trustee sha11 retain the interest upon a separate trust or together in one trust with other beneficiaries, as my Trustee decides at his or her discretion, and pay to each beneficiary as much of the net income or principal according to the following: A. My trustee may distribute to and among my issue, or any of them from time to time, a11 or any portion of the net income and such portions of the principal as my Trustee,in his absolute discretion,may deem advisable. Such distributions of income and principal may be made in such proportions among my issue as my Trustee,in his absolute discretion,may deem advisable,without regard to equality, and the pattern of any distribution of income or principal need not be followed at the time of any other such distribution. Any of the net income not distributed by my Trustee in accordance with the foregoing provisions in any calendar year sha11 be accumulated and added to the principal of this trust. B. My trustee shall distribute to each beneficiary upon his or her twenty-fifth birthday his or her share of the trust. C. If a beneficiary dies before reaching the age of twenty-five years,his or her interest shall constitute a part of the beneficiary's esta.te. D. This trust shall terminate upon the earlier to occur of the following events: (1) At such time as a11 of my living beneficiaries shall have attained the age of twenty-five years; or (2) At such time as there is no child of mine then living. E. Upon termination of this trust in accordance with the provisions of subparagraph D hereof, or if either of the events specified in subparagraph D has theretofore occurred, the Page Z of 5 B.M.H. �fj � balance of the principal then remaining sha11 be distributed to my issue,per stirpes. ARTICLE III. PAYMENT OF EXPENSES AND OTHER CHARGES I desire a Christian funeral. I wish for my remains to be interred in the family burial plot in Mount Holly Springs, Pennsylvania. I direct my Executor to pay my funeral and burial expenses (including the cost of a monument or marker over my grave). The estate, inheritance and similar taxes assessable on my death (including from those assets not passing under this Will) sha11 also be paid as a cost of administering my estate. My Executor sha11 not request any beneficiary to pay any part of such tax. ARTICLE IV. NIISCELLANEOUS PROVISIONS ., _e., C��n��th�if�: '!'r��st. Tn<#,�? e�ten+ re�nitteci hy l��v; �eit�?r the:ra�-n.cinal n�.r. income of any trust shall be liable for the debts of any beneficiary or, except to the extent otherwise specifically provided,to alienation or anticipation by a beneficiary. B. Matters of Interpretation.For simplicity,I have expressed pronouns and other � terms in one number and gender,but where appropriate to the context these terms sha11 be deemed to include the other number and genders. The bold headings are for convenience and shall not affect interpreta.tion. ARTICLE V. APPOINTMENT OF FIDUCIARIES AND POWERS A. I name my nephew Christian N. McAdoo to be my Executor. Should he fail or cease to act, I name John H. McAdoo to be my Executor (hereinafter "Executor"). If administration of my estate or trust should be necessary in any jurisdiction where my Executor or my Trustee is unable to qualify, or if my Executor or my Trustee deems it necessary for any other reason, I give to my Executor and my Trustee the power to designate any individual or corporation with trust powers to serve with my Executor or my Trustee or in my Executor's or my Trustee's stead. I request that no security be required of any Executor or Trustee, including an Executor or Trustee named pursuant to the preceding sentence. References in my will to my "Executor" and my "Trustee" are to the one or ones acting at the time, except where otherwise s�ecifzca?ly�revi�ed. B. Any corporate Executor or Trustee sha11 receive for its services the compensation for which it is willing to undertake similar services for others at the time such services are rendered, as evidenced by its published fee schedule in effect from time to time, unless it is willing to agree upon a fee that is less than its customary fee. Any individual who serves as Executor or Trustee shall be entitled to receive reasonable compensation for his or her services and, whether or not such individual receives compensation, sha11 be entitled to be reimbursed for expenses incurred for such services. C. I grant my Executor and my Trustee the powers set forth in 20 Pa.C.S. §§ 3311— 3332 and 20 Pa.C.S. §§ 7771-7780 respectively. In addition, my Trustee may merge any trust under this will with any trust having the same trustee and substantially the same dispositive Pa e 3 of 5 B.M.H.��7F�' g provisions. If at any time after my death the size of any trust under this will is so sma11 that, in the opinion of my Trustee,the trust is uneconomical to administer,my Trustee may terminate the irust and distribute the assets to the person or persons authorized to receive the trust income in such shares as my Trustee may deem appropriate. No Trustee who is also an income beneficiary of the trust at issue shall exercise any discretion granted in the preceding sentence. My Executor and my Trustee may distribute tangible personal property passing to a minor to any adult person with whom the minor resides, and that person's receipt sha11 be a sufficient voucher in the accounts of my Executrix and my Trustee. D. It is my desire that my Executrix or alternate Executor consult with Mateya Law Firm in the handling of my estate,they being familiar with my affairs. ARTICLE VI. DEFINITIONS The following definitions sha11 be applicable to a11 of the provisions of my Will except where otherwise specifically stated: 1. The use of the masculine shall include the feminine or neuter and the use of the singular sha11 include the plural, and vice versa. 2. The term"estate,"where appropriate, sha11 include any trust hereunder. 3. The term "minor" sha11 mean an individual who has not attained the age of twenty-one years. Executed this��day o �e.� , 2012. ��.0,�� - Barbara M. Hoelscher Signed, sealed, published, and declared for and as his last will and testament by the testator in our presence, we a11 being present at the same time; and we, in �us presence and at his request and in the presenc�: of eac� otl3er, �23E'e S'.i�s�,��z� :,tx:r��-�nes as ;�iiriess�s:v�hereai, al�l:on the date last above written. p� �� OF S (n1. r��J � ` � � oF 5�5 G�.� C��.r� ��, Cu�,� .� -� ' ` C.'�n-��, '�J ��o� 3 Page 4 of 5 B.M.H.��'j� COMMONWEALTH OF PENNSYLVANIA CUMBERLAND COUNTY,to wit: Before me, the undersigned authority, on this date ersonally a eared Barbara M. Hoelscher, �d Q ,��1�AIAIIF �, �E"/(q'}FTo�.. knownto me to be the testatrix and wi esses, respectively, whose names are signed to the foregoing instrument and, a11 of these persons being by me first duly sworn, Barbara M. Hoelscher, the testatri��, declared to me and to the witnesses in my presence that said instrument is her last will and testament and that she had willingly signed and executed it in the presence of said witnesses as her free and voluntary act for the purposes therein expressed, that said witnesses sta.ted before me that the foregoing will was executed and acknowledged by the testatri�c as her last will and testament in the presence. of said witn�esses who in her presence and at her request and in the presence of each other did subscribe their names thereto as attesting witnesses on the day of the date of said will and that the testatrix, at the time of the execution of said will, was over the age of eighteen years and of sound and disposing mind and memory. Swom and aclaiowledged before me by Barbara M.Hoelscher,the testatrix, !Z �- 1 , witness, and�(�e� -�. �F�l°��D� ,witness,this _.�,�� o�,� `"'day of ,2012. �i�I,/.Z �i�.h� ,�, Barbara M. Hoelscher �� .f�s�` Witness �� itness �`�/1.�'in,l,�p�3� (�t- L�G[ - Notary Public COMMON�VEAITH OF PEf�NSYLVANIA Notariaf 5ea1 Frances A.Aumiiler,Notary Public Sbuhh MiddieYon Twp.,Cumberland County M C�mrnis5�on Expires Marcfi 16,2014 My commission expires: Member,Penns�tvania Assodat�on of NoWries Page 5 of 5 B.M.H. Net Proceeds to Seller for Christian McAdoo The following data is for information purposes only and accuracy of the figures hereinafter set forth is not guaranteed, The actual costs with respect to each trasaction will vary depending upon the circumstances. Sale Price $296,000.00 Estimated Closing Costs Present Mortgage Balance-Loan 1 $0.00 Present Mortgage Balance-Loan 2 $0.00 Broker Fee $8,880.00 Seller Discount Points $0.00 Tax Service Fee $0.00 Notary Fee $35.00 Document&Deed Preparation $250.00 State Transfer Tax $2,960.00 Estimated Repairs $0.00 Home Warranty $0.00 Hydraulic Load Test $0.00 Locate and Pump Septic $0.00 Private Water Testing $0.00 Resale Certification Fee $0.00 Overnight Fee $0.00 City Fees $0.00 �� .� Buyer Closing Costs Paid by Seller $0.00 Title Letter $55.00 Total Expenses $12,180.00 Net Proceeds to Seller $283,820.00 THE ABOVE PROCEEDS AT SETTLEMENT DO NOT INCLUDE PRO-RATION OF REAL PROPERTY TAXES AND RENTS, MORTGAGE LIENS, MUNICIPAL ASSESSMENTS, CONDOMINIUM CHARGES OR APPLICABLE CERTIFICATION AND/OR INSPECTION FEES. THE AMOUNTS ABOVE ARE ESTIMATES. ACTUAL COSTS WILL VARY WITH EACH PROPERTY. I/We hereby acknowledge receipt of a copy of this Statement of Estimated Seller's Cosfs, and understand and agree to the charges indicated herein. Witness: Seller Seller Seller Prepared by:GNAR MLS on Apri117,2015 STANDARD AGIt��M�NT FOR TH�SAL�OI'RT'AL ESTATE ASR 7'his form rccommcndcd and approvcd tor,bW no�restrictcd lo use by,iho numbcrs of Ihc Pcnnsyl�•nnia Associntion of Rcoltors�(YAR). � rAR�rics 13UI'I;R(S):Michael D. Black SI:I.LT'sR(S): Tara D. Black BUYER'S MAILING ADDRT:SS: S�LL�R'S MAILIN(:AllllIiESS: � 300 Stonehedge Dr. Carlisle, PA 17015 PROPERTY ADDRPSS(including postal city) 262 Conway Street Carlisle, PA ZIP 17013 in thc municipality of Carlisle ,County of Cumberland in the School District of Carlisle Sehool District _,in Uie Commonwealth of Pennsylvania. Tax ID#(s): and/or IdenliCication(e.g.,Parcel#;I.ot,Block;Decd Book,Page,Rccording Datc): 09210322211 BUYER'S It�LATIONSI�IP WITH PA LICENS�D I3ROKER ❑No Business Relationship(Buyer is not represented by a broker) Broker(Company) Hooke, Hooke and Eekman Licensee(s)(Name)Starr Whitten Company Address 97� walnut sottom Road, carlisle, PA Direct Phone(s) i�ois Cc1lPhone(s) (717)385-9953 Company Phonc (717)249-1844 