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Home My WebLink About05-06-15 (2) 1505610101 REV-1500 EX°'-1O' ; � erns tvania OFFICIAL'USE ONLY PA Department of Revenue p Y County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN I— , PO BOX.28o6oi L/ ' (/ Harrisburg;PA 17128-o6oi RESIDENT DECEDENT T ENTER DECEDENT INFORMATION BELOW Social Security Number Hate of Death MMDDYYYY Date of Birth MMDDYYYY , 08/07/2014 01/13/1921 Decedent's Last Name Suffix_. flecedent's First Name MI HADDEN- 'MARJORIE y-- — - iJ (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Narne Suffix Spouse's First Name MI NLA Spouse's•Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS. FILL.IN APPROPRIATE OVAL'S BELOW C= 1.Original Return Q 2.Supplemental Return ,C=:> 3. Remainder Return(date of death prior to 12-13-82) O 4.'Limited Estate p 4a. Future Interest Compromise(date of -p 5..Federal Estate Tax Return Required death after 12-12-82) (ND 6''Decedent Died Testate O 7.Decedent Maintained.a Living Trust 0 8.Total Number of.Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) ? 9.Litigation Proceeds Received' O 10.Spousal Poverty Credit(date of death O 11. Election to tax under Sec.gT13(A) between 12-31-91 and 1-1-95) (Attach Sch:O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TA_X INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telepbone'.Number Andrew H. Shaw, Esquire {7h 7)243-7135 REGISTER OF WILLS USE ONLY ry First line of address _ _ _ _ c� n' TO 200 S,.Spring Garden St rrI -- - - - - - - LU a �' 'Second line of address r"1 = n -c Suite 11 I - rn .� bAT•E FILED City or Post Office State ZIP Code rl TI r] TI :3r 1 'Carlisle PA 17013 ._ c-> - - — — - - ._ .-• -.-1� N !— M —t r— r 7 C) Correspondent's e-mall.address:.-,andrew@ashawlaw.com N '� Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PER7 RES ONSIBLE FOR FILING RETURN DATE ADDRESS 111 S ith Street, Wily e, NC 28174 SIGN E OF-PRS' R O E HAN REPRESENTATIVE D E ADDRESS 200 S. Spring Garden Street, Suite 11, Carlisle, PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610101 10563;01011, �� j�� f�� 6 1505610105 REV-1500 EX Decedent's Social Security Number Decedent's Name: [ RECAPITULATION --._ ....._........-.........--.._.._.__....... _...__..-.....-_.......__...._ 1. Real Estate(Schedule A). ... .. . . .. . .. . .... .. . . . .. .. .. ..... .. .. . .. ... . 1. 194,900.00 2. Stocks and Bonds(Schedule B) 2. 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) . .. . . 3. 0.00 4. Mortgages and Notes Receivable Schedule D 4. 0.00 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).. ... . . 5. 8,219.49 6. Jointly Owned Property(Schedule F) O Separate Billing Requested ... .. .. 6. � 5,936.27 I 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested.... .... 7. 0.00 8. Total Gross Assets(total Lines 1 through 7). . ...... .. .. .... ... .......... 8. 209,055.76 9. Funeral Expenses and Administrative Costs(Schedule H)...... .. .. .. .. . .. .. 9. 23,068.13 10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule 1) .. .. . . . ... . ... 10. 97,077.93 11. Total Deductions(total Lines 9 and 10). . .. .. .. .. .. . . ... .. .. .. .... .. .. . . 11. 120,146.06 12. Net Value of Estate(Line 8 minus Line 11) . . .. .. .. .. .. .... . .. .... .. .. ... 12. 88,909.70 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) . ... . .... . . . . .. . . .... . . . 13. 0.00 14. Net Value Subject to Tax(Line 12 minus Line 13) . .. .. .. .. .. .. . . . ... . . ... 14. I 88,909.701 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 00 0.00 15. 0.00 16. Amount of Line 14 taxable at lineal rate X.0 45 88,909.70 16, 4,000.94 17. Amount of Line 14 taxable at sibling rate X.12 0.00 17_ 0.00 18. Amount of Line 14 taxable at collateral rate X.15 0.0018. 0.00 19. TAX DUE . ... . .. . . . . . . . . .. . .. . .. .. . . . .. .. .. . . . . .. .... ... . .... . .. .. 19. 4,000.94 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 1505610105 1505610105 REV-1500 EX Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Marjorie H. Hadden STREET ADDRESS 110 E. Maplewood Avenue CITY STATE ZIP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 4,000.94 2. Credits/Payments A.Prior Payments 3,600.00 B.Discount 218.21 Total Credits(A+B) (2) 3,818.21 3. Interest (3) 0.00 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) 0.00 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 182.73 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: { Yes No a. retain the use or income of the property transferred;.......................................................................................... ❑ ❑x b. retain the right to designate who shall use the property transferred or its income;............................................ ❑ ❑>< c. retain a reversionary interest;or.......................................................................................................................... ❑ d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ ❑x 2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................................. ❑ 0 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation? ........................................................................................................................ ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S.§9116(1.2)[72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S. §9116(a)(1.3)].A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 019879 HADDEN EDWARD L JR 111 SMITH STREET WINGATE, NC 28174 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold __________ -------- 101 $3,600.00 ESTATE INFORMATION: SSN: FILE NUMBER: 2114-0774 DECEDENT NAME: HADDEN MARJORIE H DATE OF PAYMENT: 11/05/2014 POSTMARK DATE: 11/05/2014 COUNTY: CUMBERLAND DATE OF DEATH: 08/07/2014 TOTAL AMOUNT PAID: $3,600.00 REMARKS: CHECK# 115 INITIALS: DB1 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS TAXPAYER LAST WILL AND TESTAMENT OF MARJORIE H. HADDEN I, MARJORIE H. HADDEN, residing at 110 East Maplewood Avenue, Mechanicsburg, Pennsylvania, being of a sound and disposing mind, over the age of eighteen(18)years, and under no legal disability, do hereby make,publish and declare this to be my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me at any other time. Article I: I direct that my Personal Representative(s), hereinafter named,pay all my just debts and funeral expenses as soon after my death as practicable, including all property, state and federal death taxes assessed against me, my estate, or my beneficiaries, without proration among my beneficiaries. However, all property bequeathed or devised hereunder, either outright or in trust, is bequeathed or devised subject to existing mortgages, liens or encumbrances thereon. Article II: 1 confer on my Personal Representative(s)and/or any Trustee(s) appointed herein and their successors the right to sell or otherwise convert any real or personal property at public or private sale, at such time or times, in such manner, and for such price or prices, and on such terms and conditions as my Personal Representative(s) shall determine, and to execute and deliver good and sufficient conveyances, assignments, and transfers of the property, without Marjorie H. 11 dden liability of any purchaser for the application of any consideration; to borrow money and to secure its payment by mortgage of real or personal property, pledge of investments, or otherwise, without liability on the part of the lenders to see to the application thereof; to retain any investments at discretion; to invest and reinvest at discretion, as permitted under Act 28 of 1999, the "Prudent Investor Act"; to make distribution in cash or in kind; to allocate and distribute different kinds or disproportionate shares of property or undivided interests in property among beneficiaries, in cash or in kind, or partly in each; and all other powers given under the statutory and common law of Pennsylvania available at the time of my death and the power to do all acts and things necessary or appropriate in the management, administration and distribution of my estate. Article III: At the time of execution of this Last Will and Testament I am single. Article IV: At the time of execution of my Last Will and Testament I have the following children: A. EDWARD L. HADDEN,JR.; B. CATHLEEN BJORKMAN; C. JANET HADDEN; D. SUSAN J. HADDEN. Article V: I hereby nominate and appoint my child, EDWARD L. HADDEN,JR., as Personal Representative of this my Last Will and Testament. In the event he predeceases me or is unable to serve as Personal Representative, then I nominate my child, SUSAN J. HADDEN, as Marjorie/ Hadden Personal Representative of this my Last Will and Testament. My individual Personal Representatives shall not be required to furnish bond or surety. Article VI: I give, devise and bequeath my entire estate, including all the rest and residue of my estate of whatever kind and description, wherever situate, absolutely and in fee simple, as follows: A. 10% to my child, EDWARD L. HADDEN,JR., per stirpes; B. 10% to my child, CATHLEEN BJORKMAN, per stirpes; C. 10% to my child, JANET HADDEN,per stirpes; D. 10% to my child, SUSAN J. HADDEN,per stirpes; 'E. The remaining 60% to be equally divided among my grandchildren. [Remainder of page intentionally left blank] MarjoriA . Hadden IN WITNESS WHEREOF, I have hereunto set my hand and seal this /� day of LL. �—V-0-�,Z- 32014. - SEAL) Marjori�e--V.-Hadden Signed, sealed, published and declared by the foregoing Testatrix as and for her Last Will and Testament, consisting of four(4)pages, in the presence of us, who at her request, and in her presence, and in the presence of each other,have hereunto set our hands as witnes e ,Lthereto. 0 4 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, MARJORIE H. HADDEN, Testatrix, whose name is signed to the attached or foregoing instrument, being duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by MARJORIE H. HADDEN, the Testatrix,this 10�h day of Peb(JCrZ--,f , 2014. COMMONWEALTH OF PENNSYLVANIA Notarial Seal Michele A.Candy, Notary Public Marjoriefi. adden Carlisle Boro, Cumberland County Fly Commission Expires Aug. 5, 2017 I•IEN.EER.P°t.t.SYLVANIA ASiOCL'.TIOa OF 17vT4RIE: , Notary Public My Commission expires: A qus,� S I DO l COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ! We, t�,,y 4- SLL,)) and the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed before me by ��.