HomeMy WebLinkAbout07-10-15 (2) I IIIII 'II ill I
� 1505610140
REV-1500 �` �°'_,°,
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
Po Box 2soso� INHERITANCE TAX RETURN
Harrisburg,PA 17128-0601 RESIDENT DECEDENT 2 1 1 4 0 3 6 8
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
1 7 8 1 6 6 4 0 6 2 0 1 4 0 5 2 7 1 9 1 6
DecedenPs Last Name Suffix DecedenYs First Name M�
L E B 0 M A B E L K
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name M�
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
O 1.Original Return � 2.Supplemental Retum � 3.Remainder Return(date of death
priorto 12-13-82)
� 4.Limited Estate � 4a.Future Interest Compromise(date of � 5.Federal Estate Tax Retum Required
death after 12-12-82)
QX 6.Decedent Died Testate � 7.Decedent Maintained a Living Trust 8.Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
� 9.Litigation Proceeds Received � 10.Spousal Poverty Credit(date of death � 11.Election to tax under Sec.9113(A)
between 12-31-91 and 1-1-95) (Attach Sch.O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
M A R C U S A • M c K N I G H T , I I I 7 1 7 2 4 9 2 3 5 3
REGISTER OF WILLS USE ONLY
First line of address
I R W I N & M c K N I G H T , P . C .
Second line of address
6 0 W E S T P 0 M F R E T S T R E E T
City or Post Office State ZIP Code DATE Eo ��.a
r.-..
C A R L I S L E P A 1 7 0 1 3 � � � r� �
r,., a � � �,
� s � '_' cn x,
CorrespondenYs e-mail address: ru- � rn tia --� p
-. �-r m
Under penalGes of peryury,I declare that I have examined this retum,including accompanying schedules and statements,and to the best y know�ledge and belie, �
it is true,correct and complete.Deciaration of preparer other than the personai representative is based on all information of which prepare�aE"fn owled�. �J O
S ATURE OF PER N RE SIBLE FOR FILING RETURN ,4� -r� � '�
�Q" �; � �
ADDRESS ��� � `� � �
rn
3047 RIT R HW CARLISLE �A 17015� � �
SIGNATURE A ER T ��2E ENTATIVE ATE
� /
ADDRESS �
60 WES OMFRET STRE CARLISLE 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505610140 1505610140 � �
�
i IIIIII!II 111 I
J 1505610240
REV-1500 EX
Decedent's Social Security Number
DecedenYs Name: M A B E L K. L E B 0 1 7
Real Estate(Schedule A) ....... ... . ... . .. .. . . . .. . . . . .. . .. .. . . . . . .. . 1. 1 5 3 0 0 0 . 0 0
2. Stocks and Bonds(Schedule B) .. .. . . .... . .. . . . . . . . . . . . .. . . .. . . . . . . . . 2. •
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) .. . . . 3. •
4. Mortgages and Notes Receivable(Schedule D) . . . . . .. . . .. .. . . .. . .. . . .. . . 4. .
5. Cash, Bank De osits and Miscellaneous Personal Pro e � 2 7 2 5 1 , 4 9
P p rty(Schedule E .. . . . . . 5.
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested .. . . .. . 6. •
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) � Separate Billing Requested .. . . .. . 7.
.
8. Total Gross Assets(total Lines 1 through 7) .. . .. ... . .. . . . ... . .. . .. . . . . 8. 1 8 0 2 5 1 . 4 9
9. Funeral Expenses and Administrative Costs(Schedule H) .. . . .. ... ..... . . . . 9• 4 7 ,4 5 6 . 7 8
10. Debts of Decedent,Mortgage Liabilities, and Liens(Schedule I) . . .. . . . . . .. . . 10. 4 5 7 1 . 4 4
11. Total Deductions(total Lines 9 and 10) .. . . .. . . ... .... . . ... . .. . . . . . . . . 11. 5 2 � 2 8 . 2 2
12. Net Value of Estate(Line 8 minus Line 11) . ... . ..... .. . . .. . . ... ... . .. . 12• 1 2 8 2 2 3 . 2 7
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) .. . . .. . . .. .. .... . .. . . . 13. .