Fax (717)249-1822 CompanyFax (717)249-1822 Email starz@thinkhhe.com Brokeris(check only one): Liccnsee(s)is(check only one): �Buyer Agent(Broker represents Buyer only) ❑Buyer Agent(all company licensees represent Buyer) ❑Dual Agent(Sec Dual and/or Dcsignatcd Agent box bclow) LXJ Buyer Agent with DesignateJ Abency(only Licensec(s)named above rcpresent Buyer) ❑Dual Agent(Sce Dual and/or Designated Agent Uox below) ❑Transaction Licensce(Brokcr and Licensee(s)provide real estate services but do not represent Buycr) SELL�R'S R�LATIONSHIP WITH PA LIC�NSED BROIC�R �No Business Rclationship(Seller is not representetl by a broker) Broker(Company) Licensee(s)(Name) Company Address Direct Phone(s) Ccl]Phone(s) Company Phonc rax Company Fax Email Broker is(cl�eck only one): Licensee(s)is(check only one): ❑Seller Agent(Broker represents Seller only) ❑Se11er Agent(a11 company liccnsees represent Seller) ❑Dual Agent(Scc Dual ancVor Designnled Agent box bclow) ❑Scller Agcnt with Designatcd Agcncy(only Liccnsec(s)namcd above represent Scller) ❑Diial Agent(See Dua]ancUor Designated Agcnt box below) ❑Transaction Licensce(Rroker and Licensce(s)provide rea]cstate scrvices but do not represent Seller) DUAL AIVD/OR D�SIGNATI:D AGI;NCY A Broker is a Dual Agcnt when a 13rokcr represents both Buycr and Sellcr in the same transaction. A Licensee is a Dual Agent w6en a Licensee represents Buyer and Seller in the same [ransaction. All of Broker's licensees are also Dual Agents IINLrSS tliere are scparatc Dcsignated Agents for Buyer and Seller.If[he same Licensee is designated for Buyer�nd Sellcr,the I�icensee is a Dual Agent. By signing this Agreement, I3uyer and Scller each ackno�vledge Itaving Ueen previously iuformed of, and consented to, dual agency, if applic�Ute. _ ISaycr Initials: � ASR Pagc 1 of 13 Scllcr Initials: / �� I Pennsylvania Association of Realtors` COPYRIGIITPRNNSI'I,VANU�ASSOCiATIO�I OFREALTORSm2DI5 2/1S ]looke Ilooke lickman,320 S.llanovcr St Catlislq I'A 170I3 Phonc:717-385A')53 �u: 717-249-1822 hlike nnd Taro Black S�ur U'hiuen Produced wilh zipForm9 by zipLogix 18070 Fiffeen IAilo Road,Fraser,61ichipan 48026 www.zioLoaix.wm �� -�� ;Z��.�� o��✓�t�,k i��<<��c . � 1. By this Agreeinent, d�ted April �6, 20�5 , 2 Seller hereby agrees to sel!and convcy to I3uyer,who agrees to purcl�ase,thc identificd Froperty. 3 2. PURCIIAS�PRIC�AND DI;POSITS(4-14) 4 (A)Purchase Price$$296 000.00 5 ( Two Hundred Ninety—Six Thousand � _ U.S.Dollars),to be paid by Buycr as follo�vs: 7 L Initial Deposit,within days(5 if not specified)of Execution Date, 8 if not inc]uded with this Agreement: $ 1,000.00 9 2. Additional DePosit within dlys of the Execution Datc: $ l0 3. � 11 Rcmaining balance will be paid at settlement. 12 (B)A11 funds paid by Bt�y�er, including deposits, will be p:+id by clieck, casl�ier's check or wired funds. All ftmds paid Uy I3uyer 17 within 30 days of settlement, inclu�3ing funds paicl at setticment, �vill bc by cashier's check or wircd funds, hut not by per- 14 sonalcheck. 15 (C)Deposits,regardless of the form of payment,�vill be paid in U.S.Dollazs to Broker for Scller(unless othenvise stated here: 16 �' 19 �vho wi11 retain deposits in an escrow account in conformity with all applicable 11ws and regulations until consummation or ter- 18 mination of this Agreement. Only real estate brokers are required to hold deposits in lccordance with thc nilcs and regulations of 19 the Slate Real Eslate Commission. Checks Iendered as deposit monies may bc hcld uncashed pending lhe execution of this 20 Agreement. 2t 3. S�LLER ASSIST(If Applicable)(1-10) 22 Seller�vill pay$ or 3.000 °lo of Purchasc Price(0 if not spccified)toward 23 Buycr's costs, as permitted by the mortg�ge lender, if any. Seller is only ohligated to pay up to the amount or percentage �vhich is 24 approved by mortgage lender. 25 4. SETTL�MI;NT AND PO5STSSION(4-14) 26 (A)Setticmcnt Date is June 15 2015 ,or beforc if Buycr and Selicr agree. 27 (li)Se[ticment will occur in ihc county where the Property is locatcd or in an adjacent co�mty, during nonnal busincss hours, unless 28 Buycr and Scllcr agrcc otherwisc. 29 (C)At time of settlement, the following will be pro-ratcd on a daily basis bctwcen Buycr and Seller, rcimbursing whcre applicablc: 30 current taxes; rents; interest on mortgnge nssumptions; condominium fees and homeowner association fees; watcr and/or sewer 31 fees, together with any other]ienable municipal scrvice fees. All charges �vill bc prorated for the period(s) covered. Seller will pay 32 up to and including the date oP setllement and Buyer will pay for all days following setUement,unless otherwise stated here: 33 34 (D)For purposes of prorating re11 estate taxes,the"periods covered"are as follows: 35 1. Municipal tax bilis for ail coimties and municipalities in Pennsylvania are for the period from January 1 to December 31. 3G 2. School tax bills for the Philadelphia, Pittsburgh and Scranton Schoo] Districts are for the period from January ] to Decembcr 31. 37 School tax bills for all other school districts arc for the period from July 1 to June 30. 3A (E)Conveyance from Seller�vill be by fec simplc dccd of spccial warranty unless otherwise statcd here: 39 40 (P) Paymcnt of transfer taxcs will be dividcd equally bctwecn Buyer:u�d Sellcr unlcss othenvisc statcd hcre: ai 42 (G)Possession is to be delivered by dced, existing keys and physical possession to a vacant Property free of debris, with all structures 43 broom-cican, at day and time of setUcmcnt, unless Sellcr, before signing this Agreemcni, has identi(icd in writing thal thc Property 44 is subject to a lease. 45 (H)If Seller has identified in writing tl�at the Property is suUject to a lease, possession is to Ue delivered by deed, existing keys and QG assignment of existing leascs for thc Property,togethcr with secttriry dcposits and intcrest,if any,at day and time of sctdcment.3eller 47 will not enter into any new leases, nor extend existing leases, for the Property withait lhe written consent of Buyer. Buyer wili A8 acknowledge existing lease(s)by initialing the lease(s) at the execution of this Agreement, unless otherwise stated in this Agreement. 49 ❑Tenant-Occupied Property Addendum(PAR Form TOP)is attached and made part of Qiis Agreement. 50 5. DATT:S/TIM�IS Or TIII;T:SS�NCE(1-10) S1 (A)Written acceptance of all parties wiil be on or before:April 21, 2015 52 (B)The Scttlemcnt D�tc and all othcr datcs and timcs identificd for thc performancc of any obligaUons of this Agrccmcnt �rc of thc 53 essence and azc binding. 54 (C)The Execution Date of this Agreemcnt is the datc whcn Buycr and Scllcr havc indicatcd full acccptancc of this Agrecmcnt by sign- 55 ing and/or initialing ii. For pumoses of fhis Agreement, the number of days will bc countcd from chc Exccution Date, excluding 56 thc day this Agrccment was cxecuted and including thc last day of the timc period. All changes to tLis Agreement should be iui- 57 tialed and dated. 58 (D)The Scttlement Date is not cxtcnded by any other provision of this Agrcement and may only bc cxtendcd by mutual wrilten lgrec- 59 ment of the parties. 60 (E)Certain terms and timc periods arc prc-printcd in this Agrccmcnt as a convcnicncc to thc Buycr and Sellcr. Ali prc-printed tcrms 61 and time periods are negotiable and may be changed by striking out the pre-priiited text and inserting different terms acceptabie 62 to all parlies,except where restricted by law. 63 �iuycr Initials�,�"-7� ASR Page 2 of 13 Seller Initials: / �f Produced wilh zipFoim�by zfpLogiz 18070 Fifleen Milo Road,Fraser,Michlgan 48026 �Y�zioLoa(z.com Mike and Tara ESLate Valuation DaCe of Death: 07/27/201� ��(� Estate of: Hoelscher Valuation Dal•e: 09/27/201h AccounC: 410-894685 Processing Date; 08/26/2019 Report Type: Dute of DeaCh Number oE Securities: 1 r'ile IA: Hoelscher 910-694685 Shares security Mean and/oY Div and InC SecuriCy or Par Description tiigh/Ask Low/Bid Adjustments Aceruals Value 1) 10726.27 Cash (CASH) 10,726.27 2) 100 H019G DEPO'P INC (�37076102; HD) COM New York SL•ock Cxchange 07/25/2019 81.30000 80,89000 H/L 07/28/2014 81.39000 80.66000 H/L 81.097500 8,109.75 31 215.70Q CAPITAL INCOME BLpR FD (140193301; CIBCX) CL C ldutual Fund Ias quoCed by NASDAQI 07/25/2019 61.08000 Mkt 61,000000 13,175.20 9) 2293.939 INCO1dG FD AYGR INC 1953320301; IFACX) CL C HuCual Fund las quoted by NASDAQ) O7/25/201� 21.57000 MkL' 21.570000 A9,480.26 5) 992.fl19 LT:GG MASON GLOBAL ASSF.T irPifG TR (5�h9091Q9; LDIASX3 CLERRBSP INVTR C tdutual Fund (as quoted by NASDAQ) 07/25/2019 38.85000 Dikl• 38.650000 19,146.02 6) 350,85 I,CGG MASOh GLOBAL ASSET hIISG TR (524686615; LMVTX) CLGARS VL 'PR C Mulual Pund values reported Co NRSDAQ � 07/25/2014 63.35000 rsk� 63,350000 22,226.35 7) 15000 GOLDMAN SACHS RK USA NY I381Q3AHN1) InCeracl•ive AnCa Corporation DTD: O1/25/2012 DtaC: O1/26/2015 1.36 . 07/25/2014 100.39350 MkC 07/28/2019 100.39160 Mkl• . 100.392550 15,058.88 InC: 07/25/2019 Lo 07/27/2014 1.07 Note: Put Opl:ion on DOD $137,917.73 Total Value: $1.07 Tot•al Accrual: Total: $139,918.80 Page 1 This repoxt was produced wilh EsCateVal, a producl- of �slaCe Valuations & Pricing Systems, Tnc. If you have quesCions, please conlacL BVP Systems at (818) 313-6300 or www.evpsys.com, (Rev3sion 7.3.1) To whom it may concern, Please take this as authorization to use the assets located in the Barbara M. Hoelscher Morgan Stanley IRA,Acct 410-894685-012,for the establishment of two beneficiary IRA accounts.The funds should be split equally between John H. McAdoo and David R. McAdoo. John H. McAdoo SSN: 175-32-3699 David R. McAdoo SSN: 187-34-5069 Thank you, V�/j ' � Christian [�!. McAdoo Executor : 3��b�..� inn 1.kuelsc�.��/ Estate Valuation Date oE Death: 0�/27/2414 �r�Lkkv�.-� AF� EsCate of: Hoelscher Valuation Date: 07/27/2DSA � Accou»t: 910-69323b Processing Date: 07/31/2014 RepoYt Type: Date of Death Number of Securities: 19 File TD: Hoelscher AAA 910-893236 3hares SecuriCy Mean and/or Div and Int Security or Paz Description High/Ask Low/Bid Rd9ustmenta Accruals Value 1? ' 10701.93 Cash (CASIi1 � 10,701.93 2) 258 CEHSX SAB Dfi CV 1151290869; CX) SYON ADR NEW New York Stocic Exchange 07/25/2D19 13.01000 12.89000 H/L 07/28/2014 12.96000 12.74000 8/L 12.900000 3,328.20 3y 13 CHNTURYLTNK INC (156700106; CTL} COTf New York Stock Bxchange 07/25/2014 37.95000 37.51000 H/L 07/28/2014 37.9001� 37.5A000 H/L ' ' 37.725025 A90.C3 . 