�� t,J J -Ct�R� and witnesses,this h day of�e t, , 2014. COMMONWEALTH OF PENNSYLVANIA �* Notarial Seal Michele A. Candy, Notary Public Carlisle Boro, Cumberland County My Commission Expires Aug. 5, 2017�,��t� /► ' / v . .61fh,EEEER,PENNSYLVANIA ASSOCIATIOtI OF t!vTARI"c5 Notary Public My Commission Expires: 5 REV-1502 EX+(11-08) pennsylvania SCHEDULE A 1• r DEPARTMENT OF REVENUE REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Marjorie H. Hadden 21-14-0774 All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1 110 E.Maplewood Avenue,Mechanicsburg,PA 194,900.00 TOTAL(Also enter on Line 1, Recapitulation.) $ 194,900.00 If more space is needed,insert additional sheets of the same size. '�4Jltl1�,Q OMB Approval No.2502-0265 Ly IIhII(V A.Settlement Statement (HUD-1) 3. Type of Loan 6.File Number. 7.Loan Number. 8.Mortgage Insurance Case Number. FHA 2. Q RHS 3. ❑Conv.Unins. 2015-016-Fidelity 000010319 28658935 1. Q VA S. ®Conv.Ins. %Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown.Items marked "(p.o.c)"were paid outside the closing;they are shown here for informational purposes and are not Included in the totals. t.Name&Address of Borrower: E.Name&Address of Seller: F.Name&Address of Lender. Eric M.Ford Estate of Maijorle H.Hadden,Edward L. Orrstown Hank 60 Privet Drive Hadden,Executor 2695 Philadelphia Avenue EKers,PA 17319 110 East Maplewood Avenue Chambersburg,PA 17101 Cheyenne T.Ford Mechanicsburg,PA 17055 60 Privet Drive Etters,PA 17319 3.Property Location: H.Settlement Agent: I.Settlement Date: 110 East Maplewood Avenue DETHLEFS-PYKOSH LAW GROUP,LLC, 04/21/2015 Mechanicsburg,PA 17055 Darrell C.Dethiefs,Esquire Phone Number:(717)975-9446 Cumberland County 2132 Market Street Camp Hill,PA 17011 Place of Settlement: 2132 Market Street,Camp Hill,PA 17011 Disbursement Date:04/21/2015 1. Summary of Borrower's Transaction K.Summary of Seller's Transaction 100.Gross Amount Due From Borrower 400. Gross Amount Due To Seller 101.Contract sales price $194,900.oo 401.Contract sales price $194,900.00 102.Personal property 402.Personal property 103.Settlement charges to borrower(line 1400) $7,759.18 403. 104. 404. 105. 405. 4djustments for Items paid by seller in advance Adjustments for Items paid by seller in advance 106.City/town taxes to 406.City/town taxes to 107.County taxes 04/21/2015 to 12/31/2015 $673.69 407.County taxes 0412112015 to 12/31/2015 $673.69 108.Assessments 04/21/2015 to 06/30/2015 $379.80 408.Assessments 04/21/2015 to 06/30/2015 $379.80 109.Setser/Refuse: 4/21/2015 - 6/30/2015 $96.92 409.Sewer/Refuse: 4/21/2015 - 6/30/201 $96.92 110. 410. 111. 411. 112. 1412. 120.Gross Amount Due From Borrower 1 $203,809.591 420.Gross Amount Due To Seller $196,050.41 200.Amounts Paid By Or In Behalf Of Borrower 500.Reductions In Amount Due To Seller 201.Depositor earnest money $2,000.00 501.Excess deposit(see instructions) 202.Principal amount of new loan(s) $185,155.00 502.Settlement charges to seller(line 1400) $15,132.09 203.Existing loan(s)taken subject to 503.Existing loan(s)taken subject to 204. Appraisal Fee Refund $25.00 504.Payoff of first mortgage loan 205. 505.Payoff of second mortgage loan 206. 506. 207. 507. 208. 508. 209. 509. Adjustments for items unpaid by seller Adjustments for items unpaid by seller 210.City/town taxes to 510.City/town taxes to 211.County taxes to 511.County taxes to 212.Assessments to 512.Assessments to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 1519. 220.Total Paid By/For Borrower 1 $187,180.00 520.Total Reduction Amount Due Seller 1 $15,132.09 300.Cash At Settlement From/To Borrower 600.Cash At Settlement To/From Seller 301.Gross amount due from borrower(line 120) $203,809.59 601.Gross amount due to seller(line 420) $196,050.41 302.Less amounts paid by/for borrower(line 220) ( $187,180.00 602.Less reductions in amt.due seller(line 520) $15,132.09 303.Cash ® From ❑To Borrower $16,629.59 603.Cash ®To ❑From Seller $180,918.32 The public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting,reviewing,and reporting the data.This agency may not collect this information,and you are not required to complete this form,unless,it displays a currently valid OMB control number.No Confidentiality is assured;this disclosure is mandatory.This is designed to provide the parties to a RESPA covered transaction with information during the settlement process. Previous editions are obsolete Page 1 of 3 HUD-1 Settlement Charges 00.Total Real Estate Broker Fees $11,919.00 Paid From Paid From Division of Commission(line 700)as follows: Borrowers Sellers ndsat 01.$ 6,072.00 t0 BHHS Homesale Realty (+$225 Broker Fee) FundsatFutleme Settlement Settlement 02.$ 5,847.00 t0 ReMax 1st Advantage, Inc. 03.Commission paid at Settlement $11,919.00 04. Broker Fee to ReMax 1st Advantage ( P.O.C.by ) $495.00 00.Items Payable In Connection With Loan 01.Our origination charge Orrstown Bank $870.00 (from GFE#1) 02.Your credit or charge(points)for the specific interest rate chosen $ (from GFE#2) 03.Your adjusted origination charges (from GFE A) $870.00 04.Appraisal fee to Appraisls-Kopenhvr ( $400.00 P.O.C.byBorrower )(from GFE#3) 05.Credit report to CBClnnovis ( P.O.C.by )(from GFE#3) $23.90 06.Tax service to t P.O.C.by ) (from GFE#3) A7.Flood certification CBClnnovis ( P.O.C.by )(from GFE#3) $10.00 108. :09. ;10. 111. 112. 100.Items Required By Lender To Be Paid In Advance 101.Daily interest charges from 04/21/2015 to 05/01/2015 @$20.29 /day(from GFE#10) $202.90 102.Mortgage Insurance Premium for months. (from GFE#3) to )03.Homeowners insurance for 1.00 years. $572.78 (from GFE#11) $572.78 t0 Farmer's Insurance 104. years. to 105. 1000.Reserves Deposited With Lender 1001.Initial deposit for your escrow account (from GFE#9) $1,725.60 1002.Homeowners insurance 3.00 months @$47.73 per month $143.19 1003.Mortgage insurance months @$83.32 per month $ 1004.Property taxes 4.00 months @$79.06 per month $316.24 1005.School Taxes 11.00 months @$168.40 per month $1,852.40 1006. months @$ per month $ 1007.Aggregate Adjustment _$ 586.23 1100.Title Charges 1101.Title services and lenders title insurance (from GFE#4) $1,677.00 1102.Settlement or closing fee $ 1103.Owners title insurance (from GFE#5) $45.00 1104.Lenders title insurance issued thru Fidelity National Title $ 1105.Lenders title policy limit$185,155.00 1106.Owners title policy limit$194,900.00 1107.Agents portion of the total title insurance premium Dethlefs-Pykosh Law Group $2,296.25 1108.Underwriters portion of the total title insurance premium Fidelity National Title $228.75 1109. (Sale Rate,- End. 100, 300, 900) 1110. Fidelity National Title (CPL Fee) $125.00 1111. Darrell C. Dethlefs (Notary Fee) $25.00 $10.00 1112, Dethlefs-Pykosh Law Group (Tax Cert Fee Reimbursement) $10.00 1113. The Law Office of Andrev H. Shaw, P.C. (Deed Prep Fee) $150.00 1114. 1115. 1200.Government Recording and Transfer Charges 1201. Cumberland County Recorder Government recording charges: (from GFE#7) $188.00 1202.Deed$79.00 ;Mortgage$109.00 ;Releases$ 1203.Transfer taxes Cumberland County Recorder (from GFE#8) $1,949.00 $1,949.00 1204.City/County tax/stamps: Deed$1,949.00 Mortgage $ 1205.State tax/stamps: Deed$1,949.00 Mortgage $ 1206. $ 1207._, + $ 1208. $ 1209. $ 1300.Additional Settlement Charges 1301.Required services that you can shop for (from GFE#6) 1302. $ 1303. $ 1304. 1305. 1306, Barry Heckard, Tax Collector (2015 Co/Twp Tax) $968.09 1307. Mechanicsburg Borough (Sewer/Refuse: April 2015 - June 2015) $126.00 1308. 1309. 1400.Total Settlement Charges(enter on lines 103,Section J and 502,Section K) $7,759.18 $15,132.09 Previous editions are obsolete Page 2 of 3 HUD-1 Comparison of Good Faith Estimate(GFE)and HUD-1 Charges Good Faith Estimate HUD-1 Charges That Cannot Increase HUD-1 Line Number Our origination charge #801 $80.00 $870.00 $ Your credit or charge(points)for the specific interest rate chosen #802 $0.00 $0.00 Your adjusted origination charges #803 $e70.00 $87o.00 Transfer taxes #1203 $1,949.00 $1,949.00 Charges That in Total Cannot increase More Than 10% Good Faith Estimate HUD-1 Government recording charges #1201 $240.00 $188.00 Appraisal Fee #804 $400.00 $375.00 Credit Report Fee #805 $62.70 $23.90 Flood Cert Fee #807 $10.00 $10.00 # $0.00 $0.O0 # $0.00 $0.00 # $0.00 $0.00 # $0.00 $0.00 # $0.00 $0.00 # $0.00 $0.00 # $0,00 $0.00 Total $712.70 $596.90 Increase between GFE and HUD-1 Charges $ -115.80 or -16.25 Charges That Can Change Good Faith Estimate HUD-1 Initial deposit for your escrow account #1001 $2,512.50 $1,725.60 Daily interest charges #901 $20.29 iday $223.19 $202.90 Homeowner's insurance #903 $650.00 5572.7a Title Ser7ices/Lender's Title Insurance #1101 $1,645.00 $1,677.00 owner's Title Insurance #1103 $375.00 $45.00 # $0.00 $0.00 # 0.00 s0.00 # $0.00 $0.00 # $0.00 $0.00 # $0.00 $0.00 Loan Terms Your initial loan amount is $185,155.00 Your loan term is 30 years Your initial interest rate is 4.00% Your initial monthly amount owed for principal,interest,and $ 967.28 includes and any mortgage insurance is ®Principal ®Interest ®Mortgage Insurance Can your interest rate rise? ®No.❑Yes,it can rise to a maximum of %.The first change will be on and can change again every after .Every change date,your interest rate can increase or decrease by %.Over the life of the loan,your interest rate is guaranteed to never be lower than %or higher than %. Even if you make payments on time,can your loan balance rise? ®No.❑Yes,it can rise to a maximum of$ Even if you make payments on time,can your monthly ®No,❑Yes,the first increase can be on amount owed for principal,interest,and mortgage insurance rise? and the monthly amount owed can rise to$ The maximum it can ever rise to is$ Does your loan have a prepayment penalty? ®No.❑Yes,your maximum prepayment penalty is$ Does your loan have a balloon payment? ®No.