14. Net Value Subject to Tax(Line 12 minus Line 13) .. . . ..... ... . ...... . .. 14. 1 2 8 2 2 3 . 2 �
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 z)x•o _ 0 . 0 0 15. 0 . 0 0
16. Amount of Line 14 taxable
at lineai rate X.045 1 2 8 2 2 3 . 2 7 �s. 5 7 7 0 . 0 5
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 0 � 17. 0 . 0 0
18. Amount of Line 74 taxable
at collateral rate X.15 0 . 0 0 �g, 0 . 0 0
19. TAX DUE .... .. . .. .. ... .. . . .. . . .... . . . . . .. .. . . .. .. . .. . . . . . . . .. . 19. 5 7 7 0 . 0 5
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
L 1505610240 1505610240 J
I IIIII' II IIII I
REV-1500 EX Page 3 Flle Number
Decedent's Complete Address: 2� 14 0368
DECEDENTS NAME
MABEL K. LEBO
STREET ADDRESS -
3047 RITNER HIGHWAY
CIN STATE ZIP
CARLISLE PA 17015
Tax Payments and Credits:
�� Tax Due(Page 2,Line 19) (1) 5,770.05
2. Credits/Payments
A.Prior Payments 7,000.00
B.Discount 288.50
Total Credits(A+B) (2) 7,288.50
3. Interest -
4. If Line 2 is greater than Line 1+Line 3,enter the difference.This is the OVERPAYMENT. �3�
Fill in oval on Page 2,Line 20 to request a refund. (4j 1,518.45
5. If Line 1+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0.00
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: ....................................................�................. ❑ Q
b. retain the right to designate who shall use the property transferred or its income; ............................... ❑ XD
c. retain a reversionary interest;or ................................................................................................ ❑ �
d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ XQ
2. If death occurred after December 12,1982,did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... � Q
3. Did decedent own an"in trust for"or payabie-upon-death bank account or security at his or her death? ......... ❑ XQ
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary designation?...................................................................... ❑ Q
............................
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 su►viving spouse from tax,and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)).
• The tax rate imposed on the net value of transfers to or for the use of the decedenYs lineal beneficiaries is 4.5 percent,except as noted in
72 P.S.§9116(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 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.
i IIIII II NII I
REV-1502 EX+(12-12)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
MABEL K. LEBO 21 14 0368
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 decedenYs interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1. 161 SHATTO DRIVE, CARLISLE, PENNSYLVANIA 153,000.00
TOTAL(Also enter on Line 1,Recapitulation.) $ 153 000.00
If more space is needed,use additionai sheets of paper of the same size.
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REV-1508 EX+(OB-12)
pennsylvania SCHEDULE E
DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISG.
INHERITANCE TAX RETURN
RESIDENTDECEDENT PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
MABEL K. LEBO 21 14 0368
Include the proceeds of litigation and the date the proceeds were received by the estate.
All properly jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. SERIES 1928E SILVER DOLLAR 10.00
2. CAPITAL ONE-360 SAVINGS ACCOUNT 22,340.80
3. ORRSTOWN BANK-CHECKING ACCOUNT 4,197.19
4. PERSONAL PROPERTY-SETTLEMENT STATEMENT ATTACHED 703.50
TOTAL(Also enter on Line 5,Recapitulation) $ 27 251.49
If more space is needed,use additionai sheets of paper of the same size.
I IIIIIIIII IIII I
REV-1511 EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDEM DECEDENT
ESTATE OF FILE NUMBER
MABEL K. LEBO 21 14 0368
DecedenYs debts must be reported on Schedule l.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. HOFFMAN-ROTH FUNERAL HOME 10,027.38
2. CARLISLE UNITED METHODIST CHURCH 100.00
3. BAUGHMAN MEMORIAL WORKS, INC. 764.40
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)ofPersonalRepresentative(s) DENNIS E. LEBO 8,000.00
StreetAddress 3047 RITNER HIGHWAY
City CARLISLE State Pp► Z�P 17015
Year(s)Commission Paid:
2, AttomeyFees: IRWIN &MCKNIGHT, P.C. 9,000.00
3. Family Exemption;(If decedenYs address is not the same as claimanYs,attach enplanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4• ProbateFees: REGISTER OF WILLS 343.50
5 Accountant Fees:
6. Tax Retum PreparerFees: PATRICIA A. ROSENDALE, CPA 375.00
FINAL FIDUCIARY TAX RETURN
7. NORTH MIDDLETON TOWNSHIP-SEWER CERTIFICATION 150.00
8. CHARLES L. LEBO-REIMBURSEMENT OF MAINTENANCE FEES/LAWN CARE 312.90
9. ROBINSON LAWN SERVICE-LAWN CARE 445.00
10. ROSENBERRY'S SEPTIC SERVICES-SEPTIC INSPECTION 3,425.00
11. THE SENTINEL-ESTATE NOTICE 190.54
12. CUMBERLAND LAW JOURNAL-ESTATE NOTICE 75.00
13. ROY D. GOTTSHALL-APPRAISAL ON PERSONAL PROPERTY 60.00
14. DENNIS LEBO-REIMBURSEMENTS 686.11
15. FREDERICK, SEIBERT&ASSOCIATES, INC. -FLOOD SURVEY/CERTIFICATION 1,050.00
16. BLACK'S WATER CONDITIONING, INC. -SERVICE 180.20
17. CLOSING COSTS FROM SALE OF REAL ESTATE 9,804.78
18. CARPET TYME-CARPET CLEANING 535.75
TOTAL(Also enter on Line 9,Recapitulation) S 47 456.78
If more space is needed,use additional sheets of paper of the same size.