4j 200 CHfi5APL7AK4 ENL�RGY CORP 52651fi7107; CHK) cart New York 3tock Bxchange 07/25/2014 27.2TQ00 2b.89000 H/I, p�/Zg�Zplq 27.29000 26.70006 H/L 27.025040 5,A05.00 Div: 0.0875 Ex: 07/ld/201A Rec; 07/16/2014 Pay: 07/31/2014 17.50 51 300 COMCAST CORP NEFI {200380200; CMCSK) � CL A SPL • The NASDAQ SCock MarkeC LT,C 07/25/20YA 59.9dU0D 54.08000 H/L 0?!28/2014 54.640D0 53.9B000 H/L . 59.A10000 16,323.00 6} 35D DISNIIY WALT CO (254687106; DIS) . COtS DISNEY New York Stock Exchange 07/25/ZD1A 86.70000 86.Oti0D0 H1L D7/28/2019 87.21500 85.810�0 H/L Bb,443750 30,255.31 7) 300 DIRI3CTV (25490A309; DTV} COM • NASDAQ Stock Market 07/25/2014 86.70000 86.15Q00 H/L 0?/28/2014 85.55000 86.02000 H/L 86.355800 25,905.50 8) 256 ASRStISY CO (4278bG]O6; HSY) COM New York Stock Bxchange 07/25/2014 92.5T000 91.39000 H/L • 07/28/2014 92.75006 91.57000 H/L 92.057500 23,019.38 4) 50 HOME DEPOT INC (937076102; HA) COM New York sCock Exchange 07/25/2014 81.30000 80.89000 H1L 07/28/2019 81.3A000 80.66U00 H/L 61.09750Q 9.052.38 10) 33 KRAFT EOODS GROUP INC (5b07b42D6; KRFT1 COM NASDAQ Stock Market Q7125l2014 58.50000 58.17D00 H/L 07/28/2019 58.58�00 58.07000 H1L 5@.330250 1.42g•9� Page 1 This report was produced wiCh IIst�teVal, a groduct of EsLal•e Valuations & Pricing Systems, Inc. If you have quesCions, please conl•act EVP Systems at (818) 313-63Db ox www.evpsys.com. 4Revision 7.3.1) v � . 6 . FOR INQUIRIES CALL: (800)724-2440 ACCOUNT�TYPE -'�, .: � M&T CLASSIC CHECKING W/INTEREST 00 0 04345M NM 117 ACCOUNT;NUMBER „. , ;; STATEMENT PERIOD ' ' P 580295 JUL19-AUG.19,2014 000000483 FIDS1541G70108191408 02 000000 ;;:: BEGINNING BALANCE $10,596.36 �� BARBARA M HOELSCHER : i DEPOSITS&CREDITS 4,148.39 262 CONWAY ST � �- � � s LESS CHECKS�&�DEBITS�� 14,744.82 CARLISLE PA 17013-360y � ° �{�, ' INTEREST,�� 0.07 �ES�S�E 111GECHARGES 0.00 >�ENUING B.I.AN(�E $0.00 � �,,.m INTEREST EARNED FOR STATEMENT PERIOD $0.07 STONEHEDGE INTEREST PAID YEAR TO DATE $0.48 ACCOUNT SUMMARY BEGINNING DEPO.$ITS&OTHER I CHECKS PAID OTHER DEBRS(-) CURRENT ' ENDING - BALANCE GREDITS:+ INTEREST PD BALANCE NO. AMOUNT NO. AMOUNT NO. AMOUNT $10,596.36 2 $4,148.39 3 $203.07 8 $14,541.75 $0.07 $0.00 � ACCOUNT ACTIVITY � DEPOSITS&OTHER ' WITHDRAWALS& DA1LY g POSTING . `TRANSACTION DESCRIPTION" o DATE CREDITS'+ OTHER DEBITS - BACANCE d 07/19/2014 BEGI�Iti!l�..r'-,94L4RCE - _ _ $10,596.36 � 07/21/2014 AT&T SERVICES CHECKPAYMT 000000000006578 $100.00 y 07/21/2014 CAPITAL ONE ARC CHECK PYMT 000000000006581 14.99 LL 07/21/2014 CITICARD PAYMENT CHECK PYMT 000000000006583 616.12 � 07/21/2014 CHECK NUMBER 6584 11.95 9,853.30 q 07/22/2014 COMENITYCARD PAY CHECK PYMT 000000000006580 114.03 9,739.27 W 07/23/2014 SSA TREAS 310 XXSOC SEC $1,208.70 10,947.97 � 07/24/2014 CenturyLink SPEEDPAY __ 38.09 10,909.88 � $ 07/28/2014 CHECK NUMBER 6582 161.12 � 07/28/2014 CHECK NUMBER 6589 30.00 10,718.76 07/29/2014 CAPITAL ONE ARC CHECK PYMT 000000000006587 501.01 07/29/2014 AT&T Consumer CHECKPAYMT 000000000006588 7524 10,142.51 07/31/2014 COMM OF PA ANNUITANT 2,939.69 13,082.20 08/11/2014 INTEREST PAYMENT 0.07 08/11/2014 CLOSEOUT 13,082.27 0.00 ENDING BALANCE 0.00 CHECKS PAID SUMMARY CHECK NO. DATE ''AMOUNT CHECK:NO. DATE !: : AMOUNT CHECK',NO. ;DATE I AMQUNT i 6582 07/28/14 161.12 6584' 07/21/14 11.95 6589' 07/28/14 30.00 ANNUAL PERCENTAGE YIELD EARNED=0.00% PAGE 1 OF 3 LOOBACS(6/12) � � . � . FOR INQUIRIES CALL: (800)724-2440 ACCOUN7'Tl(PE M&T CLASSIC CHECKING WANTEREST ACCOUNT NUMBER ! STATEMENT PERIOD"; ; 580295 JUL.19-AUG.19,2014 �� BARBARA M HOELSCHER YOU CAN PAY WITH YOUR M&T DEBIT CARD AT MORE PLACES THAN YOU MIGHT THINK. SIMPLY ENTER YOUR PIN OR SIGN FOR YOUR PURCHASE.EITHER WAY,YOU WONT PAY AN M&T TRANSACTION FEE FOR PURCHASES IN THE U.S.,EVEN WHEN YOU GET CASH BACK!' 'M&T DOES NOT CHARGE FEES FOR USING YOUR M&T DEBIT CARD FOR PURCHASES IN THE U.S.;HOWEVER,FEES WILL APPLY IF YOD USE YOUR CARD OUTSIDE THE U.S.,INCLUDING ONLINE PURCHASES WITH A MERCHANT LOCATED OUTSIDE OF THE U.S.IN ADDITION,OTHER FEES,INCLUDING INSUFFICIENT FUNDS AND OVERDRAFT FEES MAY APPLY TO YOUR DEPOSIT ACCOUNT ACCORDING TO THE TERMS OF YOUR ACCOUNT.MEMBER FDIC. ^ � S 0 � a � u � a 0 LL M O N m o� W a � N � O C�! m � O PAGE20F3 �ooancs(snz� �'8/28/14� Deposit Inquiry Page 01 of 15 17 :52:31 Barbar-a—M Hoelscher CIF number: H000105 262 Conway St Phone: (H) (717) 243-5856 Birth date: Carlisle PA 17013-3601 (B) (000) 000-0000 10/23/1947 Tax ID number: 184-38-1609 Br#: 006 Account type: Statement Savings Account number: 706002988 Available Balance: 4, 004.54 Date last active: 6/02/14 Collected balance: 4,004.54 Last Dep: 6/02/14 500.00 Current balance: 4,004.54 Date last overdrawn: 0/00/00 Yesterday' s bal: 4, 004.54 Date opened: 4/19/13 Last stmt balance: 4, 004 .54 Date last statement: 6/30/14 Avg collected bal: 4,004.54 Date last contact: 4/19/13 Avg ledger balance: 4,004.54 Closing balance: 4,005.49 Interest rate: .150000o Accrued interest: Stmt/Service chg/Int cycle: 32 Service charge: � Automatic NSF fee: Yes SC Waive expiration: 0/00/00 Statement/passbook code: Statement Service charge code: 81 More. . . F1=Add1 functions F2=Image F3=Exit F4=Sweep Inquiry FS=History F6=Messages F8=Maintenance F24=More Keys Df.��.�3�,�. � �c�-�l�-� ��C� � .M--�-•;..,r^s- - � 'Fg_ " ;;,�r�";i,,,:;'�--..-....�"—?�.'�, -;% � ,,{� y p F p[� r ��^M1-:'•. �, ��:�' '��.�i f �, �.<y:`'.�'`.��"i+"� E tl�� it S_�b � ' .`•'Y s'�� ..,...... � �di CJtry 1 �jlh i n�g��'..3"�.t� ` 1 k ♦t=•i�a:;,'.. C 1 l{�-� ;x. .j � ��:'�.,1= .''a E! �. �� i't,.;;:;'N,�;a�t�1J�j?'�, `C.��1i y ��rimrtr.marm:r.rU-r.r.nc�».�ns.r:.r.crr.i.:m�s�scrcr..�iratrr.znT�:»vr- cc-r::r.r.nrr.,c.c:itF•:..rr.�:t,r.rm:a�sA:.�za.::.`_, {•� .,� � ' 1'• :tvy • . .... ,l/�� ERTEF'tCl�,TE OF TITLE �OIR A �4°Ei-�tCLE -.-��II `� -r . .......... . _. ._ _._._ _ ,r�;: , :;_� ;d !�;. •;, 4 4 5 '•' ="�I ��V� . . .. " . ' �'�.`��F�i� ��11 _ 1 :..,xV�: =��- 112 5 834��174 21-001 � ``� `� ;+,;;,' �'.�'�= .'ii'j3 . 6993416��[J], HO ��`:��'3 f�=�� 2T1BU4EE�BC656328�. . 2011 'f 4Y0TA �.,� � �,Y'�%+�"� VEHICLE IDENTIFICATION NUMBER I YEAR . I � , �1AKE OF VEHICLE I TlTLE NUAIBEH „•�,��.j,] :4L�,`••r'„q• . . . . , � . � ' ,'1�::y � ::�y,� SDN . . I _ 0 I. I I 9l15/11I �OCICI[]5I ❑ � , ;�::��-- - va::- :��.�, i BODY TYPE DUP SEAT CAP PRIOR TITLE STATE ODOM.PROCD.OATE OOOM.MILES ODt�M.SThNS � j�„� � . .- .i � � �>:.iG": .. . . . _ � ��i ��'}� '� 9/15/11 I 9/15l1,1 I�. ::: I • I I ;Y ,;:.;__; �:r,:_: � 1:��. �`'Y`=� �DATE PA TITLED DATE OF ISSUE UNLADEN WEIGHT GVWR GCWR T1TLE BfiAllDS =I�'^ q :Y�'s�M , ` ��;�1h� � OOOIdEiER STATUS ��S t �,�'�:fi� � ' . 0=ACTUAL t:JLEAGE ��:.�Si �� 1��fIL�13E EYCE[OS THE h1ECHNNICaI � .4r`. . . :Y" - . •- LIMRS � � ��; � � 2.NOT THE ACTUnL 61i�[.GE (!{ ;�.'�. � 3=NOT TNE ACNAL MILEAGE-00061E7ER �' U ~ -�ii TMIPERING VERIflED �j s�'�-.. '� �, � - a e E%EMPT FROA1 OOOMEfER DISCLOSURE ��ar�;': h [F��. I+j� �1 �.=LL�. A=ANi1�UEVEHILLE � =' �`� ° REGISTERED OWNER�S) v �' �' �� 7iTLE BRN:OS F[�:�� ,'..,� , ; � �:1''��. C�ClAS51C VEHICLE ��i: �� BARBARA M HOELStHER '' "' ' ` "`� ` ��- o.COLLECTiBLEVENICLE �:.:,,.I ��=,�. F:pUT OF COL'NTR1' q�i:;�,y I 262 �Y�WHY J1 - G.ORIG'tl\LLYIAFG�.FORNON•U.S. ��:�i.y OISTF»3UTION � �} ir�,��• , " H.qGflICULTUML VEHICLE L.F ..�� CARLI�LE PA 17CI13 �'�`�� L =LOGGING VEHICIE �`�� P s ISWASAPOLICE'JEHICLE ��;`^•',•;{� ;}�� ' . : P=PEC0175TRUCTED � �:,',� S.S7REET HOD i:-o� . . � T e RECOYERED THEFf VEHICLE �='��?1 = �� V<VEHICL'c COHL11N5 REISSUFD VIN r t p�a�� . � . - \N=FLOOD l'EHICLE �;��.y `: '� . - . . ' �. X�ISWAS A 7!J(1 �{ t�:� y • FIRST LIEN PAVOR OF: - � SECONO LIEN FAVOR OF: �': .�'�� .3 :� �.;•S`%;� ea. '•��':� >�m��.�• �<i;y%j S' ' �K'�.:.•�A II a second tlenholder Is Iisted upan saliw:�clion ol Ihe ihyt Yun, tha 6rst -�";•:'•' :i��' y� lienholdcr must forvrard Ilils TWe �o the Bureau ol A7olo� Vuhides o�iih L�c �`�'�3 M� � Y��. FIRST LIEN RELEASED apProPriate lorm ond lee. �'.�-�': �--v' � . DATE � • .; �=:�`::. �;m � SECOND LIEN RELEASED F ��.� 8Y 3?: �� AUTHORIZED REPRESENThTIVE DATE ��:�. MAILItJG ADDRESS �•`,��j' �;� >.57'.: y o BY AUTHOFlIZEDREPRESEt:TATNE fj�'=^'�" �.�� i:F;;C+�. �11•.�'i� ��;��. BARBARA M HOELSCHER E.�'� ��`;�� :+ 262 C4NWAY ST � FI��^:�• :yi,L� � `5:�� CARLISLE PA 17�13 ��' �f`�.E��= . ��:_::_ '� �1 IL';j' ��'Y".,:: '"� ��t rttt�'�_. '�� DEPARTMENT OF TRANSPORTATION �{^�,:rj � ��:;. •:) � Ff'�� ,. 4��i �� BARRY J S CHO CH� P• E• ��t�`"� :�a 1 cerlily es ol the date ol issue,lhe ollicial rernrtls ol Ihe Pennsy�vania Deparlmenl �`..,t� •y�„. ol Transpona�ion relleci Ihat Ihe person(s)or eompany named hereln is the lawlul rnvner ``�' ,.....'� ot Ihe saitl vehide ticcnWq uf T�vn.pn�dmu �"�~:�;' �1 a__ - . � _ r.e :r �< 3 `:t"e" � . . r yv-r � "'n -2t-�?{""-C,,� .yYti'� ��' '�y �Z y`t .• ;. -., --._ .',Y,` ��(1�.,yi�`.'�ef+ •._�",.. ti�.�"T y . U[�.�',', ..,�,'�k'` � . :;, 3 "' "� Y'� �t.�. -. ' � t� - ti-�C nN'N . .'.f� ��ac' ( ��.- I £-��' , �- t� ..��-�1�i��-.?,....�_�"f��' �-- � �'� fi ^ �'h1 E� ':�5: �._vi.-...',�> "_�__' '___._....,.._�.�. . �. c t� _ � '7 t��.�' .1..,_,;.� . .;,,._r��__:-..: ... _.:��-'..'.._�._1��:�_. Tx��: ;;,b',ti� • � il a co-purchaser olher than your spouse is lisled and you wanl lhe lille lo fiE SUBSCRIBED AND SWORN � be listed as'Joint Tenants With Ri ht of Survivorshi On death ol one � ' ''" TO BEFORE ME: g p'( �f I��' ��3, �.� onv / YERH ' owner,title goes to surviving owner)CHECK hIERE O.0lhenvise,the UUe �%� :;,, '{ E will be issued as'Tenants in Common'(On death ot one owner,inlerest o� �r"•� 4�C: / ( deceased owner goes to hisJher heirs or estatel. f�t;'f��'•J .ly�;� %�i '�` �� ;��f SIf.NR7"..OF � •' •Hrt+c oarN � IF NO UEN,CHECK i� IS THIS AIJ ELM(IF YES,FIN REOUIRED) YES❑ NO❑ ��:�•'i';;� '��-• SYL i f:� :t�:_ � Cp ON A OF P E��-p �,;:,.. jQ �,:�::: �;;�K�s W N R� -AL � iST LIENHOLDER FINANCI�L INSTIMION IJUAIBER: ri;�;:�'� :i,�j�'� jfA F��... ;��=a � Danie es Morton Jr.,Notary Public . 'O Silver Spring Tw;�.,Cumberland County . } 1ST UENHOLOER NAtdE ��i=:��='' �,r.:r�ses a<<':x,s:: a My Commission Expires March 30�ZO1S � STREEf • ��'''= •s �:�.•��:. �� NEVBER.PEIIBSYLVANIA ASSOC1A710H OF,NOTARIES �,�;;`.;�� atv , � �rnte ziP �..�,;;�: ,� � • ' • - - �"r� ry.� � ' IF NO 2ND LIEN,CHECK .IS TIiIS AN ELT7(IF Y[5,FIN Rc0U1�ED�YE��lOO E��"f�i W ino uMunYJncO nawcy nu�cs a4W+o��cn iv CeN1uW cl rr:a m uw aonl ecanwcd E�•"`•:� � [��:.�.•f' ; �u,„•,w+n�u��wo�+a.w�.�,:.�,�w��•�bw��•�wi mM n��. f 2ND LIENHOIDER FiNANCiAL INSTITUTION NUI.SBER: EiE=�E:�� t ��=�`�I ~ � ' � 2ND IIENHOLDER NAIdE "" r�',±� � ,� p � u-�.:�_., 'V.TUtI ..F MPl1CA IT OR FUTHO EO S�G�7Efl �pt�yi � � 1�.