❑Yes,you have a balloon payment of$ due in years on Total monthly amount owed including escrow account payments ❑You do not have a monthly escrow payment for items,such as property taxes and homeowners insurance.You must pay these items directly yourself. ®You have an additional monthly escrow payment of$ 295.19 that results in a total initial monthly amount owed of$1,262.47.This includes principal,interest,any mortgage insurance and any items checked below: ®Property taxes ®Homeowners insurance ❑Flood insurance ®School Taxes Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form,please contact your lender. Previous editions are obsolete Page 3 of 3 HUD-1 / Certification fromHUD4) | have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, itinatrue and accurate statement Vfall receipts and disbursements made onrnyaccount Vrbvmeinthis transaction. | further certify that | have received acopy ofthe HUO'1Settlement SbubnmnenL Seller or Borrower: ate: Agent: Date: 4/—J/~JL'/a Eric M. Fond ^ ' ~ ' '/ Edward L Haddon, Executor Estate ofMarjorie H. Hadden GOPrivet Drive 11OEast Maplewood Avenue Ettars. PA1731S Mechanicsburg, PA17O55 Seller or Borrower: Date: '`] Agent: Date: . ^ GOPrivet Drive Ettana. PA1731Q The HUD-1 Settlement which I have prepared is a true and accurate account of this t saction. I have caused or will cause the funds to be disbursed in accordance with this statement. Date: Settlement Agent: Date: '2 Darrell\C/Dethlefs, Esquire WARNING: It is aohme to knowingly make false statements to the United States on this orany other similar form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18U.G. Code Section 1OU1and Section 1O1U. / REV-1508 EX+(6-98) qY SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Marjorie H. Hadden 21-14-0774 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 Personal Property 2,0 0.00 2. 2002 Subaru Forester 4,800.00 3. Tax and Sewer pro-ration at settlement of 110 E.Maplewood Ave.,Mechanicsburg 1,150.41 4. Refund from Mutual of Omaha 171.58 5. Refund from Stonebridge Benefit Services, Inc, 7.501 TOTAL(Also enter on line 5, Recapitulation) $ 8,219.49 (if more space is needed,insert additional sheets of the same size) IL at MAR2 Foil g HAA � .Es- 16� P� � v E, Mu��1� _ U FFM, - � 'L+�` Lamps t6.0 BtAsr CZ Ccs (� m t1'•eA-/-Z 0 Gl- R,Cn t3 ' '`C-R-} ©}C �1tGL• S i�t� • z s r -t��y M W /� � fwd s c��. �ota� • • DQU&T7� ,5 -L .o s 5r, S AA LL A P i-€ J: S 5'i p6T§ lis 0 TF v -5 - � W w RFnivt. c ? ,vL' p - 5 S7: 6a[45 `. hJTEd Clle-s'- l©.of !'TES 7"" Xf t� .�- 11- /1L 16:W) IAA'`" . 45 Dost c ENR 7boi-s S-fL- P Tda sC-7- : 21 /OIW `? r-r t3 A t C Bill of Sale April 13,. 2015 sold to:- Andrew;Brenner -683 Eayrestown Road Lumberton, N3 08048, 2002 Suburu Forester SW VIN: JFIS-F63532H734546 odometer. 68,000 mi es -fbr.$4,800,.,00, paid in fail Seller: Y— v Estate of Marjorie H Hadden Edward L Hadden, Jr, Executor ill Smith Street Wingate, NC 28174 704-.2-33-4816. hadden@wingate.edu M(rrUAL0fOMAt4A INSURANCE COMPANY Mutual of Omaha Plaza 052'' Omaha,KE 68175 15 02 342 7600 mutualofomahaxom MARJORIE H HADDEN 110 E MAPLEWOOD AVE MECHANICSBURG PA 17055-4255 - CHECK NO. I ' CHECK DATE PAYEE NO: PAYEE NAME -CHECK -AMOUNT t: 00130494951 08/15/2014 0000000009 MARJORIE H HADDEN $171.51 DESCRIPTION VOUCHER AMOUNT 264256-99 MARJORIE H HADDEN DECEASED 07166370 171.58 psmp! MUTUAL OfOMAHA INSURANCE COMPAN Y. DATE CHECK-NUMBER ZQ:4- Mutual of Omaha Plaza QW-449495 STONEBRIDGE BENEFIT SERVICES,. INC. JPMorgan Chase Bank, N.A. Syracuse, NY Valley Forge,Pennsylvania 19493..: 50-937 No. 8450000681 213 August 13., 2014 Pay SEVEN AND 50/100 -- ----- - - - NOT VALID AFTER SIX MONTHS To the order of MARJORIE HADDEN 110 E MAPLEWOOD AVE $7.50 MECHANICSBURG PA 17055 Stonebridge Benefit Services,Inc. . By: Authorized Co ersignatur7Ruired if $50,000 Or Ove MARJORIE HADDEN REFUND 0955001.232 08-13-14 By: Authorizell Signature S e} r lie&4500006$ 1110 1:0 2 1 309 3 791: 60L-13- 5 4 9 2011' ' REV-isoyEX+(oi-m) DEPARTMENT OF REVENUE INHERITANCE TAX RETURN 30INTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Marjorie H. Hadden ` / 21-14-0774 If an asset became jointly owned within one year of the decedent's date of death,it must be reported on Schedule G. SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A Susan J. Hadden 110 E. Maplewood Ave. Child Mechanicsburg, PA 17055 C. JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENTS VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST [Citizens Bank,Account#xxxx-318-5 ��I�,872 i53�j 50] 5,936.27 � 1:1 F] El L F-1 El I I F I F D I F1 F-1 ' F-1 F] I -1 El 1:1 F-1- =E TOTAL(Also enter on Line 6, Recapitulation) $ 5,936.27 | { ' | | - more space—needed,use additional_sheets— paper—the same_size. � CF �-mns ? Checking Account ouan Statement 1-888-910-4100 cF 2 CBI I Oti mns:RioneBank arrytirne for account information, current rates and armerstoyour questions Beginning July 11,2014 US259 BR292 through August 11,2014 1 MARJ ORI E H HADDEN 0� 110 E MAPLEVUOOD AVE j 0 MECHANICSBURG PA 17055- 4255 •1 ��p✓*� 1, ..11 cJ �•, �(l Checking SUMMARY NIVUMEHHA DEN Balance(DIculation Balance 9JSANJ P� flyde Oheddng with Interest Previous Balance 13,802.65 Aei age Dai I Bal ante 12,649.54 610070-318-5 Checks 2,474.54 - Interest Wthdrawais&Debits 1,512 58 - Ceposts&Credits 2,073.19 + Oiment I nterest Fate .01% Interest Paid 11 + Annual Percentage Yeld Earned .01% Qirfent Balance 11,888.83 = Njmberof Days Interest Earned 32 Interest Eemed . 11 Interest F'aidthisYea .38 You can waive the monthly mai ntenance fee of$15.00 by maintaining a monthly combined bal ance of$7,500. Your monthly combined bai ante used to qualify this statement period is: $12,733 Your next statement periodwill end on September 10,2014. Pret+iau�i,�mse TRANSAOTI ON DETAILS 13,$02.65 C hedCS"thereisabreak indxxksequenoe Check# Amount Date Check# Amount Date 2847 48.17 07/14 2853 1000 07/28 2849" 25.00 07/15 2854 60.00 07/28 2850 90.00 07/16 2856" 120.00 08/04 2852" 141.00 07/17 2858* 1,980.37 07/30 _ Total Checks NOW ,.,�........ Z 474. 54 W thdraviials&Debits ATMI Purchases Date Amount Description 07/11 6.58 9329 Dot FUrchase-005951RttersTvHadwarmechanicsU-gpa 07/14 10.06 9329 Dot FUrchase-005951RttersTvHadwarmechanicsq0gpa 07114 11.96 9329 Cot FUrchase-193297 Cracker Barrel#55medhanicsb LJrgp 07/15 3.99 9329 Cot FUrchase-250002 Gant 6331 Mechanicsb Urgpa 07/15 11.92 9329 Cbt FUrchase-048803 Paulus Farm Maketmechanicsb Urgp 07/16 18.21 9329 Cbt Purchase-001 gap1es0011carrp Fill PA 07/16 103.22 9329 Cot FUrchase-388219Vftmans#45 Medhenicsb U-gpa 07/18 29.56 9329 Cot FUrchase-260007 Gant 6331 Mechanicsb Lk pa 07/21 17.76 9329 Cot FUrchase-846161 Capital Cty0arwacarrp Fill PA 07/28 31.47 9329 Cot FUrchase-048803E@u1usFamMarketmechanicsbU-gp 07/28 31.47 9329 Dot FUrchase-048803Paul usFarm MarketmedhanicsbUgp 07/28 5281 9329 Cot FUrchase-433828 V1bgmans#45 Mac hanicsb Llrgpa 07/28 8.78 9329 Cot FUrchase-260005 Gant 6331 Mechanicsb Lkgpa 07/28 11.68 9329 Cot FUrchase-005773 The Medicine aoppmechanicsb Urgp 07128 53.94 9329 Cot FUrchase-00004cAchcombe FarmAnd Mechanicsb LJrgp ., 0 r a Qtedd ng Account lip LS u .�� iii% 11 c7tE1112nt �l 1-888-910-4100 " ,:' �';' �3 � cF 2 GilOtizeris! � ryirrrforaocort inforrretion, arrentrates warqueliors m�L�� }k � •� 4Beginning July 11,2014 through August 11,2014 lee 4metla my ri-rt ux►x.1tr m7n Ir„�ti�;(axe= AW Purdiases(aattinue l) M4RICR EH HACCEN Cate Amount Description 07/29 43.44 9329CbtPurchase-21052Wne8Spirits#2lmechanitsblkgpa 9JSANJHADCEN 07/29 26.73 9329 Cbt Purchase-230003 Gant 6633331 Mechanicsb UWa Crde Omddng with Interest 07/29 23.06 9329Cbt Purchase-048803PsuluslbrmMakell:macharnksbt/rgp 07/31 14.23 9329 Cbt Purchase-300246 The Healthy Ctooercamp H II PA 610070-3118-5 07/31 28.81 9329 Cot Purchase-285841 Clacker 13cTrm�//.51wi1 kes Bar%P 07/31 39.50 9329Cbt Purchase- 6oconmobi14776pittstonPA 08/01 24.42 9329 Cbt Purchase-260040 Poland Pace&Easypoland NY 08/05 95.01 9329Cbt Purchase-0064159vstrRne's0ountindanLakENY 08/06 90.79 9329 Cbt Purchase-250720 The Lake Store Sabael NY CltherWthdra yds&Debits Date Amasrt Desaipticn 07116 157.10 Comcast Online Pht 140716C1063609269 07/23 48.24 CIscover Card Offline Pht 140723 Gfi�69pos 07/23 40.58 Barclays BankChline Fht 140723C1d36360 pos 07/30 168.56 Fpl Bectric011inePnt 140730C1d363609269pos 08/01 223.80 MMAual Cf Or>ahaAug I nsprm 1408014'4722 08105 75.00 Travelers I nsur Insurance 140801030475169 08/05 9.90 Ad&d 855882953 61 ns Ffem 140804 6458344 TbtalVwthdrawals?,Debits 1,512 58 Deposits&Credits Date Amount Description 08/01 2,057*00 SSA Treas 310 Xxsoc Sec 080114 08/11 16.19 9329 Cbt Wum-0064159vstr RndsCountindan LakEW n Tbtal Depa,Its E Credits 2,073. 19 Interest Date Amount Description 08/11 .11 1 nterest TotallrtereA Paid N Of 11 Cmrrent saran- Daily Balance 11,M.93 Date eatanae gate Balance Date Balanoe 07/11 13,796.07 07121 13,128.12 08/01 12,263.23 07/14 13,725.88 (17/23 13,039.30 08/04 12,143.23 C 71 15 13,684.97 07128 12,779.15 08/05 11,963.32 07116 13,316.44 07/29 12,685.92 08/06 4-- 0 11,872-53 07/17 13,175.44 07/30 10,536.99 08/11 11,888.83 i� 1 3 07/18 13,145.88 07/31 10,454.45 ar MEMO --For a Ii nrited time only,for the first 90 days from a000unt opening,all rBNCashBa k R ati num MasterQ rd(R accounts are featuring 10%cash back on up to$1,000 of gas purchases and 5%unl i crit ed cash back on all additional gas purchases.Rus,you can earn 50/ounl i mi ted cash back on grocery and drug store purchases For terms and condti ons vi sit citizensbank.comf credtcerd and apply todayl NEWS FROM CI TI ZENS -Vlball have savingsgoal a Mether it's a new home,a chi I d s education,retirement or preparing for unexpected expenses,Citizens Bank makesi t easy and reward ng for you to start saving.ft have a range of sol utionsfromsavingsaocounts,money markets,CDsand IRAs,to fit your needs For more information on which aocountsand programsare right for you or to open anew aoeount,call us at 1-888-821-3900,visit citizensbank.com,or stop by yourlocal branch. 