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Continuation of REV-1500 Inheritance Tax Return Resident Decedent
MABELK. LEBO 21 14 0368
DecedenYs Name Page 1 File Number
Schedule H-Funeral Expenses�Administrative Costs-B7. �
ITEM
NUMBER DESCRIPTION AMOUNT
19. D K ELECTRIC-ELECTRICAL WORK 950.00
20. GEORGE W. FITZPATRICK-REPAIRS 735.00
21. ROWE'S AUCTION SERVICE-COMMISSION 24622
SUBTOTAL SCHEDULE H-B7 1,931.22
I IIIII'�II !I� I
REV-1512 EX+(12-12)
pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT�
INHERITANCETAXRETURN MORTGAGE LIABILITIES 8 LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MABEL K. LEBO 21 14 0368
Report debts incu�red by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. PP&L- ELECTRIC 583.52
2. MELANIE A. STRICKLAND, TAX COLLECTOR-REAL ESTATE TAXES 2,967.73
3. STATE FARM INSURANCE- HOMEOWNERS INSURANCE 717.00
4. MELANIE A. STRICKLAND, TAX COLLECTOR-2015 COUNTY REAL ESTATE TAXES 303.19
PRORATED
TOTAL(Also enter on Line 10,Recapitulation) $ 4 571.44
If more space is needed,insert additional sheets of the same size.
i iu ,:i su i
REV-1513 EX+(01-1D)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
MABEL K. LEBO 21 14 0368
RELATION5HIP 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. DENNIS E. LEBO Lineal 42,741.09
3047 RITNER HWY 1/3 REMAINDER
CARLISLE, PA 17015
2. CHARLES L. LEBO Lineal 42,741.09
171 SHATTO DRIVE 1/3 REMAINDER
CARLISLE, PA 17013
BARRY G. LEBO Lineal 42,741.09
DECEASED 08/25/2007 1/3 REMAINDER
3. SEAN M. LEBO Lineal
14895 MILLER ROAD
ST. HEDWIG, TX 78152
4. KRISTA D. SCHREIBER Lineal
33 SADDLE RIDGE ROAD
ANDOVER, NJ 07821
5. TONY J. LEBO Lineal
171 SHATTO DRIVE
CARLISLE, PA 17013
6. MICHAEL W. LEBO Lineal
6612 CORNWALLIS DRIVE
YADKINVILLE, NC 27055
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 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.
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.
ii ,.,i au i
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
MABEL K. LEBO 21 14 0368
Decedent's Name Page 2 File Number
Schedule J -Beneficiaries-1
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 oufight spousal distribu6ons and trensfers under
Sec.9116(a)(1.2).]
7. ERIN L. LEBO Lineal
185 OLD STATE ROAD
GARDNERS, PA 17324
8. HALEY M. LEBO Lineal
3047 RITNER HWY
CARLISLE, PA 17015
9. SETH W. LEBO Lineal
2186 RITNER HWY
SHIPPENSBURG, PA 17257
10. SPENCER C. LEBO Lineal
51 KELLOGG ROAD
HAN NI BAL, NY 13074
11. MICHAH J. LEBO Lineal
2200 RITNER HWY
SHIPPENSBURG, PA 17257
12. LEAH J. LEBO Lineal
3047 RITNER HWY
CARLISLE, PA 17015
13. ISAAC T. LEBO Lineal
3047 RITNER HWY
CARLISLE, PA 17015
14. KELSEY E. LEBO Lineal
3047 RITNER HWY
CARLISLE, PA 17015
iiui�;i ■u i
� .
LAST WILL AND TESTAMENT
I, MABEL K. LEBO, of North Middleton Township, Cumberland County, Pennsylvania,
being of sound and disposing mind and memory,do hereby make,publish and declare this to be my
Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made.
1.
I direct that all my legally enforceable debts,funeral expenses,testamentary expenses and all
inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any
property)shall be paid from my residuary estate as soon as practicable after my decease and as part
of the administration of my estate. My personal representative shall have no duty or obligation to
obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other
property not passing under this Will.
2.
I give, devise and bequeath all of my estate, whether real, personal or mixed property,
whether tangible or intangible,and wherever situated,in equal shares,unto my sons,CHARLES L.
LEBO, BARRY G. LEBO and DENNIS E. LEBO, with substitution of issue per stirpes.
3.