�� `IL%:�.S.1 � STREEf � :.�:; � � � ��..rk:: cirr srnre zir �:;�•��. � ,:..,. 1. SIGtUNPE OF CPMPUCA1RRfflE OF nI1fHOPITcO SIGNEN „� «. ,„�,........^...�.. .......�.........:.... .:.... ....„... �'[��i'� . . .. ... .ilY+`�::'. ". _ -�a .:." .. ,... i� ��' .-sr��r...r:s'"'..c:.....«.. ..�:.�_er�.i:,r,.•• f.:....' . ... « T�'.'.,:r%:+��E �rrr;:�a�r.�-• •� ,,.•�� '.. �.• . . �„'t7J�`��'��'�^�!{,'v��`Yy{_. �� u , ., n ��i� � ly 1 YA �T 11�6��4 v� �1 `��j y', "'j��'C[�,_j�.p G �G LLy• L�T`.•7�';n�M..`J!d�1� j/ .iy� C:..�.i�.Gs��".`.:i,.,�=.��-�a-��.r.�-o-a�w.wm-n.i.+ ��?�x�.:.:Y��"��:�•�...�z ti r..? _�....__. I (TYPE OR PRINT)Certiticate ot Title must be submilted within 20 days,unless the purchaser is a regislered dealer holding lhe vehicle for resale. � WA R N I N G — TO COMPLETE OR PROV D NG A FA SE STATEMENT MAY RE UILT�IN FIN S�OR MPRISONMENT.E TRANSFER OF OWNERSHIP.FA�LURE m AI Hepsle�a0 tloakn mufl Rn�lele lom�t IAV2)A or,MVt]8 LAST FIFiST F.1IDDLE NAME '� .I ASSIGNMENT OF TITLE-••��oaey�...np.-.n.�..�r+or.mo,sm�eea.m��, r o . s.aen D an mo trw a mu lam mr.i eo iee. PURCHASEH OR FULL �p INJe cetlity fo tbe best ol mylou�knowiedpo Ihal lhe odomeler reeding Is - . � BUSINE55 NAME J;na�, \��i/��e r �p , v� (.� Q y o � CPPURCHASER � /1 TEqTHS -.','. i� .�- . ,l'_�- —��L_L�1 X miles and retlects Ihe sttual mileage ol Ihe v¢hlde, ��. unless onc ol Ihe Ioltowing boxes is chocked �-�- � � .�-� � _. DDRESS � \ CIRelleels Ihe-emounl ol rtuleage• �Is NOT the acWal mileaga- �� y 'Inexcessol�ils'mechanipllimi(s „��WARNING:Odometerdiserepanry �� ' � e �NJe lurlher certity Ihal ihe vehkle Is Iree ct any enwmbrance and Ihat 1he ownorship Ls hereby PURCHnSE PR�CE /'� � translerted lo I�e person(s)or the ticeler lisled. STAT� �P OR DIN �l � m SUBSCRIBED AND SWORN f��,� ' � ! ' TO BEFOAE ME: � :rK � Id'�- , ? j � DAY� PURCHASERS 7URE -`�� — � n 1' ' fD j' . . .. ,-�� .;. -..,-..�. � '�..� � , ' IN ..'. % .'."�'•. �'" '�=:.." �;-..•.. •.�.. C0.PURCHASER SIGNATURE -.....' �� .. •' PURCHASER ANOIOR 7 �" CO•PURCHASER MU y ¢ MON EAL OF P SYLVANIA HANUPRINTN MEHE A~IN�D S} �.I� � � '' N ARI EAL . : _ m o Daniel J s�doron Jr.,Notary Public i u NRE O se��EA � a , 8ilver Spring Turp.,�Cumberland County-.- � � �-� fD � " My Commission Expires March 30,2018 ' � n SIGNA7UHE OF fASELLER �� ' � ' � a MEMBER,PEHH6YLYANIA A SOCIATIOH OF NOTARIE8 Co-SELLERMuST � � ' - .. . SELLERAND/0R � ��`� • �A� �dO p� � � HANOPRINT NAME HE F�l B. _ ' • � . '< • � � � IMIe cerGty,to 1�e best ol my/our knawietlge thal lhe odomeler reading is r . •LAST FIRST MIODLE NAN7E � TEtnNS. .,, ;f�...�,'��i, ; .. � . .� � ._ .. ... � . � ___ _��X-mlles and rellecls Ihe aelual mileage ol lhe vAhide,�-., PURCHASER OR FULL � � � � � 1 .- - ' i.:.:' 1..+:.- �+., . - � .BUSINESS NAME . . . . . .....-... N uNau�onaollAetdbwing0oxee�helieeketl � ' . � . ,-�. . .�- ��p.PURCHASER - . .. . . . � d'°-' ❑ Rallecfs Iha amounl ol mleage }� .Is NOT Ihe aclual mileage �� w in excess•ol its meehanipl IimiLs WARNING:Odomeier diserepancy UWe lurther certiy Ihai Ihe vehiUe Is Iree ol any.encumbrance and Ihal Ihe o�mershlp Ia hereby DDRESS �� - p�_i' translerted to Ne person(s)or Ue dealer lislod.-��:. . .. � � ; � . om � SUBSCRIBED AND SWORN � i �' TO BEFORE ME: ' � "' auacHrse vaicE �D . . MO.� � DAY ��YEY�R . .. � STATE�.� LP OR�IN W � � . . - . . . . 1� - . . n SIGNANRE OF PEASON ADMINISTERING OATH-� "r PUPCHnSER SIGNATIIRE � J - �{'': . .. _ < 'Q - . .l y . . '. fD Q 7: N � - CO•PURCHASERSIGNATURE C� � � � - � � PCuO-RPUHCHASER MUBT � . � � � � � � � O . .. . HANOPAIMNAME HER � � � ' �' � - d aG • > � � G . .. 1 .. . _ �, � �:; Q , � a 51GNATIRE OF SEILER "�� " � ' ' n � ' K� - SELLER MUST � � • � c � � � . �- . !'� HANDPRINTNAME HERE � .. ' � � e - e � e _ . . - � IN1e cer4;•,l�Lhe best o!my!our Yr.�.".r'gc Lha:the eCa�rs:sr reatlirg u � I.i�57 FIRST MID�LE NAME N _ � , � . . 'y7ENIN5,� R:..,i l..�s. . __ `X mdes end rellecLa�the edual mileage of Ne vuWdo, PURCHASER OR F'ULL . � - y � � � ��: = � BUSINESS NAM'e ' ' � N unless one af Ihe fopowfnp hoxes Ic checked �� c�"<: - �- � s � pp.pUHCHASEii � � � Q ❑ Rellecls Iho emount al mlleege - �Is NOT the ectual mlleage - � � Inaxcesso6ftsmeehanlcallimiLs '��-�,;WARNWG:Odometerd�screpanry - IIWe luhber ceNfy that the vehkle k Iree of any encumbrance and Ihal lhe ownetship u hereby q nRE�Ss � � � w Iranslerted to Ihe peaon(s)orthe dealer tlsted.�.�- � . v�i cm v SUBSCRIBED AND SWORN " � TO BEFORE ME: . �. ` .y sraTe � ziP PURCHASE PRICE p MO. � DAY '::YEAH � � � ORUIN � � � � , - w `, � . � � � SIGNATURE OF PEHSON ADMINISTEHING OATH '. ' � PURCHASER SIGNATURE C J � ... . . '��'�� . . � W ' . . � _ . .. � N . S � CO•PURCHASEH SIGNATUFlE p� PURGHASEfl AND/OR CL � . � . � :�.o � CO-PURCHASER MUST- .. - , � � . . . . _ .. a . .' NANDPRINTNA E R - - y _ a : � ` N g � , •'•.. . - ,:. ¢ i � �� SIGNATURE OF SELLER y N � . . . . . . �SELLER MUST .�... � . , . . .,_, j � � � � HANOPRINT NAME HERE � p� • � C • � � � IIWe ceNly,lo the best ol my/our knovAedge that Ihe otlometer reading 4s-- - ,t �� - � � LAST FIRST MIDDLE NAME � . . -_ .. ,. ..:TEt7fH5, '.�i� .�.,._ - ' ': : .p ' �._ ._. , � . . . . -. — _ � � '�X mtles and�refleds the edual miteape ol Iha v6hkle, .�� PURCHnSER OH fULL � fD —� —f--. ,.... , . . .. . _ .� • BUSINESSNAAAE � C O uoless one ol Ne lollowinp 6oze5 is checked ` �'- �� '�� < � .pp.pppcHASER �' � ❑ Retlecls IF�e emoant otmi7eage .Is NOT tbe ectual mlleeqe �� p .In excess�ol ils mechaniwi limils �°�'❑`�•;WARN�NG:Odomeler ducre n . � IANe lunher cenity Ihal the vehlGe Is Iree ol arry encumbrance and Ihal Ihe ownarsMp Is hereby A�DORESS. � - - � - w Iranslerred lo Ihe person(s)or.lhe dealer Ifsled . .� � . N . CITY � . � � � � N SUBSCRIBED AND SWORN i o TO BEFORE ME: '� . -� � � - � ',STph I Z�p - . PUHCHASE PRICE 7 ' MO - OAV :: V AR ��' OR DiN . � . - . � �: � . , � � p, � x . '�...± .. . ,. -: . `- r . a SIGNATURE OF PERSON AOAIINISTERING OATH � �� PURCHASER SIGNATURE J - -� . ... � ��ib � � . Q W - CO-PURCHASER S�GNATUFE m � � � PURCHASER ANDlOR � � � � � � �. CO-PURCHASER MUST � � � � N O � � - HANDPRINT NAME HERE o a ; . 7 � . � . •: . , Q . SIGNATURE OF SEILEF L I— � SELLER MUS7 � � � - � � , (A � - HANOPRINT NAME HERE - � � � � C. �CHECK HERE.,IF,APPLICATION_FOR,.DEALER TITLE AND COMPLETE SECTlO[�D.TITLING FEES$ , DECEASED: BARBARA M HOELSCHER 7/27/14 Department of the Treasury—Internal Revenue Service �99� I 2014 I Form 1 �40 U.S. Individual Income Tax Return OMB No.1545•0074 IRS Use Only—Do notwriie or staple in this space. For the year Jan i -Dec 31,2014,or other tax year beginning ,2014,ending ,20 See separate instructions. Your first name and initial Last name Your social security number BARBARA M HOELSCHER 184-38-1609 If a joint return,spouse's first name and initial Last name Spouse's social security number Home address(number and street).If you have a P.O.box,see instructions. Apartment no. . Make sure the SSN(s) above CHRISTIAN MCAD00 1 CROSSGATE COURT and on line 6c are correct. City,town or post oHice,state,and ZIP code.if you have a foreign address,also complete spaces below(see instruciions). PI'e51del1l'lal EleCtiOn Compalgn LEMOYNE, PA 17 0 4 3 Check here if you,or your spouse if filing jointly,want$3 to go to this fund.Checking Foreign country name Foreign province/statelcounty Foreign postal code a box below will not change your tax or refund. YOU SpOuse 1 X❑Single q � Head of household (with qualifying person). (See Filing Status instructions.) If the qualifying person is a child 2 �Married filing jointly(even if only one had income) but not your dependent, enter this child's 3 �Married filing separately.Enter spouse's SSN above&full name here.. ► Check only � 5 � Qualifying widow(er)with dependent child one box. name here.. Exemptions 6a �Yourself. If someone can claim ou as a dependent, do not check box 6a............ Boxes checked 1 Y on 6a and 66.. b Sp0u5e.................................................................. on�6cfwhodren ........ 2 Dependent's (3)Dependent's 4 �f c Dependents: social securit relationshi �hild un�e� •rvea Y P a e 1 with you..... number t0 y0U quali ing for � did not chil tax cr (1)First name Last name (see instrs) livewithyou due to divorce or separation (see instrs).. If more than four Dependents dependents, see on 6c not instructions and � entered above. check here... ' Add numbers on lines 1 d Total number of exemptions claimed....................................................... abo�e..... ' 7 Wages, salaries, tips, etc. Attach Form(s)W-2......................................... 7 Income ga Taxable interest. Attach Schedule B if required......................................... 8a 79. b Tax-exempt interest.Do not include on line 8a............. 8 b Attach Form(s) 9a Ordinary dividends. Attach Schedule B if required...................................... 9a 1,554. W-2 here.Also b Qualified dividends....................................... 9 b 1,523. attach Forms 10 Taxable refunds, credits, or offsets of state and local income taxes...................... 10 W-2G and1099-R 11 Alimony received................ ......................................... 11 if tax was withheld. '''''''''''' 12 Business income or(loss).Attach Schedule C or C-EZ.................................. 12 If you did not 13 Capital gain or(loss).Att Sch D if reqd.If not reqd,ck here........................ ► ❑ 13 12. get a W-2, �4 Other ains or losses .Attach Form 4797... 14 see instructions. 9 ( ) ........................................... 15a IRA distributions........... 15a bTaxable amount............. 15b 16a Pensions and annuities..... 16a b Taxable amount............. 16b 24 024. 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E. 17 18 Farm income or (loss). Attach Schedule F.............................................. 18 19 Unemployment compensation......................................................... 19 20a Social securitybenefits.......... � 20a� 10, 688.�bTaxable amount............. 20b 3,007. 21 Otherincome ------------------------------------- 21 22 Combine the amounts in the far right column for lines 7 through 21.This is your total income............ � 22 28, 676. 23 Educator expenses....................................... 23 Adjusted 24 Certain business expenses of reservists,performing artists,and fee-basis 24 GPOSS government officials.Attach Form 2106 or 2106-EZ.................... 111COme 25 Health savings account deduction.Attach Form 8889....... 