1^ REV-1511 EX+ (10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND , INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Marjorie H. Hadden 21-14-0774 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL-EXPENSES,: 1' Stuart-Fortune-Keough Funeral Home,Tupper Lake, NY 1,235.00 ❑2 Auer Cremation Services of Pennsylvania, Inc. 600.001 ❑3. Shaun Stuart(delivery of ashes) 50.00 B. ADMINISTRATIVE COSTS: .IIIA 1. Personal Representative Commissions: 2 500.00 Name(s)of Personal Representative(s) E.L. Hadden Street Address 111 Smith Street City Wingate State NC ZIP 28174 Year(s)Commission Paid: 2015 3,000.00 2. Attorney Fees: 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: •65.50 5. Accountant Fees: - - Ou�lele 6, Tax Return Preparer Fees: 7• Legal Advertising 265.54 1111a111111`w� F8. Personal Property Appraisal • 120.00 .i.�..rl..�� L-.=:1 Closing costs on sale of 110 E:Maplewood Ave., Mechanicsburg,PA 132.09 El TOTAL(Also enter on Line 9, Recapitulation) $ 23,068.13 If more space is needed,use additional sheets of paper of the same size. C Sp�=_ ---1` AuJER `O SERVICES F .SYLVAN I . 9 4100 Jonestown Road Harrisburg,PA 17109 1-800-720-8221 m Fax 717-541-9943 ° Shawn E. Carper,Supervisor 'CIV 1VSY6.9'A.PI�� " 14 A 140848 SVP90 Aug 8, 2014 Mr. E. L. Hadden 111, Smith Street Wingate, NC 28114 Marjorie H. Hadden - Deceased SPECIAL CHARGES X direct Cremation $1 ,795 .00 Nationwide Guarantee Program Worldwide Travel Protection TOTAL SPECIAL CHARGES $1 ,795 . 00 PROFESSIONAL SERVICES X Services of Funeral Director & Staff Included Cather Preparation of the Body Facilities & Staff for Memorial Service Staff &. Equipment for Memorial Service Witnessing the Cremation Private Family Viewing/Witnessing Cremation Packaging And Forwarding Cremated Remains Personal Delivery of Cremated Remains Scattering of Cremated Remains X Out of State Fee $550< 00 TOTAL PROFESSIONAL SERVICES $550 .00 AUTOMOTIVE EQUIPMENT X Removal Vehicle Included Lead Car/Clergy Car Family Car Service Vehicle TOTAL AUTOMOTIVE EQUIPMENT $0. 00 r' MERCHANDISE Register Book Memorial Cards Thank You Cards Remembrance Package Cremation Container X Standard Container Urn Burial Vault Veterans Flag Case Grave/Memorial Marker TOTAL MERCHANDISE $0 .00 CASH ADVANCED ITEMS Grave Opening Cemetery Equipment Newspapers Newspaper Vault Service Charge Clergy Church/Organist/Soloist Flowers X Crematory Charge Included X County Coroner Cremation Approval Fee Included X 5 Certified Copies of .Death Certificate $50. 00 NY DC @ $1.0.00 each TOTAL CASH ADVANCED ITEMS $50 .00 SUMMARY OF CHARGES Special Charges $1 ,795 .00 Professional Services $550.00 Automotive Equipment $0.00 Merchandise $0 . 00 Cash Advanced Items $50.00 SUB TOTAL $2 , 395 .00 CREDITS --$1 ,000.00 AMOUNT PREPAID Date Jan 13 , 1999 --$795 .00 TOTAL $600 .00 AMOUNT PAID Date Aug 12 , 2014 -$600.00 BALANCE DUE $0. 00 THIS STATEMENT MAY NOT REFLECT ALL NEWSPAPER CHARGES STATEMENT From CkIUCrL BR( c r� ER �3 r&?'Acl RA NEC W � 'PA t t7 c 5 a 2014 Address aDo 5, 5 ?RcM-,y J,ildr-&) S1 city CA t, LASS PA- 013 Terms— A 114,ob REV-1512 EX+(12-08) M pennsytvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITARESIDENT DE EDENAX TURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Marjorie H. Hadden _ 21-14-0774 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH I Promissory Note to Susan J.Hadden,dated 7/2� 3/2011 46,1-01.85 F — Promissory Note to Susan J. Hadden,effective January,2012 3 6,606.123.� Promissory Note to E.L.Hadden,effective 7/20/2005 23,901.85--- _ l 4.f Installment Loan to E.L. Hadden through August,2013 8 298.22�j i 5. Reimbursement to E.L.Hadden for LifeStation Subscription 723 55 F6] Travelers Insurance,Auto policy 771 35 w ..:_. 7] United Water � 232.46 F8] I Card Services(LL Bean Visa) F_ 40.58], aDiscover Bank 7.5 10. E.L.Hadden for car repairs 693.95 11. Eric Marrow-grass mowing 360.60]; 12. Comcast 543 23� 13. Horne Paramount Pest Control(2 bills) 294.68 14. Borough of Mechanicsburg-water(2 bills) 295.10 15. PP&L 918 14 16. BIS Home Inspection Service 375 00 EE Chad Grim-roof vent repair _ 125.00 18. Reimbursements to E.L.Hadden for vehicle repair 693 95 19. Sunoco-fuel for driving Decedent's vehicle back from New York State 35 g0`�� F20. Hess-fuel for driving Decedent's vehicle back from New York State 28. _ - 5 7 ; 21. Central Penn Plumbing Service, Inc. 247.50 22. E.L.Hadden-birthday check written prior to death � 100.00 23. Traveler's Insurance, Homeowners Policy 24. Leffler Energy-Heating Oil 2,035.96 25. Additional Expenses-see additional sheet 3,328.1 97 TOTAL(Also enter on Line 10, Recapitulation} $ 077 93 If more space is needed,insert additional sheets of the same size. Additional Expenses for Schedule I Description Amount John Songster-painting(2 payments/invoices) $1,430.00 Floor Max $ 580.00 HV Mechanical Services, LLC(2 invoices) $ 586.52 Miscellaneous Expenses to Home Depot, 011ies,Walmart, $ 731.66 Staples,Target, Lowe's, Ritters True Value,Giant, USPS,Sherwin-Williams, U-Haul, Bed Bath & Beyond, Wegmans, Dick's Sporting Goods Total Additional Expenses $ 3,328.18 •I + Effective July 23,2011 i For value received,Marjorie Hadden ("borrower")residing on this date at 110 E. Maplewood Ave.,Mechanicsburg, PA 17055,promises to pay to the order of Susan Hadden("lender')the principle amount of$42,200.00 in lawful money bf the United States of America,with interest on$20,000 accruing thereon at an annual rate starting and re4aining at No for the year of 2005,then adjustable on January 1 of each new year at the the same rate as the "Fed Funds rate"has fluctuated in the previous year thereafter_ Interesl shall accrue annually,but not compound annually. Where 110 E Maplewood Ave.is sold or transferred,all accrued interest will be paid along with the original loan within twenty days of closing of the sale or transfer,or whenever money is released from probate,whichever occurs soo�er. Beyond twenty days,interest occrues at the rate set for the last year of the loan and it shall be calculated for the actual days elapsed during non-payment. i Prepay Inents—Borrower may prepay at any time all or any portioh of the principle sum without premium,provided that any payment shall first be applied to any accrued interest up!to the date of the prepayment,then to the principlle balance outstanding. Successor and Assigns—This note insures to the benefit of the Lender,their heirs,successors and assigns and binds Borrower,and its respective successors and assigns,construed to.!lnclude respective heirs,successors and assigns. In witness whereof,Borrower has duly executed this note the day;and year written above. Attest: By: Susan J. Hadden j Borrower: Marjorie Hadden -e 9 I COMMONWEALTH OF PENNSYLVANIA Notarial seal Conney 3o Schaefrer,Notary Publlc •` "" Upper Allen'rwp,,Comberland County - ... •• M Comrnlsston DtQlreE Feb.32,2014 M®Mber,Pennsvwnla Assoddtlon of Ngtartes 'i i i ! i I ! PROMISSORY NOTE i Effective January,2012 F r value received,Marjorie Hadden("borrower") residing at 110 E.Maplewood Ave., Mechanicsburg,PA 17055,promises to pay to the order of S4san Hadden ("lender")the principle . I amount of$6550.00 in lawful money of the United States oflAmerica, with interest accruing at an annual rate starting in December 2011 using the'avenge,Monthly interest rate"for purposes of calculation. Payment for the principle and accrued interest is due upon sale or transfer of 110 E. Maplewood Ave. When 110 E. Maplewood Ave.is sold or transferred,all accrued interest will be paid along with the original loan within twenty days of closing and of the sale orjtransfer. . I Th, note insures to the benefit of the Lender,their heirs,suitcessors and assigns and binds Borrower, arI d its respective successors and assigns,construed'to include respective heirs,successors and assigns. 11 witness whereof,Borrower has duly executed this note the day and year written above. I Attest: By:Susan J.Hadden S rrower: Marjorie Hadden O"y mv� Life �,.. .I I .I State of Pennsylvanial Colin t3efore (n@ Ute undersigned n ublic, this day, personally, appeared Sucar. . { me known. who being duty awom accordlnd1 to law,deposes-ihe following: i 1 • I Sworn tp and subscribed before me this 2Y f i 1' zoo. I Nott ubllc �� Cotnmonwaalth of PA WTARIAL SEAR. A.Mahar.Notary Public[IKlmbedy Allen Y1nrp.,Cumbetutd Courtlyy commisaion expires Nov.9,2015 1 I ' PROMISSORY NOTE $20,000 Effective July 20"', 2005 For value received,Marjorie Hadden("Borrower")residing on this date at 110 E. Maplewood Ave.,Mechanicsburg PA 17055, promises to pay to the order of E. L. Hadden ("Lender") residing on this date at 111 Smith Street, Wingate,NC,28174, the principle amount of $20,000.00(Twenty Thousand Dollars)in lawful money of the United States of America,with interest accruing thereon at an annual rate starting and remaining at 2%for the remainder of 2005, then adjustable on January 1 of each new year at the same rate as the average monthly rate for the previous year for the account from which the money was loaned. Notice of the new rate will be sent to the Borrower in January of each year the loan is outstanding. - Interest and Repayment of Loan—Interest shall accrue and,compound annually. Payment for the principle and accrued interest is due upon sale or.transfer of 110 E. Maplewood Ave. When 110 E. Maplewood Ave. is sold or transferred, all accrued interest will be paid along with the original loan within twenty days of closing of the sale or transfer. Beyond twenty days, interest accrues at the rate set for the last year of the loan and it shall be pro-rated weekly for the actual time period elapsed during non-payment. Prepayments—Borrower may prepay at any time all or any portion of the principle sum without premium, provided that any payment shall first be applied to any accrued interest up to the date of the prepayment,then to the principle balance outstanding. Successor and Assigns—This note insures to the benefit of the Lender;their heirs, successors and assigns and binds Borrower, and its respective successors and assigns, construed to include respective heirs, successors and assigns. In witness whereof Borrower has duly executed this note the day and year written abavq. Attest: E. L. Hadden Borrower: Marione Hadden I aa. 4. - , -A : M. / » (� - o : �•: ` :dam �:, �. f . - - — - _ _ 1 � , �.• n. - :_ - 17 ... :.. _:.. . — E. .