The share of the aforesaid BARRY G. LEBO pursuant to Paragraph 2 hereinabove shall be
held for him in trust for the duration of his life,with the net income therefrom payable to him or for
his general support and welfare in such manner and with such frequency as my Trustee shall
determine in my Trustee's sole and absolute discretion,and upon the death of the aforesaid BARRY
G. LEBO the principal of said share and any accumulated income shall be distributed, in equal
shares, unto my grandchildren, SEAN M. LEBO, KRISTA D. SCHREIBER, TONY J. LEBO,
MICHAEL W.LEBO,ERIN L.LEBO,HALEY M.LEBO, SETH W.LEBO,SPENCER C.LEBO,
MICAH J. LEBO,LEAH J. LEBO,ISAAC T.LEBO,and KELSEY E.LEBO,with substitution of -
Page 1 of 4 Pages 7yj� /� �
M.K.L.
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issue per stirpes. Should any beneficiary hereof have failed to attain the age of legal majority at the
time set for distribution of his or her share, such share shall be held in further trust for such
beneficiary by my Trustee until such beneficiary attains the age of legal majority.
4.
I nominate,constitute and appoint my son,DENNIS E. LEBO,as Executor of my estate and
as Trustee of any trust created hereunder. In the event he shall be unable or unwilling to serve in
such capacities, then I appoint my son, CHARLES L. LEBO, to act in such capacities.
5.
I direct that neither my personal representative nor my Trustee shall be required to file a bond
to secure the faithful performance of his duties in any jurisdiction.
6.
I authorize and empower rny personal representative and my Trustee,in his sole and absolute
discretion,to purchase or otherwise acquire and retain any investments or any properly of any nature
which I own at my death; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant
options in regard to any or all properly of any kind forming a part of my estate for such terms and
such prices as he may deem advisable; to borrow money for any purposes connected with the
protection and preservation of my estate;to mortgage or pledge any real or personal properiy forming
a part of my estate or to join in or secure the partition of same; to compromise any claims or
demands of my estate against others or of others against my estate;to make distribution in kind and
to cause any share to be composed of cash, property or undivided fractional shares in property
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them such power as my personal representative or Trustee considers desirable and to pay reasonable
compensation for such services as may be rendered by such agents, attorneys and proxies; and to
execute and deliver such instruments as may be necessary to carry out any of these powers. In
addition,I direct that my personal representative shall have the power to conduct an inventory of any
safe deposit box necessary to the administration of my estate.
Page 2 of 4 Pages � �
M.K.L.
I IIIII'I.II ■I� I
IN WITNESS WHEREOF I have hereunto set my hand and seal this 19th day of January,
2006.
���i�-e.•� /� 0��-2�'�0(SEAL)
Mabel K. Lebo
SIGNED,SEALED,PUBLISHED AND DECLARED by the above-named Testatrix,as and
for her Last Will and Testament,in the presence of us,who at her request,have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
Page 3 of 4 Pages
I Illlllill ■I■ I
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
I, MABEL K. LEBO, Testatrix, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will;that I signed it willingly;aiid that I signed it as my free and
voluntary act for the purposes therein expressed.
�-�-�-�� f l�° o�
Mabel K. Lebo
Sworn or affirmed to and acknowledged before me by MABEL K.LEBO,the Testatrix,this
19`h day of January, 2006.
,
Notary Public
r�ta►�seai
Sharon E.Bloom,Nartary Public
COMMONWEALTH OF PENNSYLVANIA ) NO�'^^�i�O"T"�.,a'"��a�dcourny
My Commission Expires August 5,2006
: S S. Member,Pennsyhrania Assoaation Of Notaries
COUNTY OF CUMBERLAND )
W e, �SGI.t'1 l��� �U(� and �l���/1.�.� � ��c:YY1
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 MABEL K.LEBO,the Testatrix,
sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the
Testatrix executed it as her free and voluntary act for the purposes therein expressed;that each of us,
in the hearing and sight of the Testatrix, signed the Will as witnesses; and that to the best of our
knowledge the Testatrix was at that time 18 or more years�of age, of sound mind and under no
constraint or undue influence.
--_.�
ess _/ � Ehul� �a(
Curl;s�-� ��l /7r�/3
ddress �oo Lo.,�.s G�,,� /��.(
,r�--E,s(�r�� � 7(�/�
Sworn or affirmed to and subscribed before me ' 19`" day of J uary, 2006.
Notary Public
Notarial Seal
Sharon E.Bloom,Noaary Public
C:\Office-Estate Planning\l 0551.lwill.l.doc NO�f11 Midd�6tOf1 TWp.,CutflbB�lEi11d COU�IIy
MY Comrnission Expires Augtut 5,2006
Page 4 of 4 Pages ��'���V�aniaAssoaationOFNofaries
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r- � �Print This Page
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e g OMB Approval No.2502-0265
��8�B���'��� a. Settlement Statement (HUD-1)
Q
�B'�N DEVE�O
1.Q FHA 2 Q RHS 3 �Conv.UNns. 6.File Number: 7. Loan Number. 8. Mortgage Insurance Case Number.