25 26 Moving expenses. Attach Form 3903....................... 26 27 Deductible part of self-empioyment tax.Attach Schedule SE............. 27 28 Self-employed SEP, SIMPLE, and qualified plans.......... 28 29 Self-employed health insurance deduction................. 29 ; 30 Penalty on early withdrawal of savings..................... 30 31 a Alimony paid b Recipient's SSN.... ' 31 a 32 IRA deduction............................................ 32 33 Studentloan interest deduction........................... 33 34 Tuition and fees. Attach Form 8917........................ � 35 Domestic production activities deduction.Attach Form 8903............. 35 36 Addlines23through 35................. ................................. 36 0. ................. 37 Subtract line 36 from line 22.This is your adjusted gross income............ ...... � 37 28, 676. BAA For Disclosure,Privacy Act,and Paperwork Reduction Act Notice,see separate instructions. FDIA0112L 12129114 Form 1040(2014) Form 1040 (2014) BARBARA M HOELSCHER 184-38-1609 Page 2 38 Amount from line 37 (adjusted gross income).......................................... 38 2 8, 67 6. Tax and 39a Check rBYou were born before January 2, 1950, BBlind.�Total boxes Credits ;t: � Spouse was born before January 2, 1950, Blind. checked ' 39a 1 Standard b If your spouse itemizes on a separate return or you were a dual-status alien,check here......... ► 39 b Deduction 40 Itemized deductions(from Schedule A)or your standard deduction(see left margin)..................... 40 7 750. for— 41 Subtract line 40 from line 38.......................................................... 41 20 926. � People who 42 Exemptions.If line 38 is$152,525 or less,multiply$3,950 by the number on line 6d.Otherwise,see instrs...... 42 3 950. check any box 43 Taxable income.Subtract line 42 from line 41. on line 39a or If line 42 is more than line 41,enter-0•........................................................ 43 16 97 6. 39b or who can qq Tax(see instrs). Check if any from: a 8 Form(s) 8814 c ❑ be claimed as a b Form 4972.......... ..... 44 1 860. dependent, see """"""' instructions. 45 Alternative minimum tax(see instructions). Attach Form 6251........................... 45 0. � All others: 46 Excess advance premium tax credit repayment. Attach Form 8962...................... 46 Single or 47 Add lines 44,45 and 46............................................................. � 47 1 860. Married filing 48 Foreign tax credit.Attach Form 1116 if required............ 48 separately, $6,200 49 Credit for child and dependent care expenses.Attach Form 2441.......... 49 Married filing 50 Education credits from Form 8863, line 19................. 50 jointly or 51 Retirement savings contributions credit. Attach Form 8880.. 51 Qualifying widow(er), 52 Child tax credit.Attach Schedule 8812, if required.......... 52 $12,400 53 Residential energy credits. Attach Form 5695.............. 53 Head of 54 Other crs from Form: a � 3800 b � 8801 c � 54 household, $9,100 55 Add lines 48 through 54.These are your total credits................................... 55 56 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0-.................. � 56 1,860. Other 57 Self-employment tax.Attach Schedule SE...................................................... 57 TBXes 5$ Unreported social security and Medicare tax from Form: e �4137 b �8919....................... 58 59 Additionai tax on IRAs,other qualified retirement plans,etc.Attach Form 5329 if required................... 59 60a Household employment taxes from Schedule H......................................... 60a b First-time homebuyer credit repayment. Attach Form 5405 if required.................... 60b 61 Health care: individual responsibility(see instructions) Full•year coverage ❑X............ 61 62 Taxes from: a � Form 8959 b � Form 8960 � � Instrs;enter code(s) 62 63 Add lines 56•62.This is your total tax...................................................... � 63 1,860. Pa ments � Federal income tax withheld from Forms W-2 and 1099..... 64 3 977. If you have a 65 2014 estimated tax payments and amount applied from 2013 return........ 65 qualifying 66a Earned income credit(EIC)............................... 66a child, attach — b Nontaxable combat pay election..... ' 66 b Schedule EIC. 67 Additional child tax credit. Attach Schedule 8812........... 67 68 American opportunity credit from Form 8863, line 8......... 68 69 Net premium tax credit. Attach Form 8962................. 69 70 Amount paid with request for extension to file.............. 70 71 Excess social security and tier 1 RRTA tax withheld........ 71 72 Credit for federal tax on fuels.Attach Form 4136........... 72 73 Credits from Form:a�2439 b❑Reserved c❑Reserved d � 73 74 Add Ins 64,65,66a,&67-73.These are your total pmts......................................... � 74 3, 9��• Refund 75 If line 74 is more than line 63,subtract line 63 from line 74.This is the amount you overpaid................ 75 2 117. 76a Amount of line 75 you want refunded to you. If Form 8888 is attached, check here. ' � 76a 2 117 . ► b Routing number........ 043318092 � � Type: X Checking � Savings Direct deposit? ► d Account number........ 95069042 See instructions. �� Amount of line 75 ou want a lied to our 2015 estimated tax........ ' 77 Amount 78 Amount you owe.Subtract line 74 from line 63.For details on how to pay,see instructions............... � 78 You OWe 79 Estimated.tax enalt see instructions ................... 79 Third Party Do you want to allow another person to discuss this return with the IRS(see instructions)2.......... ❑X Yes.Complete below. �No Designee Designee's � Phone � Personal identification � �ame JOHN R. STEFFEE� CPA �o. 717-975-8500 number(PIN) 14473 Sign Under penalties of perjury,I declare that I have examined this return and accompanying schedules and statements,and to the best of my knowledge and Here belief,they are irue,correct,and complele.Declaraiion of preparer(other ihan taxpayer)is based on all information of which preparer has any knowledge. Your signature Date Your occupation Daytime phone number Joint return? RETIRED (717) 418-7864 See instructions. Keep a copy ,Spouse's signature.If a joint return,both must sign. Date Spouse's occupation If the IRS sent you an Identity Pro- teciion PIN,enler fOf yOUf f2COfdS. it here(see instrs) PrinUType preparer's name Preparer's signature Date Check ❑ if PTIN Paid JOHN R. STEFFEE� CPA JOHN R. STEFFEE� CP 4/23/15 self•employed P00526748 Preparer Firm's name � PFISTER & ROMPALO� P.C. USe0111y Firm'saddress► 342 NORTH FRONT STREET Firm'sEIN► 23-2492478 FDIA0112L 12/29f14 WORMLEYSBURG, PA 17043 Pno�eno. (717) 975-8500 Form 1040 (2014) � 1400115240 � PA-40 — 2014 Pennsylvania lncome Tax Return ENTER ONE LETTER OR NUMBER IN EACH BOX(06-14) N Extension. N Amended Return. 1,84381609 R Residency Status. H 0 E L S C H E R PA Resident/Nonresident/Part-Year Resident from to B A R B A R A M Occupation R E T I R E D S Single, Married/Filing Jointly, Married/Filing Separately, Final Return Occupation D Deceased Y Taxpayer Date of Death 0 7 2 7],4 N Spouse Date of Death 1 CROSSGATE CIRCLE N Farmers. LEMOYNE PA ],7043 school�istrictName CARLISLE 7],7-418-7864 21110 1a Gross Compensation. Do not include exempt income, such as combat La � zone pay and qualifying retirement benefits. See the instructions. 1b Unreimbursed Employee Business Expenses. �'b � lc Net Compensation. Subtract Line lb from Line la. LC 0 2 Interest Income. Complete PA Schedule A if required. 2 79 3 Dividend and Capital Gains Distributions Income.Complete PA Schedule B if required. 3 1,5 5 4 4 Net Income or Loss from the Operation of a Business, Profession or Farm. 4 0 5 Net Gain or Loss from the Sale, Exchange or Disposition of Property. 6 �'O 6 Net Income or Loss from Rents, Royalties, Patents or Copyrights. 7 0 7 Estate or Trust Income. Complete and submit PA Schedule J. 8 o 8 Gambling and Lottery Winnings. Complete and submit PA Schedule T. 1,6 4 5 9 Total PA Taxable Income.Add only the positive income amounts from Lines 1 c, 9 2, 3,4, 5, 6, 7 and 8. DO NOT ADD any losses reported on Lines 4, 5 or 6. 10 Other Deductions.Enter the appropriate code for the type of deduction. N 1� � See the instructions for additional information. y 1 1,6 4 5 11 Adjusted PA Taxable Income.Subtract Line 10 from Line 9. PAIA0412L 03/13/15 Page 1 of 2 EC OFFICIAL USE ONLY FC i inui iuii iiiii niii niii iini iuii iiiii iuii iiiii nii uii [[] . m J L ],400],15240 1400215255 � � PA-40 —2014 Social Security Number 184381609 Name(s) HOELSCHER BARBARA M 12 PA Tax Liability.Multiply Line 11 by 3.07 percent(0.030�. 1,2 51 13 Total PA Tax Withheld. See the instructions. 1,3 0 14 Credit from your 2013 PA Income Tax return. 1 4 0 15 2014 Estimated Installment Payments. REV-459B included. N 15 � 16 2014 Extension Payment. ],6 0 17 Nonresident Tax Withheld from your PA Schedule(s)NRK-1.(Nonresidents only) 17 � 18 Total Estimated Payments and Credits.Add Lines 14, 15, 16 and 17. 1 8 0 Tax Forgiveness Credit.Submit PA Schedule SP. 19 a Filing Status: 01 Unmarried or Separated 02 Married 03 Deceased 19 a �3 19 b Dependents, Part B, Line 2, PA Schedule SP 19 b 0 0 20 Total Eligibility Income from Part C, Line 11, PA Schedule SP. 2� 2 8 8 7 21 Tax Forgiveness Credit from Part D, Line 16, PA Schedule SP. 21 S 7, 22 Resident Credit.Submit your PA Schedule(s)G-L and/or RK-1. 2 2 � 23 Total Other Credits. Submit your PA Schedule OC. 2 3 � 24 TOTAL PAYMENTS and CREDITS.Add Lines 13, 18, 21, 22 and 23. 2 4 51 25 USE TAX.Due on internet,mail order,or out-of-town purchases.See instructions. 2 5 0 26 TAX DUE.If the total of Line 12 and Line 25 is more than Line 24, enter the difference here. 26 � 27 Penalties and Interest. See the instructions. Enter code: 2� 0 If including form REV-1630/REV-1630A, mark the box. N 28 TOTAL PAYMENT DUE.See the instructions. 2 8 � 29 OVERPAYMENT.If Line 24 is more than the total of Line 12, Line 25 and Line 27, enter 29 � the difference here. The total of Lines 30 through 36 must equal Line 29. O 30 Refund—Amount of Line 29 you want as a check mailed to you. REFUND 3� 0 31 Credit—Amount of Line 29 you want as a credit to your 2015 estimated account. 31 32 Refund donation line.Enter the organization code and donation amount.See instructions. 32 � 33 Refund donation line. Enter the organization code and donation amount.See instructions. 