^ _ �i , , `C1C►: Int V tj 4 , .y.. Susan and I agreed that using the information below for calculating the interest on our long-term loans to mom based on the 8.5 year average of 2%interest,compounded annually,would be acceptable,and avoid the tedious calculations for each month as the interest rates fluctuated over the first several years of the major loans. The loans since 2009 would be at 0.25% c/a. ....•.r:: ,...�s.v.#' >....:.r' z`h ....� -------------- t7! orvea.#rad emnm3vcsm it YR:-\ +�?s i.�:pbPtedY�errt�u�f w t�ia.4:x�3ar �;? ,��aEcEeaF�le��4r .-v��,fevt�mcnczT�t r�ftm tggie - ::Ir�unT�tut�i?,.#f �iu� F'r�€��: ': ''� zcheehr ;: TRADING AL ------ ------------- x: s 4 O �me - !Y gfeball�z Gc:a$75ved&when y..+u sPe' ur est 325MY : - ; 44 PXk:etrr3.. .... ------------------------------- ........... ........... �-¢_. .�.,, • A mffa; . 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J 2T, wg M, 0 2T 147:-2^v1, ;:wC:nt .fsale i.:.....:......:.::..:..:::.:....... .. http://www.tradingeconomics.com/united-states/interest-rate Lee Loan 1: $20,000.00 July 20,2005 to Jan 2015 9.5 years @ 2% compounded annually Payback--), $23,901.85 Loan 2: 150.00 per month March 2009 through Aug 2013 =$8,100.00 over 54 months @ 0.25%c/a Payback 4 $8,298.22 Susan Loan 1: $42.200.00 July 23,2005 to Jan 2015 with interest on$20,000.00 9.5 yr at 2% c/a Payback on 20,000-i� $23,901.85 +22,200.00=$46,101.85 Loan 2: $6,550.00 Dec 2011 to Jan 2015 38 months @ 0.25% c/a Payback 4 $6,601.69 Life Station charges to Lee's VISA; for reimbursement from estate account 04/16/12 LIFESTATION 866-770-13 866-770-1395,NY 74.85 07/16/12 LIFESTATION 866-770-13 866-770-1395,NY 74.85 11/01/12 LIFESTATION 866-770-13 866-770-1395,NY 74.85 01/16/13 LIFESTATION 866-770-13 866-770-1395,NY 74.85 04/17/13 LIFESTATION 866-770-13 866-770-1395,NY 74.85 07/17/13 LIFESTATION 866-770-13 866-770-1395,NY 74.85 10/16/13 LIFESTATION 866-770-13 866-770-1395,NY 74.85 01/15/14 LIFESTATION 866-770-13 866-770-1395,NY 74.85 05/02/14 LIFESTATION 866-770-13 866-770-1395,NY 74.85 07/16/14 LIFESTATION 866-770-13 866-770-1395,NY 74.85 08/18/14 LIFESTATION 866-770-13 866-770-1395,NY 24.95CR 0 x 74.85 = 748.50 - credit of 24.95 = $723.55 for reimbursement Traveler's Insurance car thru Apr 2015 [cancelled] Billing Account 030475169 Policies On This Account 1 Vehicle990719779-1 01-1 Documents&Activities Activity is only available up to 13 months. Apr 22,2015 Refund Letter Sent Notice Apr 22,2015 Refunded$2.66 to Bank Account 1 Apr 20,2015 Policy Cancelled 990719779-101-1 Effective 04/14/2015 Apr 01,2015 Paid $77.33 AutoPay EFT Mar 02,2015 Paid $77.33 AutoPay EFT Feb 13,2015 AutoPay Deduction Info Notice Feb 02,2015 Paid $102.79 AutoPay EFT Jan 19,2015 Renewal Effective 02/14/2015 990719779-101-1 Jan 02,2015 Paid $102.79 AutoPay EFT Dec 09, 2014 AutoPay Deduction Info Notice Dec 02, 2014 Bill Method Changed AutoPay EFT Nov 13,2014 Paid $106.78 via Customer Service Nov 11,2014 Billed $106.78 Bill Nov 06,2014 Bank Return$77.33 Notice Nov 06,2014 Bill Method Changed Direct Bill 'Nov 06, 2014 Return Reason Bank Account Not Found Nov 03,2014 Paid $77.33 AutoPay EFT Oct 27, 2014 AutoPay Deduction Info Notice Oct 27,2014. Bank Info Changed Oct 06,2014 Paid $77.33 AutoPay EFT Sep 05,2014 Paid $77.33 AutoPay EFT Aug 05,/2014 Paid $75.00 AutoPay EFT , Jul l720l4 Renewal 990719779-101-1 Effective 08/14/2014 [-------�-------------- -----------'--'--�— ------- -- '' -'---- ` 'Jui07'2014 Paid $75.00 AotoPuvEpT � L j.-;,Apps:0 Importe d From Firef... Wingate University Facebook I Lee Had gank of America I H.- Client Login:'Charic... 0 Turn Your Eyes U E3 TV Listings-Find to.- mot MyAccount Policy Claim Billing Homepage November 15,2014,8:08 p.m.EasterriTime. Your bill or notice underlined below Is available to pay on4ine.To make a payritant select the bill or nolice you wish to pay and you will be automatically directed to the Make a Payment page. Credit Card Information Please note that minimum and total amounts due do not reflect payments or changes received after the date of the bill.For the most up to date status,go to the MaKe a Payment P29e. Offing Documents Niling Activity Automatic Payment Plan Enrollment 11MIM4 Aymn B71 $10638 $305,36 12MI114 Paid Site Kap Listed below are the payments that have occurred on your account within the past 12 months. UO3M4 $77.33 0106114 $7733 09105114 $77.33 Looking for OSMSI14 $75.00 more detail? 07107114 $7500 View BMW Activity to"a up to 12 monft 06105114 $75M of transsellons 0"SM $75,00 View BINV*Documents 04107114 $75.00 for previous bills ond 02/DM4 $7500 01106114 S75.00 � � � � United Water August 2014 thru final payment United 'Fat's r Marjorie Hadden Account#: 00209290920000 Payment Date Amount Received 04/27/2015 $18.14 03/25/2015 $24.48 02/24/2015 $4.88 11/25/2014 i $31.05 11/25/2014 $31.05 �11J06J2014 $31.05 10/31/2014 $24.36 10/02/2014 $37.12 08/22/2014 $30.33 HARRISBURG GEtt�`RAL ACCW 4100 J11111 54�5-4001 UER CREMATION SERVICES OF PENNSYLVANIA, R HARRISBURG. PA 17109 WK gt717)Z7 54 nerrhant 10: 4iwslo-,677 Ref r.: 00(14 Jonestown Road • Harrisburg,PA 17109 • 1-800-720-8221 •Fax 717-541-9943 • Shawn L.Carper,Supenisor Phone Order ,�.. l oom � , 0 . VISA Entry�etilod: l4anual Total: � � 6 C�o . &12/14 11:13:39 I/t�R' 140848 SVP90 Inv#: W Oppr Cade: $�245� Aw d: Online Batchl- W31 W" M19:4 lam , , 0"10, e C 0 , 33 . r United Water Pennsylvania Cust A ear Service Center •- ive A UNITED W�� PA 17036 �� Telephone 737 564 366 pD-+�-r�� B,.zI - www.unitedwater.com ` USAGE HISTORY Billing Date: 08/05/14 Usage in Thousands of Gallons Account Number: 00209290920000 + _ 4 T— a�--. a - a 3 _ Previous Balance $36.57 Payments Through 08/05/14 manrK rou $ $0.57CR.00 2 z.- Balance Forward $0 z Current Charges Due 08/25/2014 $30.33 ' TOTAL AMOUNT DUE $30.33 — Qcomc Account Number 09547 226476-01-2 Billing Date 09/07/14 TOtafi Amts nt Due $9.95 Auto Pay 10/01/14 Page 1 of 3 tt Contact us: '' www.comcast.com 1-800-XFINiTY _ LLBe 1�1 %8mCa Payment Due Date September 09,2014 Sit e� Minimum Payment Due $25.00 issued by B:ir�:slc+ycard Previous Balance $40.58 Statement Balance $40.58 Customer News Visa' Card Statement Page 1 of 4 Primary Account Number Ending in:7328 Questions?Call 1-866-484-2614 PAYMENT INSTRUCTIONS Statement Billing Period:07/13/14-08/12/14 ilbeanvisa.com By mail, please make checks payable Account Summary Activity Summary to "Card Services".Online, please disit libeanvisa.com. By phone, Minimum Payment Due $25.00 Previous Balance $40.58 please call 1-866-484-2614. For Payment Due Date 09/09/14 - 'Paymentsl $40.58 :omplete details please see reverse Statement End Date 08/12/14 + Purchases $40.S8 side of this statement. Credit Line - $6,000.00 Other Credits $0.00 Credit Available $5,959.42 + Balance Transfers $0.00 Cash Credit Line $2,400.00 + Cash AdvahcesF $0:00 fHE DAYS ARE Cash Credit Available $2,400.00 + Fees Charged $0.00 aROWING SHORTER Past Due Amount $0.00 + Interest Char ed °$0.00 lut there's still time to tackle that Overlimit Amount $0.00 tatement Balance $40.5 some Improvement project you've 1#ti )?er.planning,or to grab a great _ t 1-�,, Law Office Of Andrew H. Shaw 200 South Spring Garden Street, Suite 11 Carlisle,PA 17013 /r (717)243-7135 h' ashawlaw@comcast.net t t�3 Invoice Date Invoice# ` CFU 10/14/2014 1515 VICE . . . . . . . . 706 Somerset Drive" ------- ;61 A'" ` SOLD rjC ro t 65-16 A 11 sfifiiPro J� ADDRESS ADDRESS ({ CITY,STATE,ZIP CITU,STATE:Z� ilk 1 / ORDS ' KSUSTOMER: R'3VD.•. SDl:Dl1Y�= :TERIViS f ', -_,7;. tG A-3010 0 k aid �+af x'} m' -K X("' i i .J .''W n•-:w+d4«Mir�$.t»....l+µg^ ""°S`^"'1^F-., .+e..+r+...wt - x5 C i : r r a .. • SiiIP TO ;;� w.... *" U " k 11zAL cis ` STA'lE>ZiP, a '::t�i � -.:�� _ r'�kS:�� y4 is"� i -�t' �k�':'��"t"�8.."# ,tier'•... r b4�Dctitk}lT SOLD:$Y :. : TERMS• f.D.$. DATE L �"""" ��`S�Jt�r�f3 t)CSCSiIPTtOid' :'. Pl1fiCE UN{T._�. ANtbUPdT ,��+; Zi t i s 3 9� v3fC fA 46 t p. �i Th r P SHAW, .C.LAW OFFICE OF ANDREW N. AD NUMBER PAGE NO. 'e Sentind 0 S.SPRING GARDEN ST. W W w.c u m b e r I i n k.c o m 20RI433651 1 Of 1 SUITE 11 BILL DATE SALESPERSON CARLISLE,PA 17013 09112114 wolfc rMtg--- SHMENSBURG MW COUNV 717-243.7135 START DATE STOP DATE 08/29/14 0 C'x ('Lk Vryj6l� Questions?Please 121- Visit us online at Page I contact us by Oct 14. pplelectfliccorn 1-8WDIAL-PPL Bill Acct. No. Due Date Amount Due (1-800-342-5775) 45760-680 2514 $261.50 U_r-slarn to cnm 2— Ak 7,4 14 BOROUGH OF MECHANICSBURG /v "),0-) 36 WEST ALLEN STREET 12 MECHANICSBURG,PA 17055 (717)691-3310 UTILITY BILL ACCOUNT NO: ACCOUNT INFORMATION - AMOUNT DUE 2837-0 LAST PAYMENT: DATE 14 AMOUNT:141.00 LOCATION: 110 E MAPLEWOOD AV PREVIOUS BALANCE: BILLING DATE: 10/15/14 CURRENT CHARGES: 0.00 DUE DATE: 11/17/14 TOTAL DUE: 151.00 151.00 Home amma", V/10 RENEWAL NOTICE Pest Control 800.492.5544 tJ Renewal: 153593 The Leader Since 1939 VVWW.homeparamount.com Date: 10/01/2014 Terms: PREPAID AccountNo:12640 Branch: 109 $82.68, VE Discover More Card Vt-.4o, Account number ending in 0793 Open Date:Jul 13.,2014-Close Date:Aug 12,-2014 Ccrdmember Since 1992 ACCOUNT SUMMARYPoge,1 of 6 PAYMENT INFORMATION Previous Balance Previous Balance $48.24 New Bolan ce Payments and Credits $48.24 _$7.50 Purchases + $7.50 Minimum Payment Due $7.50 A Previous Transfers + $0.00 Payment Due Date September 7,2014 (Com~=L Account Number A 09547 226476-01.2 LB11flng Date 7/ 4 Total 1 08/07/14 8 2 6 Total Amount Due $152-86 )1/1 Payment Due by 09/01/14 7_ I Contact us:G WWW-00 mcast.com 1-800-XFINITY Pagel of &%R-JORIE HADDEN ' ~� Ho�a Paramount Pest C9ntr�1 Home � PO Dox 8151. THIS SV�: The Leader Since 1939 Forest Hill, MD 21050 TA�� $12. 00 888.888.*ow 717-691-8299 www.homepmmo"�com TOTAL DUE. 12. 00 AMOUNT PAID - (No Cash Accepted) F."'MP: 53WEIAND Ma� �orie Hadden ` Make Payable to:Home Paramount Pest Control SG�Ry WIN-: 1_�3 c—xeca — wunevon Order S<�H DATE: 04/21/ 5 E Maplewood H`ve mc— �mex _o/,� ACCT #: 12640 Mechanic. bur�, PA 1��5�-42�5 Exp.