2015
4.Q',VA 5.�Conv.Ins.
C.Note: This fortn is fumished to give you a stateme�t of actual settlement costs.Amounts pafd to and by the settlement agent are shown.Items
marked"(p.o.c.)"were pafd outside the closing;they are shown here for informational purposes and are not included in the totals.
D.Name 8 Address of Borrower: E.Name�Address of Seller: F. Name&Address of Lender:
Lisa M Grayson Estate of Mabel K.Lebo N/A
11 Sheraton Drive Dennis E.Lebo,Executor
Cariisle,PA 17073
G.Properly LocaHon: H.Settlement Agent � ` I. Settlement Data:
161 Shatto Drive Jacqueline M.Verney,Esquire 6l30115
Carlisle,PA 77015 Place of Settlement:
44 South Hanover Street
Cartisle,Pa 17013
100.Gross Ari�ount Due frorti Bortower�' d00:Gio�s.;pmount Due to Salier
101.Contrecl sales dce 153,000.00 401.Contract sales rice 153,000.00
102.Personal ro e 402.Peisonal ro e
103.Settlement cha es to borrower line 1400 2,735.21 403.
1�• 404.
105. 405.
Ad ustment for items aid b seller in advance Ad ustmenta for items aid b seller in advaoce
108.CI ttown taxes to r. 406.CI /town taxes to
� 107.-Coun taxes �t5 to�� �;� 614.77 r. 311.59 407.Coun taxes ,'13C1�15 to.��1�1�� 814.77 311.59 �
108.Assessments ��5 to§%3b%di�i 2,376.15/r. 6.51 406.Assessments �7�3��15 to 6/3 1�5 2,376.15/r 6.51
109. 409.
170. 410.
171. 417.
112. 412.
120.Gross Amount pue Jrom BoRower 158;033.31 420,G1oss Amour►t.Rue•to Selle� ,- t5�,318;10 '.
200.-Amounts,Pafd.6 or fn Befialf oi 8�rruwer 5UO.I�ailuctions I�i AfriQunt Due fo Seller '
201.De osit ar eamest mone 1,000.00 501.Excess de osit see instructions
202.Princi al amount of new loan s 502.SefGement cha es to seller Ilne 1400 9,804.78
203.E�dstin loan s taken sub ect to 503.Exislin loan s taken sub ect to'
204. 504.Pa oif of flrst moA a e loan
205. 505.Pa ofi of second mort a e loan
206. 508.
207. 507.Inheritance Tax Escrow
208. 508.
209. 509.
Ad ustments for items un aid b seller Ad ustrnenffi for kems un aid b seller
210.Ct ftown taxes to r. 510.CI /town tazes to /r
2t1.Coun taxes ro r. 511.Coun tazes to !r
212.Assessmenls to r. 512.Assessments lo /r
213. 513.
214. 514.
215. 515.
218. 516.
277. 517.
278. 518.
219. 519.
220.Total'Paitl b lfu�,Borrower: i,000.00 520.Total ReducHon,AiflouM Due Seller ' 9,eo.4.78 :
300,Cash atSattlei�eoYtrorii(to Borrower;. e'00.Casti.at Setdamanttulirorri Sells�:
301•Gioss amount due from,CoKOWe� Ine 120 756,053.31 801 Gross amouot due:to seller Ilne 92D 153,318.10
302.Less'ambunts aid b/fo[boirower Ilne 220 1,000.00 �02.Less tetluctions 1ir amouriYdue seller Iine 520 . 9,804.78
303.CasB �From �To Bortower 155,053.31 605.Gash ;�F(om �Td Seller 143,513.32
The Public Reporting Burden for this collection of informatlon 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 trensaction with information during the settlement process.
FDT Registered To:Jacqueline M.Vemey,Esquire FDT is Copyright m 20042010 www.All-Fortns.com
Prevfous editions are obsolete Page 1 of 3 HUD-1
ii ' i ■u i
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. .-
. _,, _ ..
70D,Tota1 Real Estate Brok9r Feea.
Division of wmmisslon ine 700 as follows:
701.a4 050.00 to Howard Hanna Real Estae
702.$3,825.00 to Wolfe 8 Co Realtors
703.Commission aid at settlement 225fl0 7'65R;O.Q
704.Llstin A ent Eamest Mone Retention
705.
800.Items Pa able itl Gonnectfoh with to8n
801.Our ori InaGon cha e from GFE#1
802.Your credit or cha e oints for lhe s ecific interest rate chosen from�FE#2
603.Your ad'usted ori inatlon cha es trom GPE A
804.A rdisal fee to from CaFE#3
805.Credit re ort to from GFE#3
' 806.Tax service to from GPE#3
807.Flood certification from GFE#3
808.