33 � 34 Refund donation line. Enter the organization code and donation amount.See instructions. 3 4 O 35 Refund donation line.Enter the organization code and donation amount.See instructions. 3 5 36 Refund donation line.Enter the organization code and donation amount. See instructions. 3 6 0 Signature(s).Under penalties of perjury,I(we)declare that I(we)have examined this return,including all accompanying schedules and statements,and to the best of my(our)belief,they are true,correct,and complete. Your Signaiure Spouse's Signature,if filing jointly Preparer'sNameandTelephoneNumber ��17� 975-8500 Date F_-FileOptOut JOHN R. STEFFEE, CPA 4/23/15 PFISTER & ROMPALO� P.C. FIRMFEIN 232492478 3 4 2 NORTH FRONT STREET WORMLEYSBURG� PA 17 O 4 3 Preparer's PTIN P 0 0 5 2 6 7 4 8 PAIA04121 03/13/15 Page 2 of 2 �� 14 0 0 215 2 2 5 J � 1,400215255 � �, PERSONAL PROPERTY LISTING _ Pe�sonal P�ope�ty of Barbara Hoelscher 262 Conway St. Carlisle, PA 17013 Client: Barbara Hoelscher 262 Conway St� Carlisle, PA 17013 Intended Uses: Barbara Hoelscher & . Family Effective Date: June 1l, 2012 By: I�is A raisa� �� . Serv��ces z4SN.Hq�raver St. P.O.Box 2¢ C�rls�e�PA rJoz3 (717)243-3474 rnfo@rbisappraisals.conz www.ibisappraisals.com �bis APPraisa� `jervices Page 1 of 4 PERSONAL PROPERTY LISTING 1 R,��.y��,�°'``' �'��`�� ,� Rin�. Opal and diamond ring. One central opal with �� '; fourteen(14) diamonds. Diamonds are in a prong-bezel setting. Corresponding Digital Photograph File: img 0478 jpg "..5i 6; b`�'�Sf '.,.. ` J7 �,tlfS"��z''4.:� .� +... — ��' `� `!!` f ei� f�, � �� '� �' a , �J�D �} i��. 2 Ring. Opal and diamond ring. One central opal with twenty t`.�.,�,. 4 _ � (20) diamonds. Diamonds are in a shared prong setting. Corresponding Digital Photograph File: img_0481 jpg �t. � ., - ;,_,,;� ; .. :, , f �, - ,_ � � ;�. _ � �� ' �: � , , �; �.r ;� . :�� 3 Ring. Diamond ring. Three diamonds. Diamonds are in a bezel setting. ,- ��' Corresponding Digital Photograph File: img 0484 & = img_0487jpg k I �i U� �� '',,�,�� , � - -� o � , �' + �� ;�� t _s:. � ,I, ��, �6is APPraisa� �jervices Page 2 0�4 4 Rin�. Diamond ring. Three diamonds. Diamonds are in a V- � ' ' prong setting. fi y' ; ` `� �� Corresponding Digital Photograph File: img 0490 & ,,;:: �� ,. :�' �:� `�'� im 0491.' , �.:._ � 4� g_ JPg ��;��r r�a �wll � % _ �� / x�� , � �{ � _y 1. � L ' �� I III 5 China Service. Full china service of plates, bowls and serving pieces. Maker: Copeland Spode. Pattern: Wicker �� Dale. Country: England. Pattern#: 2/4088. Pattern 4— 1 75. Descri tion: Chelsea Wicker • 1 5 9 Manufaciured. 9 P Sha e Floral Rim Onl . p � Y Corresponding Digital Photograph File: img_0494 & img_0500 jpg � �' J ,{ . - ,� �+ :� I _�' � C :-� � l� �6is APPraisa� �jervices Pa�e 3 0�4 ( Flatware Service. Sterling silver flatware service. Maker: 'I !;�� Alvin Silver. Pattern: Chateau Rose. Country: USA.Pattern Number: #1940. Pattern Manufactured: 1940-1991. Corresponding Digital Photograph File: img 0495, � �a � i `��, img 0497-img_0499 jpg �� ,,��,�� i�� s� ,�° � � � � � � � � �� . �, _-�- " NI � . - .. � �"'�, , ��;��:. t ��'(�'� �i i ��„„r..��n �i i ■ � � � �-�a0 ,. . � � ; ,, %' , � _ , , , � ; , , � � � � � , , � � � � � � , / , , � � � , � ` , ; � � ; , , � , , ; : , , I � ; � ; �. . ; � , ; ; ; ; ,. � , , ; � � , , . , ; ;, , , � , � , , i � � � , � � , , . , , , , �; , ; ; ��, � � � , , � ,, � , . � , � � �, � ,� �� 6is APPraisa� �jervices . Page 4 0�4 .. .. te� .aa-,n9� � • ��'9( sa Hollinger Funeral Home & Crematory, Inc. Eric L.Hollinger.Supervisar August 26,2014 Christian McAdoo `d ' � � "�,L�%—L r ` � � � 1 Grossgate Circle Lemoyne,PA 17043 The Funeral Service for Barbara McAdoo Hoelscher: We sincerely appreciate the confidence you have placed in �as and vu�l!��ntin�!e to ass�s*_�� ^��^� ,.._ . ._...., way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES,AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. Professional Service Traditional Package-Discounted$2000.00 $3150.00 Merchandise Casket—Veneer Poplar 2095.00 Vault—Guardian-Copper 1250.00 Memorial Package—Dove Register Book, Memorial Folders, Acknowledgement Cards, Bookmarks N/C ATTHE TIME FUNERAL ARRANGEMENTS WERE MADE,WE ADVANCED CERTAIN PAYMENTS TO OTHERS AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES. Cash Advances Grave Opening 900.00 - � Cc�iieiz�y cquiprneni 375.U0 Certified Copies of Death Certificate (18@$6) 108.00 Clergy (2@$200.00) 400.00 ' Flowers-Family spray,2 matching machetes 345.00 Newspaper Notices—Sentinel 357.65 Patriot � 382.60 Marker-Discount Special 695.00 Total Charges $10058.25 Less—received from Christian McAdoo 2"r2��\ Current Balance: 7330.25 � 501 NORTH BALTIMORE A\7ENllE • M011NT HOLLY SPRINGS.PENNSYLVANIA 17065 • (717)486-3433 • FAX(717) 486-3215 www.hollingerfu neralhome.co m � � � � � � ` � � 3 `r � � � � ,� �; U� cb � � Q � 4 � `� z w j r� $ y � � . d- � � �`' � 4 � � � rn � N � d < L� � �. o � 000cvo N _ � ocflornoocn 00 � � �D c�l ai \V� _ � N � � � � � � � N O w ° � � � � �. '� � � J Z "�' 0 � zz F S� � � Q ��i.. � 4 � � m � � a W � � L Z U S � � W � m O N � � Q o W O _ � `�° O 5 �' > N Q � � C m a � .a ¢ Q. ° � z X a� o 0 W � � L C W * F � � c�-, O c � o � � � C y i� 0 � � � W � "� F" � G O � � a . � � O O O O O O O O O O O O O O O O O O O O O O O � � w � � ,J F O O O O O O O O O O O O O O O O O O O O O O O � U y U L � w � O O O O O O O O O O O O O O O O O O O O O O O � ` .n (� o H3c�} � � � E9b9 �3 �36469 � � � �} � E9E9 �A � 64 � � O� � � m � � Q � �n w Z � �-- J � � � � o000000000000000000000o w � � F cfl cfl co co co co co cfl cfl co co co co cfl cfl cfl cfl co ca co co co co �, � O a d- <r d- �r rr <r <r �r <r �r <r �r rr d- <r �r �r �r <r d- rr �r <r a � Q o 0 0 o d o d o 0 o d o 0 0 0 0 0 0 o d o o d * � C� u a � � �. � o N N a� � o a � a oOOo oOOo W a a� o � � � o ' � o � �� M M a � Zm _ � Q � � V Q � � � � � � J � � � O o � � � �n O Z h �L m ,4? � m N � f- w w . � N Z � � �� U � m z � ° c~n .�� ' � � o 0 •� °- w � � i � v � W ¢ ¢ � U a � = � U � � � Z �, m w F o� o'� � CO 1� DO � w � O A NO �- e- ti � N � o � z W H � � � o�o o�o o�o �N � � Q O O O O O O O ¢ O O Q Q � Z � � a ¢ ¢ Page 1 of 1 - T��LY�"+_•?Ti�-. ..y — _ ____�-... u..y_ZZS"`��'�..n.�•`, � ESTATE OP BARBARA M F10ELSCHER ��ejy�g��iAuount �� CHRiSi'!AN N McAD00,EXECU7QR 1 CROSBGAIECIRCL.E soaeo�r�33 lEMOYNE,PA t7043 �� DATE z�z�r��s�,� ! PAY TO THE I �-�'�� .....f�f C •�(�,,,� J $ 2 5 �$. L� ORDEROF � bL�^�.'v`�" Jv'. .. .�,.��.�� y0�0 ` "l +� � �� ' � Z� ` ¢:; � �� ' l°d DOLLARS � ;;,; / �''�F �� . ,.�• � F�st Nacional Bank Ft?R /t��- � ' �5.:-..,�* u'000 L L Lu' �:0433 i�8042�: 95069042��' �---�-�� - � Y��-�-��a.�^ �._ L U�,• . . ' . - . t ' • �: .. • •" . � , . . ' • . • , • I . • - • . ; :, ; �L-.n. -:� �� ,�. 1 I`f' �' �:'^?....��:.�i1�C '•'^' :r' �,�•'i: • I . ....:;:�L�.' . .:;,.�r'.:;: -- • �� ' _ . . � . . - ,. ,� , • i . _. � . . : ' i ; '• . � ' � • . i i ' .:' ' • i . . f , https://fnb-onlinebankingcenter.com/FNBPA/Accounts/PMMActivitv.asnx?index=-21474... 4/24/2015 RECEIPT FOR PAYMENT LISA M. GRAYSON, ESQ. Receipt Date : 8/11/2014 Cumberland County - Register Of Wills Receipt Time : 10 :36 :44 One Courthouse S uare Receipt No. : 1078851 Carlisle, PA 17�13 HOELSCHER BARBARA M Estate File No. : 2014-00747 Paid By Remarks : CHRISTIAN MCADOO DB1 ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 560 . 00 CUMBERLAND COUNTY GENERAL FUN WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 35 .50 BUREAU OF RECEIPTS & CNTR M.D SHORT CERTIFICATE 30 . 00 CUMBERLAND COUNTY GENERAL FUN AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENER.AL FUN INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 229 $675 . 50 Total Received. . . . . . . . . $675 . 50 P�ste� and Rompalo, P.C Certified Public Accountants Richard F. Rompalo,C.P.A. 342 North Front Street John R.Steffee.C.P.A..C.S.E.P. Wormleysburg,PA 17043 Frederick W.Pfister,C.P.A. (717)975-8500 FAX: (717)975-9952 www.pfisterandrompalo.com Estate of Barbara M Hoelscher March 4,2015 c/o Christian McAdoo, Executor We will prepare the following tax reports for the Estate of Barbara M Hoelscher REV-1500 PA Inheritance Tax Return $1,250.00 2014 Federal and State Income Tax Returns $ 225.00 Form 1041 425.00 TOTAL 1 900.00 Sincerely, .,1� ; ��.� . � � oh R.Stef�ee,CPA CSEP A Touch of Green �f1 VO 1 C@ 3 Browning Lane Date Invoice# Carlisle, PA 17015 1/11/2015 3417 Phone # 717-241-0096 Fax # 717-241-0094 � �`�z� � S� Biil To � Barbara Hoelscher 262 Conway Street ,�j -7 I� f � ^ /„� i Carlisle,PA 17013 V 1, G�- V' � V �/ I � P.O. No. Terms Project Net 15 Quantity Description Rate Amount 2 11/20 - Clean up of leaves in the yard,flowerbeds, and 45.00 90.00 off the sidewalk 1 11/26 - Snow Removal 45.00 45.00 6% sales tax 6.00% 0.00 GV... Y�f�.cu`C 4-.�} �2.P� ��' / Total $135.00 1.5%monthly or 18%annually will be added to all overdue invoices 5880 Statement '<::`;;:::PpYi1(1E111�.;;:::;:::::.; USAA C '�� 9800 Fredericksburg Road <€;:;:<pil�;;�iAT�::::::;�:;::::: NunnBeR � 1� San Antonio, Texas 78288 . .09-29�-14 00480 49 41 5 U5�° Visit us at usaa.com 00783 . 1J8DM. JSS915368601 . O1 . O1 . 10476 TO UPDATE POLICIES GO TO USAA.COM OR CALL 1-800-531-8722 FOR BILLING AND PAYMENT INQUIRIES GO TO USAA.COM OR CALL EST OF BARBARA M HOELSCHER 1-800-531-8722 C/0 CHRISTIAN MCAD00 TO REPORT A CLAIM, CALL 262 CONWAY ST 1-800-531-8722 CARLISLE PA 17013-6010 COMPANY CODES AND IMPORTANT INFORMATION ON REVERSE MONTHLY ACTIVITY BALANCE ON LAST STATEMENT $ .00 CIC AUTO POLICY 7101 5 11 TOYOTA SIX MONTH POLICY RENEWAL PREM 09-25-14 523.68 ACCOUNT BALANCE AS OF 09-05-14 $ 523.68 ......................::::::.:::::::::::::::::.�:::::::.;�.;:;.:>;;;;;:,:::;:;;;;;;;;;;;::;;:::;:�,•';:;:::::r:::�::`;::::;;;::;>;:::::»r:::;::;::::;::;:i::::::::;:::i<:::;::i;;:R:;::`;;;:;:::::;::;::;::;:::::;;:::ii:;:s':::::::::;:::;;::;;:;..:,-::.:...r�:»:::":-$;_.;:::'~;.::....,..,.::...:.�.:.�.:::.Si::r:::;:::::[::�?::t:;;i[;;::c`::::::::::::i: ..................... .......................... ......................... . ...................................:...::::::::::::::::::.�::::::.�:::.;:.;:;.::.;:.;;:;.>;>:.;>:�:.:;.:.: :: ..t�P:..`�.1�?l� :... ......................::::::.:..........................::::::::::........,..........................�.::..............................:.::::.:.... ..................:.:::::......................:...�A�Y#V1EI�T.��l;Al�..:.......................:.:::.�::::::::.�:.�:::::.:.�.: .::...:..:...G��i11:�`:::::::::;?