- ORDER #: 16643�6 717-766-01B9 - Finance Acct LN FEE" m 0 Resddential PestLOCATION CODES Control SpY�cial 3=Living Room C=Doors 0=Vegetation 4=Bed Rooms D=Wall Voids P=Mulch PRODUCT EPA# RATE AMOUNT LOCATION 5,=Dining Room E=Appliances Q=Under siding Advion Ant Get Bait 100-1498 0.05% B Gr 6=Basement F=Kitchen equip. R=Floor drains Advion Roach Gel 100-1484 016% B Gr 7=Crawlspace G=Baseboards S=Foundation Advion Ant Bait Arena .352-664 0.1% s Ea 8=Attic H=Counters Describe Advion Roach Bait Arena 352-668 0.5% S Ea 9=Garage I=Closets additional Advion Granule Bait 352-65,1 0.22% H Oz 10=Office J=Furniture Arilon 352-776 0.05% — Oz 11=Storage K=Sill plates locations in Altosid Pro G 2724-451 1.5% H Tsp 12=Interior L=Expansion crack comment section. Bifen L/P Granules 53883-124 0.2% H Lbs 13=Exterior CB D-Force HPX 9444-217 0.06% A Oz TARGET PEST: EQUIPMENT CODES Cirrus 1021-1812 12.67% PAS Oz 19=Ants A=Aerosol Delta Dust 432-772 0,05% D, 0=Cockroaches B=Bait Applicator z Sprayer Sprayer EcoExempt Jet 25b exempt 5,0% A 5z 0=Fleas H=Spreader Essentria IC 3 25b exempt O27% — Oz 0=Mice/Rats P=Power Spray First Strike Soft Bait 7173-258 0,0025% S Ea 0=Small Flies/Flies 5=Bait Station Generation Blue Max 7173-288 0,0025% S Ea 0=Crickets F=Foam Equip. Gentrol IGR 2724-351 9.0% Oz 0=Bees/Wasps TIR=Trap Invict Granular Bait 73079-14 O5% H Oz 0=Milli/Centipedes W=Web Duster Maki Mini Blocks 7173-202 0.005% S Ea 0=Silverfish V=Vacuum Maxforce FC Ant Get 432-1264 0.001% B Gr 0=Bed Bugs ST=Steam Maxforce FC Roach Get 432-1259 0.01% B Gr 0=See Comments PAS=Portable Aerosol System Maxforce Fly Spot Bait 432-1455 0.127% C Oz --- Niban FG 64405-2 5.0% H Oz 1e Band TrealFm—entWidth(ft); 411 NyGuard IGR 1021-1603 0.003% _ Oz —Band Treatment Lengt NyGuard Plus 1021-2580 2.1% A Oz Broadcast Treatment Area(square tt): Onslaught 1021-1815 0.025% — Oz Space Treatment VolurnL kk.UiJi�I Lj Phantom Liquid 241-392 0.5% — Oz I EXTERIOR BAND APPLICATION Sterifab 499-473 0.05% C Oz PRODUCT EPA# Suspend Polyzone 432-1514 0.03% — — Oz _jEQUIP. AMOUNT Tempo 1%Dust 432-4373 1.0% D Gr Arilon 0.05% 352-776 Gal Temprid SC 432-1483 0.075% 02 Application Rate -.z gallons/1000 sqft COMMENTS:SEE"POST APPLICATION PRECAUTIONARY STATN—ENTS"ON BACK OF TICKET. EcoExempt G 3.5% 25b exempt H Lbs Demand CS 100-1066 Gal Application Rate-see reverse side Suspend Polyzone 432-1514 Application Rate-see reverse side --- Gall Temprid SC Application Rate-see reverse side Gal CUSTOMER HAS RECEIVED CUSTOMER IN WMATION HANDOUT,CUSTOMER IS AWARE OF INDOOR RODENT BAIT Pest Monitors STATION LOCATIONS. IF APPLICABLE SEE ATTACHED OBSERVATION REPORT, Interior Rodent Stations Exterior Rodent Stations insect Light Traps Customer Signature: Technician(Print); General weather Conditionsi klear OCloudy CIPartly Cloudy yLn wind Speed7—'� mph Wind Direction:_ Temp!�O��7'F Rel.Humidity(circle one):0 M H Time: In— out Top Copy-Branch/Bottom Copy-Customer C159 09.14 5/5/2015 Check Image Check Image Print 3-7616-360 OilMARJORIE H HADDEN, ESTATE 124 EDWARD L HADDEN, JR, EXEC # 111 SMITH ST20 JX' I WINGATE, NC 28174 Pay To at>>4ok C;�I( f�, ZJ -w� teS Hca G .A J y l ICy 1 The Order Of � f-. p� Dollars LJ b +j+ CITIZENS BANK 1 PENNSYLVANIA # For A,837-4 1:0 360 r? r. 1 501: O 1 24 m ca _ _ Orrstown Bank Shippensburg, PA 17257 Phone: 717-532-6114 - - _ - Bus Date: 03/12/2015 _ Branch/Teller 0049/0123 03/12/2015 15:08:28 CLOSE This is an image of an item(check,substitute check,or debit memo)which has posted to your account.Items resulting in a non-sufficient funds situation may not have been paid.Unpaid items will show as a credit item in your account history on the business date following the date the item was presented. https://www4.citizensbankonline.com/efs/servlet/efsonlinefimage.jsp 1/1 27466' i i. SOLA TO ,/° SHIP TO ADDRESS ADDRESS /icy f I �� > Cewf ~�- �-' CITY,STATE,ZIP �,, 170s t:3 — CITY, J2��C� C l A'' t 12 _ T / J CUSTOMER ORDER NO. SOLD BY TERMS F.O.B. DATE ORDERED SHIPPEP DESCRIPTION PRICE UNIT AMOUNT A-5840 T-46706/46721 Two Comcast payments I made from my VISA [inadvertenly paid twice which gave credit through Feb 2015 ► Expand transaction for Transaction date: 11/14/2014COMCAST OF CENTRAL Type Purchases $190.21 11/14/2014 PA 800-COMCAST PA !----------------------l-------I ------------- -------------------------------------------- i Expand transaction for Transaction date: 11/14/2014COMCAST OF CENTRAL Type Purchases 1$190.21 t14/2014 PA 800-COMCAST PA PP&L Bill history from Jan 2014 to Apr 2015 [MHHadden acct; & estate acct begn 10-2014] 4576068010 Account: B Account Transaction Date DueDate Account TransactionType PaymentMethod Amount Balance PaymentStatus _................................. 4/21/2015 5/1212015 4576068010 Bill -- $80.04 -- -- �.. .......... .........,.m..l.....-......................_................................,,.....-......................._................m.m.............._m,...._..................._......, .......................................; n,... 4!1312015 ?-- 4576068010 Payment Auto Pay $102.38 Success i .....---...... 3/13/2015 — 4576068010 Payment Auto Pay $88.81 -- Success 1 2/12/2015 -- 4576068010 Payment Auto Pay $80.63 -- Success 1 11 3 1/12/2015 -- 4576068010 Payment Auto Pay $102.84 i -- Success 12/4/2014 -- 4576068010 Payment Electronic payment $50.43 ! -- Success Customer issued .................. ................... ......... ............. ,...............,..........,.. .. ............_..... Print t Table Export thi s view Account Number: 45760-68001 Account owner MARJORIE HADDEN Service Address 110 E MAPLEWOOD AVE,MECHANICSBURG,PA 17055 Rate type RSO Payment History Pavment Date Amount Method Status 11/24/2014 $41.49 Auto Pay PAID 10/24/2014 $110.02 Electronic payment Customer issued PAID 10/03/2014 $261.50 Electronic payment PPL issued PAID ' 4 { .4 it_ � 3 E � ful Rt DA { �i f VS 3 Z i • I .�Y. E £k EE{� ' E E f ,ILA SWIPED A & BTIUE 415 S MARKET ST 1 5 invoice MECHANICSBURG PA 17055 717-691-7141 5 Date Invoice# IERMIIIAL ID.. 088600 MERCHAIII f«: 88014088555 1116/2014 23480 VISA 004M055336 EXPI-0j 1 SWIPED SALE Year,Make,Model BATCH, 000311 IAU= 000005 ,Ian 17, 14 16".44 2002 Subaru Forester L RRII: 0337000: AUT H: 045180 ERL2744 TRACE H: 284017144953105 UALIOATIOH CODE: PS5C 2.SL 06114 AP 65336 TOTAL $693_95 EDWARD L HAODEII�''!� 6n w''q_C f S�r J . Key No. Phone No. Tecnician Method t ------------------------------- I AGREE 10 PAY ABOVE TOTAL AHOUHT ACCORDIIIG TO CARD ISSUER AGREEHEHT Mark IIERCHAHT A6REEM1HT IF CREDIT VOUCHER THANK YOU! iption Qty Rate Amount PLEASE COME AGAIN! 4190 1 181.06 181.06T CUSTOMER COPY :4189 1 181.06 181.06T 1 10.00 10.00T 2.7 68.00 183.60T 98.95 98.95T Subtotal $654.67 Sates Tax (6.0%) $39.28 Total $693.95 Phone# E-mail Web Site 717-691-7141 abautot@comcast.net www.myabauto.net 0 3 3 ❑ 0 0 0 ❑ 0 0 0 0 0 ��mSm ❑❑ ❑❑m ❑❑❑❑❑❑0000, ❑g C]0c 000 15 0000+ ❑> ❑m 00 000000 c� Q� " ° -� szj � RO2m °� z r rim x oz yob Ow 1 b �- i mcn cm Cf ; ❑ 3❑0r r" C3 +G<� ,S5 �}>pc 1 ,may ❑ $ = 7c m m A n l< x Q S� O n y to m c i z g jai 0 19 13 13 Q Z O -.A A T>t m 2S�.i� gJZ� n 91 HCl m0C7h0 N❑ om0 m z 3 a� jt p 2-4 I I I l I BOO �o - �C azm m-cOm n nP Q (fin 4 �n N m m fA r q0�0 .rte O . I am 0 CIE M = m m 7 ic �, . w 3 b :1bi clQ ;c7 m Z O 3mm C }'• S { . 3 �N y m , a- z c� m V n A > 34 p i1.l. vO cai PO 3� o m COO -i 3 c�i mZ� ^�' ON , g -i o , ❑❑❑❑❑❑ 9 _ m ZO m n S O Nm Z Z _. Op fifi ey yy (J i m C� ro m m G m t ! ' Travelers Insurance WO, property April 2104 through Apr 2015 Estate began August 14 2014 Billing Account 991281435 Policies On This Account 110 E MAPLEWOOD AVE991281435- 633-1 'Documents( .. le up to 13 months. Apr 23,2015 Description Unavailable Confirmation I Apr 20,2015 Policy Cancelled 991281435-633-1 Effective 04/22/2015 Apr 01,2015 Paid $42.41 AutoPay EFT Feb 13,2015 AutoPay Deduction Info Notice Jan 19,2015 AutoPay Acknowledgement Notice [Jan 16,2015 AutoPay Acknowledgement Notice Jan 08,2015 Renewal 991281435-633-1 Effective 03/14/2015 Oct 27 2014 AutoPay Acknowledgement Notice i Oct 27,2014 Bill Method Changed AutoPay EFT Aug 20,2014 Paid $277.10 by Mail Aug 01,2014 Paid $40.58 - - AutoPay Card Jul 01,2014 Paid $40.58 AutoPay Card Jun 02, 2014 Paid $40.58 AutoPay Card May 01,2014 Paid$40.58 AutoPay Card Apr 01,2014 _ Paid $40.58 AutoPay Card _ User Name: lfbrakers F Transaction Report 12-Mar-2015 12:05 pm Cust# 4630980 Date Type: Event Date EST OF MARJORIE HADDEN %EDWARD L.HADDEN JR EXEC Transactions from 01/01/2014 thru 12/31/2014 111 SMITH ST. WINGATE,NC 28174 Current Balance: 0.00 Posting Event Date Code Description Reference# TLS Units Ppu Amount *Balance 12/22/2014 32 #2 HEATING OIL 836326 Tank-1 175.50 2.990000 524.75 494.75 12/17/2014 252 ADJUSTMENT 5 -30.00 -30.00 12/04/2014 227 ACH/DEBIT PAYMENT-THAW 12414 -592.35 0.00 11/21/2014 32 #2 HEATING OIL 805939 Tank 150.00 3.949000 592.35 ----rr07/2014 222 CHECK PAYMENT-THANK YO 2848 -1,325.64 0.00 06/0412014 222 CHECK PAYMENT-THANK YO 2843 -250.00 1,325,64 05/06/2014 222 CHECK PAYMENT-THANK YO 2837 -250.00 1,575.64 04/01/2014 222 CHECK PAYMENT-THANK YO 2829 -250.00 1,825.64 03/28/2014 32 #2 HEATING OIL 567105 Tank 191.60 3,949000 756.63 2,075.64 02/27/2014 222 CHECK PAYMENT-THANK YO 2820 -250.00 1,319.01 02/22/2014 32 #2 HEATING OIL 533119 Tank 189.30 3,999000 757.01 1,569.01 02/03/2014 222 CHECK PAYMENT-THANK YO 2815 -250.00 812.00 01/24/2014 32 #2 HEATING OIL 504749 Tank 207.10 3.699000 766.06 1,062.00 01/16/2014 172 CEILING REDUCTION COST 0 102.00 295.94 01106/2014 222 CHECK PAYMENT-THANK YO 2807 -250.00 193.94 Totals: Debits: 3,498.80 Credits: -3,447.99 Units: 913.50 Net: 50.81 The balance column reflects a running balance based on the transactions selected and order in which they are posted.Whenever the selection Page: I criteria include a date range,and the transactions involved have not been posted in event date order,the running balance shown here may differ from other transaction history screens and documents. User Name: lfbrakers Transn' tion Report 12-Mar-2015 12:06 pm Cust# 4630980 Date Type: Event Date EST OF MARJORIE HADDEN %EDWARD L.HADDEN JR EXEC Transactions from 01/01/2015 thru 03/12/2015 111 SMITH ST. WINGATE,NC 28174 Current Balance: 0.00 Posting Event Date Code Description Reference# TLS Units Ppu Amount *Balance 03/09/2015 227 ACH/DEBIT PAYMENT-THAW 3915 -499.90 0.00 02/23/2015 32 #2 HEATING OIL 900001 Tank 178.60 2,799000 499.90 499.90 02/12/2015 222 CHECK PAYMENT-THANK YO 123 -418,66 0.00 01/23/2015 32 #2 HEATING OIL 868204 Tank 139.60 2.999000 418.66 418.66 01/16/2015 222 CHECK PAYMENT-THANK YO 122 -494.75 0.00 Totals: Debits: 918.56 Credits: -1,413.31 Units: 318.20 Net: -494.75 The balance column reflects a running balance based on the transactions selected and order in which they are posted.Whenever the selection Page: I criteria include a date range,and the transactions involved have not been posted in event date order,the running balance shown here may differ from other transaction history screens and documents. IL :USTOMER'S ORDER NO. DEPARTMENT DATE SAME ADDRESS ':" :IT'!STATE,ZIP SOLD BY ('.ASH C.D.Q. CHARGE 4N.ACCT. MDSE.RECD. PAID OUT QUANTITY OESCRIIPTIOH PRICE AMOUNT 1 t 2 J jKJ _ Cif-x.