809.
810.
811.
812.
813.
_ . . ,. , �
900.Items Re ulred b Lsnderto Be Paid In.Advence
901.Dail interest cha es from to $ /da from GFE#10
902.Mort a e Insurance remlum for months to irom GFE�3
903.Homeowners insurance for ears to from GFE#11
904.
905.
10Q0.Resecves.De"osited wiUi Lerisler -
1001.Initial de osit for our escrow account from GFE#9
1002.Homeowners insurance months�$ /mo.
1003.Mort a e insurance months(�$ lmo,
1004.pro e taxes months�$ /mo.
1005. months�$ /mo.
1006. months�$ /mo.
1007. manths�$ /mo.
1008.Aggregate Adjustment -
1100.TlUeCha es .
1101.Tide services and lenders litle insurance from GFE it4 580.00
1102.Settlement or Gosin fee to Ja ueline M.Vem ,Es /Cartucoli 8 Assoc. 500.00
1103.Owners title Insurance Penn Attome s OBTI from GFE#5
1104.Lenders title Insurance Penn Attome s OBTI
1105.Lender's t(tle oli Iimit $0.00
1106.Owners title oli Iimit $0.00
1107.A enYs ortlon of the total title Insurance remium to
1108.Underwriters ortion of the total tiGe insurance remium to Penn Attome s T Ins.
1709.Niven J.Baird,Title Search 80.00
1110.Valerie F.Gsell Nota fee
1111.
1712.
1713.
1114.
1200.Govemmept Recoidin"and TrBnsfeh Cha es � ''
1201.Govemment recordin char es from GFE#7 79.00
1202.Deed 79,00 Mort a e Releases
1203.TdaFtst$1't�:`"' from GFE#8 ;53W�0 1;�3p;bQ
1204.CI /Coun taxlstam s Deed Mort a e
1205.State tax/stam s Deed Mort a e
1206.
1207.
1208.
1300.Additfonal Settlement Cha es
1301.Re ufred services that ou can sho for from GFE#6
1302.
1303.
7304.
1305.Dennls E.Lebo relmbursement for a in 2015 CofT Taxes 614.78
1306.Allstate VehiGe and Pro e Insurance Co.for WO Insurance 321.21
1307.Barbara Matter NMTC tax cert fee 10.00
•�� • • . � � � 2,735.21 9,804.78
FDT Regfstered To:Jacqueline M.Verney,Esquire FDT is Copyright O 2004-2010 www.All-Forms.com
Previous ediHons are obsolete Page 2 of 3 HUD-1
ii �iru i
R , m, �Print This Page
ADDENDUM TO HUD-1 SETTLEMENT STATEMENT
CERTIFICATION OF BUYER AND SELLER
i have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,it is a true and accurate
statement of all receipts and disbursements made on my account or by me in this transaction.
I further certify t � ve received a completed copy of ages 1,2,and 3 of this HUD-1 Settlement Statement
�" '""' •, �i���z V
Li .Grayson Buyer/Borrower Dennis E.Lebo for,Estate of Mabel K.Lebo Seller
BuyeNBortower Seller
Buyer/Borrower Seller
BuyeNBorrower Seller
WARNING:It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon
conviction can include a fine and imprisonment. For details see:Title 18 U.S.Code Section 1001 and Section 1010
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused or will cause
he funds to be disbursed in accordance with this statement.
�� �
� � � 'J�O '!5
Settlement Agent Date
WARNING:It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon
conviction can include a fine or imprisonment. For details see:Title 18 U.S.Code Section 1001 and Section 1010
FDT Registered To:Jacqueline M.Vemey,Esquire FDT is Copyright�20042010 www.All-Forms.com
Previous editions are obsolete �00000a�a HUD-1
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Capital�}�� _ ,5M
�
���������
April 28, 2014
E � ,� •,�;�r
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f�a'���:;,��KN�����
Marcus A McKnight, III �,;r���;;,,��j
Law Offices Irwin &McKnight, PC
West Pomfret Professional Building
, 60 West Pomfret Street
i Carlisle, PA 17013 , �
i
�8wf h�u��CU�,
We've enclosed the documentation you provided from the Estate of Mabel K Lebo and:
• Closed any single deposit account(s). (You'll receive a check for the sum of the account
balance(s)shortly.)
Per your request, our records show the following Capital One 3605""account(s)for Mabel K Lebo:
Account Type: 360 Savingss""
Account'Ownership: Individual
Open Date: 7-7-12
Interest Paid from
1-1-14 thru 3-31-14: $41.11
Accrued Interest from
4-1-14 thru 4-6-14: $2.29
Date of Death
Balance as of 4-6-14: $22,340.80
Questions? Call us at 1-888-464-0727 from 8 AM to 8 PM, 7 days a week.