<::::::::::>::>::::>`:`::::;:;:::;::::::;:::::::;;:;.;::;,".:::''::,:,.:::;.::::,:...':.::.;:,:.::..,.:::..,.,,..>•:.:::::::.:.::::::>::;>;;;;::::;>;>:.:>::�;:.::.::;;;;;:::::.;;::::::::.;;;;::.;;>;;;;::.;:.;:.;:;:::::.:::::..,,.:,,.:;.;;�.,:,.:._,,...:�.::>,.:,,.,.:.:.,:,,:.:::...... ............... . .T.. <:::: <:::>:;::=>:;:>:;:::::;:»::»::»»»:;:::>:<:>:>::;:::::::::. .::.... ::EEFE...........................::::::::;::.:::::::........ ...................:.,.::....,.;....;.;: .....:. . ... :;:BI�.I.E�.:::::::::::::::::;:;:;;;;:.;:.::;:.::.::;..::::::::<..,.. ;.._ . ....... ,.: . ::. . . ...,......:........::::::.:::::::::.�:..:::::::::,::::::::::::::::::Ot��.GIES>;>gETNC......................................:............................ :. . .. ;;;:::>::»:::::>:��•.:: : ;; • :;> .:: . :�;> : .:; . t�•:.�P.LAN::. ::::::.. .. ..:.:::::.:::::::::.:.................:::::::::P:..:......................_::::::::::::::::.....................::::::::::::.::.....................:::::::::. .:::::::::.:, AR.:.#?1.A1�T....�?�TEISTD�..::.............,. ......... .... :.:...... ..................:.�::::::.............................:..::::.:...............................::::::::...........,..................:�::.�.......... LA]�iGE.............F.tEG[3L.:........................:::.�::.::........---.................. ....:::.. .. ......................::::::.............................:.::::::::.:...:.....................:::::.:::.......................,.:::::::::::...................BA...:._.._..............,......:::::::.......................::::::.......................:..::.�::._:::. ::::.... T�.:.::::::.::::.::::::..................::::::::::..::::::..................:.::::,::::::::::::,:................:.::::::::.�:::::.....................::::::::::.::......_........::.:::.:::::.::::::..............:.�::::::::::::.:..............:::::::::::::::.:............:. ..:...�Dl�,..:....:....... ....,....::::.::::::::::::::.................:.:::::::::::::::::.:.................::.::::::::::::::................:::.:::::::::::::::::...........::.:::.:.::::.::.:........... ..:..::::::.:::::::............................... �:::>:.;:;.;:;.;::.;:.;:.>::<:>::>::»::«<::;::::::;::.:;:.>:.;;:.:;:;:-:.;:;:.;:.::.;:.;:.;::.::.:;:;.:::::::::::.::.:::::.::::::::::::... . . .............................. 09-25-14 CIC AUTO POLICY 7101 5 11 TOYOTA $ 523.68 $ 130.92 $ $'1•2$ TOTALS $ 523.68 $ 130.92 $ $7•2$ TO FURTHER OUR MISSION OF BEING THE PROVIDER OF CHOICE FOR THE MILITARY COMMUNITY WE HAVE OPENED NOWBBESABLETTOAENJOYLTHERBENEFITSEOFAMEMBERSHIP?0 TELL THEMRABOUTSUSAORTSHARE USAAUATNUSAA COM/JOIN.MAY ................................................................................................................................................................................................................................................................................................................... Detach Here PLEASE . DETACH AND RETURN WITH YOUR REMITTANCE Deiach Here o47s7-0800 . INDICATE CHANGE OF ADDRESS ON REVERSE SIDE 3O9 0 EST OF BARBARA M HOELSCHER • WRITE ANY QUESTIONS OR COMMENTS ON A SEPARATE ENCLOSURE 004804941 PAYMENT IS DUE IN OUR OFFICE BY 09-29-14. CE-1 �. �:2:1::': :<:�<:;::::>`::!:::::;::><:s<_>;;:�s:<`:<:: >::;::>;::>::::>::::»::>;:>;>:`>.:::<;::::.':':<:::•':�:::::#i�:::::�H��%:::AN1,0:::1�`.I..`.�::::.:::::::::.:............. ��Y QN.:.::........................ ;:.;;;:.:;.;;:;.:;.;::;<.;:::.::::.::::..,..�..:.: ;:::«::::>:::��::..:..;;•.:.......;::.;;:.:;;:::;;...:.:....:�;;:.:�.::;;::�:.;�.:>:;:�;�::>::»::::::::.::::::.:::::;:::::,;>:,<,.>::; 2 014 3 0 9 0 `:::<::<::s>::;�AL:At�C�::::<::::::::`::::::::;:;REGLfLA12:.;:::�L�it�t:::::::::::�XT��IT�EI)s:>::P:LAN:::: U S A A S 523,68 S 130.92 S 87•28 9800 FREDERICKSBURG ROAD AMoutvT ENC�osE� s � NTONIO TX 78288 S A N A ::::;;�:;a>:::::::::::::;�;:::>::::>:�<:::>::>.::::::>:><><:>:::>::::>� :<`:��"YaeL�»�r'��`�::::::<'�s�.............:.:.�::::::.:..........:.::.:::: >:<:;::;:;;;:<.;;:;::.:.::;::<,;.:. ::::.IVI.i�K�>:<�N�:CK:;;�A:.:.;;;:;:,;;:.:;:.::;�4>:::.:.:.:::.:::::.�.�.�:.�:....................... ��i��n�n��u�u��n��u��nn�� D000480494],501020143090000000007,3�92000872800523689 � BO�'y Bobby Rahal Honda 6696 Carlisle Pike � Mechanicsburg, Pa. 17050 �onm�ae Group Phone (717) 766-4300 ��vww.bobbyrahal.com B CE��: 717-599-246 CUSTOMER NO. ADVISOR TAG NO. INVO�CE DATE INVOICE NO. 4�9 Aaron McAdoo 409 "10/Z3/"14 HOCSI40135 LABOA RATE LICENSE NO. MILEAGE COLOR STOCK NO. AARON R MCAD00 HwF81G7 24,796 SUPER WHITE 109 ALLEN COURT YEAR/MAKE/MODEL DEL1VEflYDATE DELJVERYMILES CAMP HILL PA 17011 11/TOYOTA/COROLLA/4D LE SDN 09/06/11 5 f VEHICLE I.D.NO. SELUNG DEALER N0. PRODUCTION DATE 2T16U4EEOBCG56328 37149 F.T.E.NO. P.O.N0. R.O.DATE aaronrossmcadoo@gmail .com 10/23/14 RESIDENCEPHONE BUSINESSPHONE COMMENTS � MO: 24799 717-599-2469 717-766-4300 x1446E# 2ZRK181337 STATE INSP 7 07/15 [ TIRE PRESUR F/R ] 32/32 BOR & PARTS-----------------------------------------•---------------------------- 1 08HOROTORRESURF TRUE FRONT ROTORS TECH(S):740 1z2•29 Thank You CUSTOMER STATES VEHICLE SAT FOR EXTENQED PERIOD OF TIME CAUSING BRAKE PULSATION. INSPECT FRONT ANU REAR BRAKES AND for choosing ROTORS. CHECK AND ADVISE. TECHNICIAN VERIFIED BRAKE PULSATION. INSPECTED FRONT AND Bobby Rah al REAR BRAKE COMPONENTS. FOUND SURFACE RUST BUILD UP ON BRAKE ROTORS. fOP S@CV1Clllg yOUP CLEANED RUST FROM ROTORS (SCOTCH DISC) AND HUB ASM. RESURFACE AND TRUE FRONT ROTORS TO ELIMINATE VIBRATION vehicle. Our entire JOB # 1 TOTAL LABOR & PARTS 122.29 staff woa•ks hard ------- ----------------------------------------------------------------------------------------- to make su re you .O.G. & SUPPLIES----------------•------..._---------------------•----------•------ OB # 1 1.0 SCOTCH DISC C� 2.000 /UNIT 2.00 are 100% satisfied. OB # 1 1.0 BRAKE CLEANER @ 4.950 /UNIT 4.95 TOTAL - 60G 6.95 ISC------CODE--------DESCRIPTiON----------------•----•------•-•CONTROL NQ----•--•- Thank YOU A�;a111! UB # 1 9 EMPLOYEE DISCOUNT LABOR -30.57 TOTAL - MISC -30.57 STIMATE---------------------------------•----....-•--------••-----------•-------•- USTOMER HEREBY AGKNOWLEDGES RECEIVING ORIGINAL ESTIMATE OF 5125.00 (+TAX) OMMENTS---------------------------------------------------------------------------- M 4PM A STATE INSPECTION DUE: 7/15 IRE PRESSURES SET TO FACTORY SPECS V1Slt ----------------------------------------------------------- HANK YOU FOR CHOOSING BOBBY RAHAL HONDA SERVICE! WWW.bObb}�Talla1.00111 OTALS----------------------------------------------•------------------••-------•---•----------- fOP yOUr ReXt I TOTAL UaBOR..,. 17_2.29 S�l'Y�s� :. 70TAL S BLET... 0.00 Appointment! � TOTAL 6.O.G.... 6.95 � TOTAL MISC CHG. 0.00 ° TOTAL MISC DISC -30.57 a TOTAL TAX...... 5.92 � -------- � TOTAL INVOICE$ 104.59 W �F Z ¢ ¢ w n E 0 U K � K � PAGE 1 OF 1 CUSTOMER COPY [ END OF INVOICE J 04:53pm SF60122d 0 (03/14 IIN..III. .;.I. II.Y Y 1 � � � y �/ V N I.L � O O � � o '' a � � °' N � � U � ^�p C T N W � <D J WN � N M O � t0 � � � f0 � I.f� Q EA �C1 O � Q O �z � O � O d Z Q p t� • V o -� _-_ �, �� - C�CO(„) O U V O � N � r �// LL �`� _ : {l.� �� W 4d O� (V O .. � M M h M M O �� (n : '-'� t` �t/ HT � E9 K'J (p • N � 3 i i� � Q� � : Q� N �� W Z Q� � : • c,)� �II � �� o � >.. � v,n v � • aZO� ►- � � �� ; .. owV� a �i, Q^ � �'� � ' N��LL � L.� O �� N : �Z��' O.-. X a 1� �O G. : p d V z N 7 'a N 4�' O N � N � R: �C : , M Q J� C U iCJ Vl 00 f9 � M .a ea : ' oo J y a) w � L_ _ ++ N �m�� N� � � � � 1— � � y � =N X� � ,.., � � �-W QLL a. a . � N p�f"'� � W yQ W�JW � � LJ.1 y/�N ': ��Nu- m a uDOi � M Y y �� : NWJH o .- r o c� cNu °o i • �Faw a c�i o ri o � V� : HODU � d o : � .D ' r,� y � o � C�t : � o '� 11J :�. � N r : � y d p a�i � � N� ' � � �, E � � ' �� m Z m p � �, ; O � W a W � a �� a o � o N a y, �� V a Q N � V� � � N O O � i Q 0 � � Q U U � ii � _ UJ � � i . U � W J J O � � . U �, H � W Q rn a J U ~ "' N o cW.� O � . � o m LLlR'� w - � M � � � O a N . W�-.-� Q � � � � ^ Q' � m � ��ul � N �W�( °' � �F- � d' � J N�=f] H QW J Q � � d O ��j Z N >"uy�' � ��o =oa �j a� � r+ ¢m� O c af'cNi�oo Q QF'� �� mN W�ui Q' = a� na. UaU a i O�Jo p ��Q ,�xuJi ,.� � UQo �n � WQa �m.� a � � � - � � �,�z � w x3� c=.��aca.> W � o o � O N�s�¢ li dJOJ Z � >ill V Q.' F- � V � m� n_ �uvi o to O N Q co � .� - a �p v� x2 N U ia H 5880 ............................... Statement ;;<;;;E?AlFNtEN�?:::::;:::::.;;; USAA C � 9800 Fredericksburg Road :':::::;;p;i��:`::paT�::::;s:;:.><: NUmeER � � � � San Antonio, Texas 78288 � �� U5A�0 04-28-15 00480 49 41 5 HH Visit us at usaa.com 00783 . 1TZVY. JSS1031490009 . 01 . 01 . 8806 To UPDATE POLICIES GO TO USAA.COM OR CALL 1-800-531-8722 , FOR BILLING AND PAYMENT INQUIRIES GO TO USAA,COM OR CALL EST OF BARBARA M HOELSCHER 1-800-531-8722 C/0 CHR I ST I AN MCAD00 TO REPORT A CLAIM, CALL 262 CONWAY ST 1-800-531-8722 CARLISLE PA 17013-6010 ; COMPANY CODES AND IMPORTANT INFORMATION ON REVERSE MONTHLY ACTIVITY ', BALANCE ON LAST STATEMENT $ 50.09CR I GAR HOMEOWNERS POLICY 93A 262 CONWAY ST POLICY PREMIUM 03-25-15 2,293.20 ACCO�NT BAL��C� AS OF.L`�-O7-i5 ,. $ 2,243.11 :::;.;:;.;:.;:.:::;.;;:::>::;:z<:»:::»::`<:;:::>_; ::<:::»?<>::>::>:::<::<:::>.<::>::»>:«:::: :;:«::::<::;:>::»::::: �>::::�«<:<.;:.:::.;::.;:<:>::;::>::>:::: .:.:...:......:. :,.:>:R.,.;.;:...>: �,r:...,_.::....,.;x,;, :.; :.. .::.. � ::.;.::.::.;:.;:::: ::.::.;:.:;.::.:..::::::;:._.::�.�.: :::;�.::>:<:.:::;:.<::;. .....;>:<::::<::;:>::»>::::::::::>:«:::;::>:<::........... ................::P�n+n�n�.r......�.a�..:o��rz�.:.::............................ F. G...... ..............::.�:::::::::::::.;::;:.::;;.. :...,.:;:..:,.... .::: . ... .... .......:..::....:.::.::...........................................................................................................:.:............................ :�.:F�...'Tt�.......................................... . .. . .. ..... .. .... .. . ...................................................,,.....:.:.,:..................................................................................................... ;:.;>:;.:::...:::....:::;::>;:«::::>::::::>:<:>::»»::»:<::>::>::::>::>::::>:;:;:;::P.��.€::ICLES:::::B:EII�IG>::>�ELL�Q::>::<:>:>:::>::>::>::>::»:>::::;:;:>:::<::�::>:>::>:;:.:.;::.;..;:.;::..;.;.:.;.-::::::::::::::::::::::.::.:�:::::::::::::.:::::::::::::::::.;:::::::::::::::::;:.;:::::::::;::;. ::.::::.:... .... :::::.:�.:.::::::.:::::::::.::::.::.�::.�:::::::.::�....:............:.................:::.................::::::::...:�:::::::::::::::.::�:::::::.::.:.:::. ..:. .. . ..:..