�, .5' 10 !- 13 12 14 .� _ a Y 15 16 17 18 RECEIVED BY �. l :1-77 KEEP THIS SLIP FOR REFERENCE 01.A7 5/5/2015 Bank of America I Online Banking I Accounts I Account Details I Account Activity Bank of er cali' Offline Bankin ELHADDEN kt CHECKING 0028: Account Activity Transaction Details My Description: John Songster Check number: 00000002470 Post date: 03/04/2015 Amount: -755.00 Type: Check Description: Check E L HADDEN 2470 ' KATIE HADDEN —111'SMmi ST—(704)'2334818 66-19,1510 W INGATE,NC 28174 F �68 � I � Date Pay t Ordderofthe 36-0ty �©N CiTT�2 � $ 7SS.`d Se—c- EN ,rk..��eEfl F�rrY Five a ;tr. .-.., Dollars in Bankof America Bank of America Advantage" ACH WT O&WW19aMFF F"j For,P- �_j !n' 10 CO 5 3000 i 96i: 0000 300 200 280 21. 70 rCD_�amaQsm a�R..�R `I . I "tee_ -a��oas 3 �3 "�� a � >031301846< I "' 1' 'g1� r—�Metr0 Bank Hub #01 (a a �$ P'�=c0010759640� a i�fv3 e l „ O I 7 https://secure.bankafamerica.com/myaccounts/detai Is/deposit/previ ous-page.go?adx=6464e3eO3l465205edO5240958Oe985c5a233OOe97fb5fOc833f7b2cf88f4423 1/1 Invoice X4420 4550 Chambers Hill Rd.Harrisburg,Pa 17111 (717)564-6464 Susan Hadden 110 E. Maplewood Avenue Mechanicsburg,PA 17055 Invoice Details Proiect/Job Details Date 3/2/2015 P.O.# Terms 50% Depo/50%Final Due Date 5/1/2015 Project Total $580.00 Description Qty U/M Rate Amount Materials for Bathroom: AO Chloe with black dot 43 sqft 11.45326 492.49 Material Shipping Fee-J J Haines I ea 32.00 32.00 Fi berrock 1/4"3'x 5'Backer Board 3 ea 18.50333 55.51 Labor: Minimum Tile Installation(Under 78 sq.ft)INSTALLER TO SUPPLY MODIFIED& I ea 0.00 0.00 UNMODIFIED TfUNSET AS NEEDED. Remove&Install Toilet I ea 0.00 0.00 REVISED DUE TO ALL OF THE INCONVIENCE AND UNTIMELY INSTALL. DRW Sales Tax 6.00% 0.00 Questions? call Customer Service at(717)664-6464 Mon-Fri Sam to 6pm rrrrrrrrrrrrrrrrrrrrrrrrrrrPlease d e t a!h*a*n!I* e*s returnu*b*.!t1h*payment*eoIt o*st the ea*d*r address*be*l below prior o*r*t to*t the*d*u e*date. 0 Susan Hadden Invoice# X4420 110 E. Maplewood Avenue Terms 50%Depo/50%Final Mechanicsburg,PA 17055 FloorMax Due Date 5/1/2015 4550 Chambers Hill Rd Total $580.00 Harrisburg,PA 17111 Payments/Credits -$500.00 Amount Due $80.00 TIS!A! msc�ER Amount Enclosed: www.FloorMaxPa.com H V Mechanical Services, HVIlechan cal Invoice LLC Date Invoice 698 Julie Ct •HVAC•Electrical• Plumbing # •Geothermal •Hydronics•Service 3/26/2015 8872 Mechanicsburg, PA 17055 71Machani9b rg,PA Terms Due Date Net 30 4/25/2015 Bill To Balance Due $484.02 Susan Hadden 110 Maple Wood Ave Mechanicsburg,PA Project Service Date Quantity Description Rate Amount 2/19/2015 1 Plumbing Service Call:02-19-15 75.00 75.00 -kitchen sink not draining -replace existing galvanized drain pipe with new PVC -install one mechanical vent for kitchen sink drain -replaced washer in basement sink valve -check for proper operation 1 Materials 79.02 79.02 6 Mechanic Labor 55.00 330.00 Please remit payment at your earliest convenience. Thank you for your business. We appreciate it very much. Sincerely Heath R.Varvel Total $484.02 Overdue Accounts will be charged 1-1/2%per month Finance Charge H V Mechanical Services, Invoice LLC HI/�echantcei Date Invoice# 698 Julie Ct •HVAC•Electrical 6 Plumbing Mechanicsburg, PA 17055 'Geothermal .Hydronia•Service 3/26/2015 8873 71Meccha1;96�U56 Terms Due Date Net 30 4/25/2015 Bill To Balance Due $102.50 Susan Hadden 110 Maple Wood Ave Mechanicsburg,PA Project Service Date Quantity Description Rate Amount 3/5/2015 1 Plumbing Service Call:03-05-15 75.00 75.00 -water in crawl space -customer claims water in crawl space came from master bathroom leak -ran water and found no leaks coming from bathroom -water probably coming from snow and ice melting outside 0.5 Mechanic Labor 55.00 27.50 Please remit payment at your earliest convenience. Thank you for your business. We appreciate it very much. Sincerely Heath R.Varvel Total $102.50 Overdue Accounts will be charged 1-1/2%per month Finance Charge (1, cm Lo f C> I 4bft to tff C 4T ej Lf- S , !� O ====C) Cc n CC LJ O -C C xA UT 'A 4m 1 .x C: U L L %a it 0 Caf, 0 WLL go -C :z <r- ma ff .93 x On to j- It ta L �Ijm - �: U a- n a 0 0 tj a -,: tn cn I-- C) CC _j :> a Y' (A Ln ra M Ln LuNt: raa i it: tm OR �c CD (D CD 7' CF> 00 xc Ul)to W) C14 U) CDO') c:x C14 C-4 ix coo S-r- qr w A A Q CW :r. 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A r e HOW 14AS YOUR SHOPPING EXPERIENCE TODAY? IC6mo fue su exPer-iencia de compra how? Please complete our NEW SHORTER surveu at; Por favor complete nuestra breve encuesta en. . . http://www,surveg.walnart.com You will need to enter the followins online: ID #: 7GT4NPNF76S IN RETURN FOR YOUR TIME YOU COULD RECEIVE ONE OF FIVE $1000 WALMART GIFT CARDS No purchase necessary. Open to legal residents of the US, DC, or PR, 18 or older, to enter. To enter without F-urchase and for complete official rules visit www.entrs.surveg.kialmart.com. Sweepstakes period is shown in the official rulest. Survey must be taken within ONE week of today. THANK YOU! WE VALUE YOUR OPINION! C1 6,t JVA Walmoi-Irt Save money. Live better, ( 717 ) 691 - 3150 MANAGER STEVEN FLYERS 6520 CARLISLE PIKE STE 550 - MECHANICSBURG PA.17050 ST4 1896 OP# 0000,1269 TE# 11 TR# 04888 REY HD FOIL 001090000021 2.98 X UDGRASS KLR 0021,19626161 5,97 X SUBTOTAL 8.95 TAX 1 (1.00 0 0 X 0 TOTAL 49 CASH TEND 20*> CHANGE DUE 10.51 # ITEMS; FDOLD 2 - TC# 4404 1454 39111 9249 1124 1111111 11111 11111111111111 lilt 1111111111111111111111111111111111111111111111111111111111111 Try the new Savinss Catcher today! Go to walmart.com/SavinasCatcher 08/26/14 14:39:29 SAVINGS* CATCHER Download the Walmart app from http://wmt.co 7 1) wo 3HI 33S jS;.0 IV4 Ool i4old .3H31d 'sNuny N.30 Plolleolet SgAdgSgd C-j ca -_j ERP: NO SgUlAi OPodg(l 914014 9HI Aollod SAVO I SNO V "'NI-430 A011od NQ8'nA011Od C6Sl Ploe/CO/60 99 bEE 9.9 ozuo GO <:* Lr2 C, i v o c cm c"I am c-j c14 LU -4 09OT99"60geO 9003 XXx 14 HYSTA 909,gXXXXX,c" IVIol'a LL. (Kx XVI sglvs lyloans Nivou x1a cl� V-- .31V8,9 xjV Nnod ,9 Is 90bvo4moeso Nd OS: 95I03s - ino x,1,3Hl _413S bTIC0160 Cl) LO 89THSV3 9909C Lo cl� Z7, .70-96-,96ZQWA883j 9 (103, 8,399000 Ono U') CD $VNVH 3doiS co Ssoz 4 Yd (D H03W 'Ald .91SI18VO 0009 ael-2t c� uj az= rte. "Bulop --J G)_j oto c� ICZ 173 Xm Luas 4- co 1-4 C:) CC) C.) CF) to —4 uz co f--f CL —0 CD LU CC Rf LL ; C i ci cil C> X C13 a. CnD CC13 C�j U3 U-1 Cn Ckc, C.3 co _C<C3 U-1 7E jbi >< c j Ln (33 412 C3 -7U:)2 U-) --j .- uj gr-2 C; Co CO cf:) 4- C-2 •-91 c*F' ,moi- • Cl! vi (l3 3 Q o a o 0 0 0Lu i n LU I Lu CJ 1 r - I�IIrrrAltllsN 4M EC) 41 CD 41 CO F4- ¢ 4 1 Q L_1 J( Y to F- U L: 1 C7 O 'N �0 st- ¢ CO uj N 0. cD *,� cn c 1 t17 L- �s N 0•) Z t O fN N 6 CD (.0 Ch W �M co 0 —► O alc 1 41 10 O t O 7 CA d s v ¢ t LL. E F— r-,• h / � : =xw\ * I :nto aV =CC"i ~ W 'i"� '1"' CC' a- Lu _ i z4 CC:.. E � C) v z O i S s _r C) Q ,0�LO COD Lf3 �s. 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A ¢F- wEF r+ U)UJ V OV)J tOD V m =I- = F--WQQQ Wm an _Jcnw<ccot 3 aDJF-w C) F- Col--3L1J0- OQcCD i H0 Q)'-7 r+JQ...=CK: (ACDF-!0 V a-W '00 1 a-��F-4Om OD to WF-- - (1)CZOJMC7 OCD' J WcC F-C)-4OmZ tDC'7 (13Ix O 1- Q O LO Ln "LLJ S .,Zr 1.4=r-(3 X14 J4c.7 OCn +-+ZMinto XO IZ.Q T-FO CVQh}N= X ¢Z O-')I toa:N=CVO XW C3Q O OC3T-i ON XC3 SC)M T+o T-Fmlo xo C:) W C*4 U')-100 x x c3 CW 1-4 V QV 00a X Ocr- OZ LO(1)tDT-ihZ XS (D 0 N C" M 01 .-- X F— F— T1 cc ;Zr Cl) h ><M Cn [TU O O O X¢ �.. MECHANICSBURG, Pennsylvania. 170559998 4134870055 -0097 11/17/2014 (717)697-4641 03:44:23 PM Sales Receipt More saving.. Product ..Sale Unit Final S.0a o o o More doing." Description .Qty Pr ce Price =a y a T y 6000 CARLISLE PIKE; MLCH. PA -17055 Q® RED BANK NJ 07701-1921 $13.00 - STORE MANAGER TEDD 8 1ERRY(717)795-9602 4 Zone-2 I Priority Mail 2-Day By Weight 4120 00058 64848 1.1/13/14 09:43 AM 10 ib. 7.4 oz. CASHIER SELF CHECK QUI - SCOT98 Expected Delivery: Wed 11/19/14 q w S �N Includes $50 insurance ;" N.- 648846002563.3 DRY.;FILTSz.<Ay 5.58 SHOPVAC/GENIE.REUSABLE FILTERS 3PK USPS Tracking #: `ad n ° 3 9505.5111 2591 1321 5661. 57 SUBTOTAL 5.58 SALES TAX. Issue Postage: '$1.3.00 = r. TOTAL. XXXXXXXXXXXX3577'VISA �' Q 2 Clear 1 $1.49 $3.49 A AUTH CODE007278/,25S439Z, l; TA Package Tape' a o �- 1.88" x 800 ^ F 0 T tal . G rb A o 2 i Paid by: " _ S? r .VISA $16.49 T w x sa R;'_'• ' Account s«: XXXXXXXXXXXX3577 c N; Approval #: 02510B 3 g o IIAfp31 NLN1 ` .T.ransaction #: 818' � a. v y23 903110112 cm 3 a a ' Swkw 161=VI BAMS V Z Qualle r,9616mah'S !6;Wary Gape • r i. e. m ' rp 5301.SIMPS00 FERRY ROAD' MECHhtf1CSBURG,' PA 170:55 i Store Telephone: (717) 7156-6550 :'.° �. MECHANICSBURG Store 5167,. _ m tj Pharmacy Tel ephone (717? 591:•-9565 . f,; i N Stare #633;t '11 L18LiA 01:•20p0 5258C SIMOSON�,FERRY RD i, MECHANICSBURG PA.::17050 3514 a Cr m GENERAL ME12CH11NDISE t A rt a $B .j,(.RSBLGL SM" ' 1.99 T I (7,,1.7)69.1 l_IB!tAIJ GATOR MOP. 17.99 T Fax (717) 796.965 7 GROCERY www.sherwin-williams�com e e SB .4TCHN.CLN.PAD,-. 1.79 T SB' (TCHN CL:N P{1D' •'. 1,79:.T:: . SALE 2:25pm RLn m " w TAX .1.42- Tran # 8235-8 11/19/p4 _ a **** BALANI E 24 98' **,r****""it:r 1*it VK*ItW w"it*t it- *�*� Order # OE008009165167 d Payment:Tyke. VISA'': Du -`�-1 SONGSTER*JOHN..J " Card- Pa **r*•ru*t**** 3577 t �� Account XXXX-6535-2 J a ment Amt '624.943 I W y : Job 1 SONGSTER*JOHVJ. BALANCE: $: - 8i11 To: AUTH# 0352i3 11/1.8/14 01:200 °1 SONGSTER�JOHN J `N° 1D N° N `a" 24,98 "4kBLi CHAVGI_ i. Viw,ACSBURu, PA 17055 4258 11/18/14 01 20pm 6 331 50 89 872263 W 1'491 W,5 Z : ... �. .