; Thanks.
■ ' 0
. �
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B�
A Tradi�ion of Excellence
May 8,2014
Irwin&McKnight,P.C.
West Pomfret Professional Building
60 W Pomfret St
Carlisle,Pa 17013
Fax 717-249-6354
Re: Estate of Mabel K Lebo
Social Security Number 178-16-6361
Date of Death 4/6/14 ,
IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD TI�
FOLLOWIlVG ACCOUNT WITH ORRSTOWN BANK:
CHECKING ACCOUNT
Account No- 108007114
Accoun�T_y_pe- Reward GheGl�ing —
Date Opened- 07/16/09
Joint Account(name/date) No
Balance- $4197.19
Accrued Interest $1.05
Best Regards,
��.A�. � 5�7�.G�G'
Lisa R. Kline
Deposit Processing Representative III
2695 Philadelphia Avenue • Chambersburg, PA 17201
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F�JI�ERAL HC��1+�E S� CREMAT�RY, LNC,
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�G.S}�er—Fu�a1D�Ihvid EF�—F�tI�sae�r
April 17, 2014
Dennis E. Lebo
3047 Ritner Highway
Carlisle, PA 17015
Statement of Funerai Expenses for: Mabel K. Lebo
Date of Death:April 6, 2014 Account Id: 17174-103
PACKAGE:
Traditional Funeral Seniice
TRADITIONAL FUNERAL SERVICE PACKAGE $ 5,050.00
Sub Total� $ 5,050.00
MERCHANDISE:
Casket:Viceroy $ 1,885.00
Outer Container: Cave Proof Box $ 1,375.00
Sub Total: $ 3,260.00
TOTAL FUNERAL HOME CHARGES: $ 8,310.00
CASH ADVANCES:
Letort Cemetery $ 900.00
6 Certified Death Certificates at$6.00 each $ 36.00
Newspaper Notice-5entinel � 307.38
Clergy 2X100 $ 200.00
Flowers $ 159.00
Hairdresser $ 40.00
Organist $ 75.00
Sub Total: $ 1,717.38
Total Funeral Expense: $10,027.38
Balance: $ 10,027.38
ii ii ■u �
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�'�" _.`�i� �E1�'f�:.:i•� �:' ���� -
Memorial Works,ln�
� 23�5 South in Street � 10 First Avenue
Dover, P 315 Red Lion, PA 17356
Telephone (71�292-2621 Telephone (71�244-1828
Fax (717)292-7936 Fax (71�417-5263
E-mail info(�baughmanmemorials.com E-mail IoriC�baughmanmemorials.com Total Price >w�4�. ��'F�,j'=•�
Date i_ ,'`.,r�;,�1;,,.
_ i , ,
j_. .. �.��,..
For `,t:�.f e-�r �; ,,f....-f` x...'4.�.;'
Add ress �'� :-`�.a � ,��'� `'�,�p�,;�' �;:`�;;�->�� ��;�,;;<'i t j�.b, � ?,. ; ; �- ._ :,,. �;;; ����,
Design No.
Material ::• '':���.� �,�� ,� .��E.f.
�
Die
Base
Markers r "�i � t. � �' ' `�
Posts
Vases
Price `�N.1 �`�; Tax��.. �__.�
Deposit
Balance Due
Style of Letters
Foundation to be furnished by !��`•�`L%;' y•�"�'�'�`��`��
Material to be best selected monumental grade and to be free from imperfections and first class in every way.Work to be finished in a workmanlike
manner. : � . ... •f
This memorial to be erected in •:�- •" `rG�'';_ + Cemetery in or near
,� '�
during the month of � J"�� .:.:s��'��'+'% "`: �unless unavoidably delayed by labor
troubles and other contingencies beyond our control and then as soon as possible.Additional lettering and other work on this memorial in the future is
not included in the Contract Price.
Title and right of possession and removal of said stone,monument or appurtenances shall remain for all purposes in Baughman Memorial Works,
Inc.until work and materials ordered are fully paid by purchaser or purchasers.In consideration of the acceptance by Baughman Memorial Works,Inc.
of this order,the undersigned(hereinafter known as the purchaser)agrees to pay Baughman Memorial Works,Inc.
,��:� ;� �.a{ { . `Dollars on or before the 15th day following
the billing of the work or job upon completion thereof by Baughman Memorial Works,Inc.Thirty(30)days from date of invoice a 1-1/2%finance charge
will be added to the unpaid balance. Said billing to be notice of completion thereof,this order shall become a contract between the purchaser and
Baughman Memorial Works,Inc.upon acceptance thereof in the space below by a duly authorized representative of said Baughman Memorial Works,
Inc.It being understood that this instrument upon such acceptance covers all of the agreement between the purchaser and Baughman Memorial Works,
Inc.and that no agent or representative of Baughman Memorial Works, Inc. has made any statements or agreements,verbal or written, modified or
adding to the terms and conditions herein set forth.