�:::..::. . .::: .:: .::... :::: :.. ::.. .. >;:.;:.;;II.T :::...:::::::::::::::::::::::::::.�::::::::::::::::::::::::::::::::::::::::::::::::::.::::::::::::.�:::.::::.::::::::::::::::::::::::::::::::::::::::..::::::.:: . .:: . .. . �k �.............................................................................................................................................................. . .. . . :�:<;;.;;:;.:.::.; � ; >; .:: .;: . :.;:.:::. ;:.::. ., ;;: :.: :.;: :::BAL�NCE::.::::::.,::FtE�UL�4R.:.i�LA�XT::....�XTEND�R::PLAN:: 03-25-15 GAR HOMEOWNERS POLICY 93A 262 CONWAY ST $ 2,243. 11 $ 204.70 $ 158.38 TOTALS $ 2,243.11 $ 204.70 $ 15g.3g TO FURTHER OUR MISSION OF BEING THE PROVIDER OF CHOICE FOR THE MILITARY COMMUNITY WE HAVE OPENED MEMBERSHIP TO ALL MILITARY RETIREES AND THOSE WHO HAVE HONORABLY SEPARATED. DO YOU KNOW ANYONE WHO MAY NOW BE ABLE TO ENJOY THE BENEFITS OF MEMBERSHIP? TELL THEM ABOUT US OR SHARE USAA AT USAA.COM/JOIN. � � 1.�crE o�+ �A-k 41iJ�1•��a'r ..... .._.... . . . .... . . ... . . _ ..... . . ... ._ ...__ _ . . _.. ._ _. .. __.__........ ..............'------'....._.........------`...., _ ._ _.... _ _ ' : THE AMERICAN ABATEMENT GROUP, INC. ' P.O. BOX 400 NEW'BLOOMFIELD,:PA 17068 1`800-437-2749 '; LOCAL(717)834-9Z00 FAX(717)834-3382 E-MAIL:AAGROUPINC@AOLCO ; - ----_ ---___ _-------- -�,� --:- ---- —-----_ __ _.- - ------� _._ ABATENIENT OF H/aZARDOUS MATERIAL t ASBESTOS :-.LEAD-- MERCURY.=:PGB'S:- MOLD& MILDEW -------------- _----------------------------.._... Date: 3/13/2015 � CHRISTIAN McAD00 CARLISLE, PA Attn: CHRISTIAN ------------ —__ I Phone: 418-7864 --- .-- -___ ____ _---- Fax: Proposal# ; ---------- -- - ---- - -_ Project: ICARLISLE RESIDENCE ABATEMENT � ------ ----------- ------ --------- . —------- -- - --- -- ------ Removal and disposal of app. 138 If of asbestos pipe covering from the basement of the property in Carlisle. Work to '.be done by the glove bag method. - -------- --- ----- ...__ ___ __ _- - __ -- ------____ -- --__ _ � I _ _____ --_.--------- ----- - ----- ------ --..___ - ---__ . _.__ ._—_ ___--- -----_ -- ---- -_. .� All work is to be performed in accordance with current DER,EPA,OSHA, LI,and PENNDOT regulations and guidelines. All AAG,Inc. employees will possess either a PA license for asbestos or certificate for lead abatement. All materials will be disposed of according to present government regulations with copies of the manifests (where applicable)to be provided to the building owner. All work referenced above will be completed for the sum of Figures: i$950.00 ; — - -------------- ------------------- -_ _ __--- --- - � Words Nine hundred and fifty dollars _ Respectfully Submitted i � Accepted or Ow er b l �. Z�, � r � �� ' � .� � � Date � � Scott Peifer Vice-President t�nek �.�C��,�L�k ENVIRONMENTAL CLEANING SINCE 1979 CUMEERLAND ANALYTICAL LABORA.TORIES,INC. 125 Frytown Road Carlisle,Pennsylvania 17015 Pl�one:(717)379-3782 Fa�::(717)776-6436 PHASE COWTRAST MICROSCOPY PCM DAYA SHEET NIOSH 7400A FOR ASBESTOS Date:04/20/2015 CALI]ob Number: 15PCM-1001-006 Client:American Abatement Group,Inc. Attention: Deb/Scott Peifer Project:262 Conwa Street in Carlisle,PA Client]ob Number: N/A Page: 1 of 1 Number of Samples: 1 Analyzed By: Cindy A.Rumberger of CALI on 4/20/2015 If you have any questions,or comments please e-mail me at: cindy.rumberger@c-analytical.com Anaiytical Data Flow Rate Duration/ Volume/ Sam le No. Sam le Date Liters/Minute Start Sto Minutes Liters Rbers/Field Fhers/cc O1 04/14/2015 30.0 13:00 15:00 120 1200 1/100 <0.002 Descriptive Information Sample Sample Type Loration Activity No. Ol Flnal Gearance Basement of 262 Conway Street N/A The above sample was coilected by the American Abatement Group,Inc.and the condition of the sample analyzed was aaeptable upon receipt per Laboiatory Protacol u�less othervuise noted on this report. Sample type,minutes,liters,location,eb�.,were provided by the Client.The result listed In the above PCM Data Sheet fn Flbers/cc is based on air volume supplied by the Qient. The current EPA recommended"ciean air"asbestos limit for ciea2nce testing after an as6estos abatement project is 0.01 Fibers per cubic centlmeter of sample air (FJcc)by Phase Contrast Microscopy(PCM). This level is also recognized as a"clean"level for background air leveis in acupied bufidings. The above result table indlotes that the airbome fiber concentradons was below 0.01 F/cc,a level considered"clean"by PCM and the area was"deared".for re-occupancy,with regards to the airborne fiber concentrations. ALso,the above PCM Air Sample was analyzed using the guidelines as listed in the NIOSH Method 7400A for asbestos. This method measures total airborne fibers-not asbestos fibers only. All fibers with a length to diameter rado of 3:1 or greater and a length greater than S microns are considered to be asbestos fihers and are counted as such. �� uk a. �(s.Lb.�l u�.�a�� i �:� . BUREAUOFINDIVIDUALTAXES � �_�� pennsylvarna PO BOX 280431 � { DEPARTMENT OF REVENUE HARRISBURG PA17128-0431 PERSONAL INCOME TAX � B I L L I N G N OT I C E REY-361C E7f UOCEIIEt(O1-32) DLN: 135401240419 DATE OF NOTICE: SEP 18 2014 SOCIAL SEC. NUM: 184-38-1609 TAX YEAR: 2013 PREASSESSMENT AMOUNT 381.87 BARBARA M HOELSCHER BALANCE(S) DUE FOR YOUR ACCOUNT AS Of SEP 28 2014: 262 CONWAY ST CARLISLE PA 17013-3601 OWED PAID BALANCE LTE PNLTY 34.60 .00 34.60 EST PNLTY .00 .00 .00 LEGAL .00 .00 .00 INTEREST 1.27 .00 1.27 USE TAX .00 .00 .00 PIT TAX/RFD 346.00 346.00 .00 2013 BALANCE DUE 35.87 PLUS OTHER TAX YEAR(S) LIABILITIES (SEE REVERSE TOTAL DUE NOW*- (PLEASE PAY THIS AMOUNTNOTICE) .00 USING THE ENCLOSED COUPON) 35.87 THE FIGURES SHOWN BELOW REPRESENT AMOUNTS AS ORIGINALLY REPORTED ON YOUR 2013 TAX RETURN OR AS ADJUSTED BY THE DEPARTMENT. ORIGINAL OR ADJUSTED AMOUNTS lA. GROSS COMPENSATION.......................... 0 16. SCHEDUL� UE EXPEP:SES........................ 0 1C. COMPENSATION.. ...................... 0 2. INTEREST (SCHEDULE A)....................... 163 3. DIVIDENDS (SCHEDULE B)...................... 11,106 4. NET INCOME OR LOSS.......................... 0 5. TAXABLE SALE - GAIN OR LOSS................. 6,576- 5A. CAPITAL GAIN EXCLUSION...................... 0 6. RENTS, ROYALTIES, PATENTS. COPYRIGHTS....... 0 7. ESTATES AND TRUSTS (SCHEDULE J)............. 0 8. GAMBLING AND LOTTERY WINNINGS............... 0 9. GROSS TAXABLE INCOME (ADD LINES 1C,2-5,6-8). 11,269 10. OTHER DEDUCTIONS(MEDICAL, HEALTH, TUITION). 0 11. NET PA TAXABLE INCOME(LINE 9 MINUS LINE 10). 11,269 12. TAX LIABILITY (MULTIPLY LINE 11 BY .03070).. 346 13. TAX WITHNELD (FROM W2'S).................... 0 14. CREDIT FROM PREVIOUS TAX YEAR............... 0 15&16 ESTIMATED TAX & EXTENSION PAYMENTS.......... 0 17. TAX WITHHELD AS REPORTED ON NRK-1........... 0 18. TOTAL CREDITS (ADD LINES 14-17)............. ' 0 196. NUMBER OF DEPENDENTS........................ 0 21. TAX FORGIVENESS CREDIT...................... 0 22. RESIDENT CREDIT (SCHEDULE G)................ 0 23. CREDITS (SCHEDULE OC)....................... 0 24. TOTAL CREDITS (ADD LINES 13,18.21-23)...... 0 25. USE TAX ........ 0 ............................ 26. TAX DUE (LINES 12 PLUS 25 MINUS 24)......... 346 27. PENALTIES AND INTEREST...................... 29. OVERPAYMENT................................. 30. REfUNDED.. ....... 0 ........................... 31. CREDITED TO NEXT YEARS ESTIMATED TAX........ 0 32-36.TOTAL DONATIONS (LINES 32-36)............ 0 THE REASON(S) FOR THIS NOTI�CE ARE AS FOLLOWS: ' YOUR TAX RETURN WAS DUE APR 15 2014. IT WAS RECEIYED MAY 29 2014. THIS RETURN WAS LATE. PENALTY FOR A LATE RETURN IS 5% PER MONTH OR ANY PORTION OF A MONTH OF THE UNPAID BALANCE. MINIMUM PENALTY IS 5% (OR 55.00) AND MAXIMUM PENALTY IS 25% OF THE UNPAID TAX DUE. I"lTEREST IS CALCULATED DAILY ON THE BALANCE DUE. IPlTEREST l�lILL CONTINL'E UPITIL T4E BA.LP.Nrr Tc pplp, SEE INTEREST RATES. ANY UNPAID BALANCES WILL REDUCE OR ELIMINATE ANY FUTURE REfUND. TO CON7EST THIS NOTICE, SEND A WRITTEN, DETAILED EXPLANATION WITHIN 30 DAYS. IF YOU DO NOT REPLY WITHIN 30 DAYS FROM THE DATE OF THIS NOTICE OR PAY THE AMOUNT DUE, YOU WILL BE ASSESSED. YOU WILL THEN HAVE THE RI6HT TO APPEAL TO THE DEPARTMENT. IF YOUR CASE NAS BEEN PLACED WITH A COLLECTION AGENCY, YOU MAY BE SUBJECT TO ADDITIONAL FEES. UP TO 39 PERCENT OF THE AMOUNT DUE MAY BE IMPOSED ON ANY LIABILITY NOT PAID PRIOR TO REFERRAL TO A COLLECTION AGENCY OR CONTRACT COUNSEL. *The "Total Due Now" may not reflect payments remitted to the department within 15 days prior to the �;,Y � date of this notice. Please compare the date of this notice with your banking records before `'+'� contacting the department. 'j SEE REVERSE SIDE FOR MORE INFORMATION UNPAID REAL ESTATE NOTICE Date: 14 November 2014 r�A,ei��,e� I�'�• Ne,c� scif�r� ' (,,,f�4 SJ i71�� `,/lC.G� I.�mo ynlE I��'1 17Gf�3-i/s F OUR RECORDS INDICATE THAT YOUR 2014 REAL ESTATE TAXES HAVE NOT BEEN PAID AS OF THE DATE OF THIS LETTER. IF NOT PAID BY DECEMBER 31,2014, YOUR TAX WILL BE DELINQUENT. THE DELINQUENT TAX WILL BE TURNED OVER TO THE CUMBERLAND COUNTY TAX CLAIMS BUN.EAU AND MAY BE SUBJECT TO ADDITIONAL COLLECTION FEES. IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT ME BY COMING INTO THE OFFICE OR BY PHONE,MAIL OR EMAIL. OFFICE HOURS AND LOCATION, PHONE AND EMAIL INFORMATION ARE LISTED BELOW. Tax Item Tax Amount School Real Estate $3,739.19 Total Due $3,739.19 Charles Holtry Tax Collector PO BOX 100• CARLISLE, PA 17013■ Phone:717.254.9128• carlisletaxcollector@comcast.net Physical Location: Stuart Community Center, Room 5,415 Franklin Street,Carlisle, PA 17013 Office Hours: Tuesday,Wednesday,Thursday 8:30 am—2:30 pm Other Times By Appointment—Closed Weekends and Holidays II�'..III ..I.II.II.�Y . � �'Z -- ��0��..77�0/`� � av�. CJ�� -�n � J�.. C�,�,-,l,�� '�� 1 �� y. l B ��- �� ,1��1✓�� c�� .,�1 � ��,.- Y / /t2� ��.c �ve�.1.r o� ��.��r �r �,.� ��,^�� lr �P�1�•�t - � �/ ��~`f ' r 'Y , �i✓ Ga�u� a'�c �r7' � z �,�J�� . � � �� ,,�r +�/' � /J / � // _ ) �' 'M'f • �J�-c /o��L.//✓T/4 pi Ql'��Lf�J C ,�,� (�hj7�Y 0' / / / /� / 9h�L1� �..c �'b°�� 0'� �-+1/J '��-�t 4 f r ,� �� 7� ey'�� '/�c-�r� � o� �/Ci✓ G � Con oY/vr �..q �t��/�G�. /� YS7'�� . .CdJ'� ��' ��c�o4.� v� �� o�� Second f resb �r�an Cl�urch �� fe�-'re�{ �l, Gibelius .�If , ' �== : . �astor — � s� �;;' i 528 Garland Di'ive `; Car�is�e,t ennsqlranio.17013 � 717-2�13-'-�571 ` � je�}'@Gro��[rJ'cilzSecondorg wcuw,Grow(11it�tSeconclorg %