•. _ t 6502-02dU8 i;A.L LON . A32W253 P&F Eli SP 'SATIN DEE 1 .00 53,.49. 53.49 155-1340 101341900 TIN'H r' NYLPOLY *Sale Price 1.00'x.' 4`;25•` 4,25 t ` 1 , SUBTOTAL _ 57.74 €1 5.000% SALES TAX:1-391705000 3.47 1 VISA f =61.21 C/C# XXXXXXXXXXXX357.7 Auth # 08954B TOTAL 15 i BITTERS TRUE VALUE HARDWARE 25 W. MAIN ST. RITTERS TRUE VALUE HARDWARE MECHANIC•SBURG,, PA 17055 . TITTER: 25 W. MAIN ST. 717-766-7631 2 "` MECHANIC'SBURG. PA 17055 MECHA `!. A 1(05` I 717-766-7631 (u31 Transaction#: A290119 Associate: PAULA T ar,saction#: A290071 Date: 11/28/2014 Time: 11:57:45 AM satiate: RpBBIN 1 x,3:42 PM ite.: -11/28/2014. Time:10:33:01 AM * * SALE * * * : SALE **r _.__--------' MP32:02 HD Drain Cleaner. 86 �.OZ ''� Dra 6733 Gleaner 1.00 EACH @ X3.29 T $3.29 P'•as Cement "" $3.29 NUTS, BOLTS, SCREWS J i@ $3.29T Cw ,. C, Subtotal: $3-2.3 1.00 EACH @ . $0 .01 T $0.01 6% - State Tax: $0.20 Subtotal: $3.30 TOTAL: $3:41) 6% - State Tax: $0.20 TOTAL: $3.50 VIS : $3:4.� M CHANGE:. VIS $3.50 ' 18 CHANGE: 0 19 S TO PAY. TOTAL AMOV' 10 CARDHOLDER'S AGI ` NULD( c{' BUYER AGREES TO PAY T. 'S AMOUNT ABOVE ,oSutR ACCORDING TO CARDHOLDER AGREEMENT WITH 1 SUER �roval:07326B g4-.VISA ****,********3577 Approval:01901B CNUM:VISA-**+„********3577 f-SUSAN HARDEN EXP:**/*” c x:3.49 NAME:SUSAN HARDEN AMT 3.50` ; 17 -- ut>F.fd b r:a ure _ X --amu Foi ized igna ure THANK-YOU FOR .�HGPPIN RIT eRSby = THANK YEOR SHOPPING RITTE'x'. IlI returns t' `. �Pipt -------------------------------------- 00THANK YOU FOR SHOPPING BITTERS, ns m,;st be accompanied o'r a valiu ;1A sales receipt. All returns must sales receipt. by il �cllllllllll��lt��'1I 2 g 11 7�III�II��Illllllllll �2111111111111 2 8 9 6 3 2 9 0 Welcome TO Rutters BED BATH & BEYOND 41135 1455 York Road 6416 CARLISLE PIKE SUITE 2700 Carlisle Pennsylvania -MECHANICSBURG, PR 17050 17015 717-796-7020 SMore aalvin tore:0066 9. Appr:05041B j " ; 01135 10 03/04/15-11,50 483620 52- 1133�ng- Remar 1Sul@ 1$ 499G 6000 CARLISLEPIKE, MECH; � PA. 17055 i RUN # 0113-5113-3052-0304-1500 Vo ume: 9 5 G a l STORE MANAGER TEDD B,TERRY(717)795-9602 t• Gas Total : $4.99 4120 00010 08119 '03/14/15 10:48 AM I WAM PS MC CANVAS H 1T Total $4.99 CASHIER CATHY -.CMW1509 61749545543 . OUR PRICE 10.99 ;t094664022683 BRMLIT <A> 15.94 WAM PS MC CANVAS H 1T Visa BRIMLIT '- WHITE LED 1 61749545543 OUR PRICE 10.99 X X X X X X X X X X X X 7161 I 086364345728 DOORMAT <A>. 14.97 WAM PS'MC GRY H, IT w: FLORAL BLOOM 18"X30!': DOORMAT 066296039636-DOORMAT <A> • 16.97 ' 61749545548 OUR PRICE - 10,99 02,/25/2015 12:18:14 : 20"X36'' LEXINGTON CLIFF.STRIPE MAT I WAM PS MC GRY H IT ! 010186762555 10LBGROUT381` <A> 13.87 61749545548 OUR PRICE 10.99' #381 SRT WHIE NONSAND GROUT 1OL8 I agree t o pay the 0000-512-740 CARAT <A>, WAM PS MC GRY TM IT above Total Amount 6 ELEVATIONS - LEAF.GREEN,CARPET 61749545617. OUR PRICE 19.99 IssuetllABreementd ;y 8C+�2.46 ':r y 19.68 kI WAMPFTSFT• CANVS2IX 1T N 0 W Available SUBTOTAL 81.43 i q ag30591 OUR PRICE 24.99 SALES.TAX 4.89 No Surcharge ATMs �_ Wr,,.. FTSFT GRY 24X4 1T WHY GO ANYWHERE ELSE TOTAL'. $86.32 XXXXXXXXXXXX7161 VISA 86.32 4269'430572 OUR PRICE 49.99 AUTH CODE 018008/1100490 TA :,1� SUBTOTAL 138,93 i ! PA 6.00% SALES TAX 8.34 1 TOTAL 147.27 EBERLY LUMBER CO. VISA. 147.27 BED BATH & BE-YOND #1135 135 W ALLEN ST. ACCT#: XXXXXXXXXXXX7161•.(S)- 6416 CARLISLE PIKE SUITE 2700 MECHANICSBURG, PA 17055 EXpDT: xx/xx MECHANICSBURG, PA 17050 03117/2015 13:30:17 AU1'H#: 087748 } 24 717-796--7026. CREDIT CARD 11 .. r 135 10 03/12115-11122, 198829 03-8980 VISA SALE {r CARD# X)0000006 XXX7161 RVN # 0113-5898000:1-0312'-1500 INVOICE 0006 0006 /` Evo U dna ya.gat C.".4 bw MPFTSFT GRY 24X4 1T $EQ #: • 69430572 OUR PRICE 49,99-RETI Batch#' 0OW56 6416 CARLISLE PIKE M PS MC GRY TM 1T Approval Code: 005298MECHANICSBURG,MECHANICSBURG, PA 17050 7495-15617 OUR.PRICE 19,99-RET t Entry Method: Swiped (717) 791-4500 M PS MC GRY H 1 T Mode: Online i r 719515548OUR PRICE 1 T 10.99-RET SATE AMOUNT f1 ' 03/02/15 OP# 342134 4 PS MC GRY H799515548 OUR PRICE 10.99-RET1 V v 1 PS MC CANVAS H 1T vi;G COLBY JACK SHD 2.49 1`49545543 OUR PRICE 10,99,�lle Q16 FRESH HEAVY CM 1 .69 1 PS MC CANVAS B IT >i��ol2 5 KR PHIL CRM CHEESE 2.49 '49545520 OUR PRICE• 14.99 ,y i.. WB FYFGA GRANU SUG 2.49 1 PS MC CANVAS B 1T AM PNCK/BAKING MX 6.29 '49545520 OUR PRICE 14.99 WB KENYA NYER14A) ` 7.29 1 PS MC CANVAS T 1T _ GHIR UNSWT COCOA 4.49 49545612 OUR PRICE 19.99 BOBS GF BAKING FLR 3.99 20%t OFF: ITEM T 4,00- n ;,_.et ORGANIC BNLS PRK S 12,46 YOUR PFtICti 15,99 `�.ENER BATTERY AA-4 1TM_ VEG BRWN RC ROLL 4,99 vjSEL-A-VISN GLAceFz 18,9c ATL SALMON PKG 3 2 7.2E 0.98 lb @ 3.49 /Ib WT ASPARAGUS GREEN 3,4; 1 .35 Ib @ 1 ,99 /Ib WT 6! 41T MAItAN SWEET ONIONS 0 84 RITTERS TRUE VALUE HARDWARE 25 W. MAIN ST. RITTERS TRUE VALUE HARDWARE MECHANICSBURG, PA 17055 25 W. MAIN ST. 717-766-7631 MECHANICSBURG, PA 17055 717- ,•6-7631 Transaction#; A307502 Associate: ABIGAIL r 07251 Date: 03/1012015 Time: 03:08:51 PM uace: Us, ime: 11:41:11 * * SALE *** AP Ciant Bone Sponge, . 689935 Korky Class Flay. 1.00'EACH @ $?.29 T $2.29 153655 1/2PT GLD Oak WD F, J sh 1.00.EACH @ $4.79 T $4.79 208553 1.050Z DK Oak'WD Putty 1.00 EACH @ $5.49 T $5.49 417405 160OZ Hardwood Refill 1.00 EACH @ $4.79 T $4.79 110602 1202 Amish.WD Milk 1.00 EACH @ $23.99 T $23.99 183845 1" Poly Foam Brush 1.00.EACH @ $10.99 T $10.99 244635 1.00 EACH @ $0.99 T $0.99, Subtotal: $20.57 2" Poly Foam Brush . 6% - State.Tax: $1.24 244704 TOTAL: $21.81 2.00 EACH @ $0.99 T $1.98 VISA: $21.81 26 Subtotal: $34.74 CHANGE: $0.00 6% - State Tax: $2.09 _ TOTAL: $36.83 ou dnoo VISA: $36.83 22 GA1900.1 pue Aenans;elaq a e;elduaoC) CHANGE: $0.00 -- RITTERS TRUE VALUE HARDWARE. h RITTERS TRUE VALUE HARDWARE 25 W. MAIN ST. 25 W. MAIN ST. MECHANICSBURG, PA 17055. MECHANICSBURG, PA 17055 717-766-7631 71.7-766-7631 Transaction#: 4•'tfi8860 Transaction#: A308265 Associate: GA:. . Associate: MACKENZI Date: 03/1b!?,- . ;: 12:33:22 PM Date: ;6/1412015 Time: 03:41:27 PM _ ++ SALE *** 160Z Hz; Korky Orig BLK Flapper kOF 225276 $9.99 1.00 EACH @ $4.49 T $4.49 Subtotal: $9.99 Subtotal: $4.49 6% - State Tax: $0.60 6% - State Tax: $0.27 TOTAL: $10.59 TOTAL: $4.76 VISA: $4.76 28 VISA: $10.59 CHANGE: $0.00 29 CHANGE: $0.00 BROWN CLINTON STREETS nc�nmmv uouunu, rcfll i5y i vcim c3 I ,3/"i1:KVV11V-VVILLIAIW%t. 170559998 MIDDLETOWN, PA 17057 4134870055 -0097 PHONE # (717) 944-4005 I 03/11/2015 (717)697-4641 09:19:36 AM ' >r{SALE Sales Receipt -- MECHANICSBURG Store 5167 Product Sale Unit Final i Description oty Price Price ' 5258C SIMPSON FERRY RD MID: 000010556007 ---- TID: 001 REF . 00000005 Fwd/RTS Parcel Post $11.70 ' MECHANICSBURG PA; J7050 3514 Bank ID: 6001 Total : $11.70 (717)691-1200 Batch #: 069001 Fax (71.7) 796-9765. 03MOR5 1132:58 ' Paid by: r www.she.rwin-williams.com APPR CODE: 023208 SVISA $11.70 VISA wiped i Account #: XXXXXXXXXXXX7161 k***Nkkkkkk k*** `1. 1:12pm 7161 l � Approval #: 080388 t•. .. Transaction #: 79 an # 2029-1 03/12/15 7'' AMOUNT $71.41 23 903110112 35 r'/12001 j _. 10 APPROVED Orer # OE008225905167 ER*JOHN J SONGST THANK YOU ' Account XXXX-6535-2 HAVE A NICE DAY Job l SONGSTER*JOHN J CUSTOMER COPY I J�E+uSTtn . fHAW YOU 19 E MARBLE MECHANICSBURG, PA 17055 4258 (717)691-0855 yt�y do, jou get ew 6evi 6500-96571 QUART-.•A97W125J I CK ' S SPORTINGG A D S 6416 CARLISLE PIKE OUR HOME SA'EXTRA. MECHANICSBURG, PA 17050 *Sa, Price .1.00 @ 22.89 22.89 Mechanicsburg, PA (717) 791-4500 (717)766-8377 - Discount (X30.00) -6.87 Color:, SV6385 DOVER YHITE 11/14/14 02.:59 PM .03/12/15 OP# 185024 •'7•,-nlor Cast OZ' 32.64; 178 RECEIPT EXPIRES ON 02/12/15 Y1 -00038 R-9 T-3088 A-0310995 SALE • TT WEG OK CHOC SEA 1 .991 Sner-Lu1or Formula, 2 @ 6.00 our associate today is: Michaala TULIPS 12.00 Comments: 308 off POG paints/steins i @ 4/5.00 STAR RUBY GRAPEFRU 1 .25 ' SUBTOTAL 16.02 Customer. COPY , TAXA 0.72 " i 6.000% SALES TAX:.1-391705000 0.96 **** BALANCE 15.96 VISA. -16.98 14806131597 CLASSIC2PL/N 14.9,9 /ISA PURCHASE C/C# XXXXXXXXXXXX7161" ICCT: * * ****** *7161 Auth # 07178B 'EM TOTAL 14.99 IUTH: 00762B TOTAL �3_6 $16.91' 18TOTAL14.99 'CPT: 21240 rX 0.90 :ODE: 0000 irlm OTAL 37 15 . 89 ' �a��l.l�'�ilb 3 8 quaA frcd ,for,.2kninqs.Every Day. CREDIT CARD 15.96 r.HAr1r,F n nn 530:[ S:f.MpSON 11319Y ROAD i If CIIAIV:CCSBUItiG„ PA 17055 store Tolephone: (717) 7611-6550 Pliar•macy Tolephone: (71.7) 591-9565 Store #6331 03/:11/15 09:33am GI:PII:RAL MER(IiAMOISE MR CLFAN !i GLV 3.49 T GROCERY HS`' '41..RG ILK CHO 1.69 F B0141>r3 BUY Sr '3.19-F [ITICE YOU PAY 1.50 Total 8ef ore Savings •5.18 Yotx- :')Favi nns 13.19 Total After :ravings 4.29 TAX a:xrt BALANCE � •5.10 REV-1513 EX+ (01-10) -Pennsylvania SCHEDULE J i DEPARTMENT OFREVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Marjorie H. Hadden 21.14.0774 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS(Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] 1. [Edward L.Hadden,Jr.; 111 Smith Street,Wingate, NC 28174 child W $8,512.72 f I i Cathleen Bjotkman;5635 Pine Knoll Blvd, Noblesville, IN 46062 child $8,512.72 Janet Hadden; P.Q.Box 245, Indian Lake, NY 12842 child $8,512.7 L.�4] Susan J.Hadden; 110 E. Maplewood Ave.,Mechanicsburg, PA 17055 child �^ _$8,51^ 2 i F5] Kurt Shoemaker;P.O.Box 9604,Asheville, NC 28815 grandchild $6,384.54 6. Emerson Hadden-Wyper, 125 Chancellor Str.,Charlottesville,VA 22903 grandchild 11C $5,384.54 77. Will Hadden Wyper;399 Port Royal Avenue,Philadelphia,PA 191287 grandchild $6 384.54 8. Steph Lynas;18744 Planer Drive,Noblesville,IN 46042 grandchild $5,384.54 )i I 9:� Ghristoptler Bjotkman;4105 Spring Valley Road,Apt.B3,Harrisburg,PA =grandChild ++ E $6,384.5 _ . El see Additional Beneficiaries attached ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. IF NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS'UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: F-1 I ---------- B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: F1 I El TOTAL OF PART II— ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. Additional Beneficiaries to Schedule J Name and address Amount or share Katie Hadden; 13 Morris Street,Asheville, NC 28806 $6,384.54 Christi Hadden;216 Prowell Drive, Camp Hill, PA 17011 $6,384.54 Eric Hadden; 479 Country Club Road, Brevard, NC 28712 $6,384.54