It is further understood that upon the acceptance of this order the contract so made cannot be cancelled,altered,or modified by the purchaser or
by any agent of Baughman Memorial Works,Inc.in any manner except by agreement in writing between the purchaser and Baughman Memorial Works,
Inc.and it is hereby understood and agreed by all parties involved that in case of default by purchaser or purchasers,twenty-five per cent of the total
original cost of the work or work and materials ordered,as the case may be,shall be a specified correct sum as liquidated damages which purchaser
shall owe Baughman Memorial Works,Inc.less any payment on account made prior to such default,this specification of damages to be due regardless
of removal and taking possession of stone,monument or materials from purchaser or purchasers by Baughman Me,morial Works,Inc.upon following
such default. �,. .i ��'>•".�'�w—
�, , � ,.-f:,�• (SEAL)
--�=
'' �'!` 2p ' � t'' _ (SEAL)
..'
Baughman Memorial Works,Inc.Approval By ` .'��� } �':{� (SEAL)
White:Office Copy;Canary:Customer Copy;Pink:Salesman Copy;Gold:Deposit Copy
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� �, � . �a(spv�C��_ �-'��S�C'( f! N- � 2"� �3
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� t C�rlisle,Pa.17013 Phone:717-243-5480 Faa:7�7 Z43-56$9 �
E-Mail:carlisle�baaghmana�emorisls.com '
This form mav be sent bv o-mail.faxed or mailed �
YVork Order#
� Death Date I�ascription Order - .
Piame of Deceased• :���l3�/ L�a� _ .. . . : . . .
iD8te of Slctit(fall dete ptea�e): �(�'f k'}� r�-7 ���� Dste o_ g Death(fi,li date please): ��/c�i L �� ��/�
List otiier nsmes on memorisi: C�j��L p�' _ ,
Tvne of BuriaL• ❑Traditional Burial - ❑ Cremation
�tvle of Memorisl: �Upri�ht ❑ Slant&Base❑ Slant[] Bevel ❑ Flush Q Bronze _
Color of Memoriat: �� ❑ Rose ❑ Black . Q Browa Q Red II Other:
Inscr;ntion: � Year O ❑ Abbreviated Full Date ❑ �ull I)ate 3nelled Out .
�neral Services Provided bv: �%� ` � � ��
�emeterv Informa�ion �
Name of Cemetery: �.p�
�rtY: C't��(,j f! � State: Section: Lot: Grave Na:
N�P �
D�craption of Location in Ceffietery.
. �ill To: Cuusst�mer Ynformation
�� �r��.�� s � ��'o � � .
Aaar�: 3 �c� � �i�� ���I � _
C� State: Zip Code: .
Billing Phone�iumber: p�<.�((,� 7 7t/� Billing Fax:
Order talcen by: Date: [v�9�� Amount Due $� ��`�='� �,_ .
Payme�t: $ '� Q Cash ❑CLectc A1o.: - ❑Credit Card
Master Card/Visa/Discover:#: _ Exp.Date: Code: -
SIgilBtUy'ea � • �.o � DA�C:�%t�/T�t (
Note:Com�letion of work is apnrorima#e1v 60 to 90 davs weather nermittine.
i iu_. �i su i
RECEIPT FOR PAYMENT
-------------------
-------------------
LISA M. GRAYSON, ESQ. Receipt Date : 4/17/2014
Cumberland County - Register Of Wills Receipt Time : 08 :40 :40
One Courthouse S quare Receipt No. : 1077696
Carlisle, PA 17613
LEBO MABEL K
Estate File No. : 2014-00368
Paid By Remarks : IRWIN & MCKNIGHT
CJ
------------------------ Receipt Distribution
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 260 . 00 CUMBERLAND COUNTY GENERAL FUN
WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 10 . 00 CUMBERLAND COUNTY GENERAL FUN
JCS FEE 23 . 50 BUREAU OF RECEIPTS & CNTR M.D
AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN
INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN
INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN
----------------
Check# 8397 $343 . 50
Total Received. . . . . . . . . $343 . 50
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DATE � � G�I`�� � N�e ������ �� 0 �
/ /� � o o..,.�L`��:.�,�
RECEIVED FROM "'- `�'�N ! `�" "� JX E/v U __ � (�. v
, �� �'�/C-`�� � a---� " : J8 � �
�� DOLLARS
QFOR RENT /.� l� �DiQ//� �/�!-�/ � �i �/ PCE��.� iw� ,
�OR /C. �/ // /�
� 7vt_3
�`�,\ � ACCOUNT OCASH Z�p
\� � FROM TO
�, CHECK Lot No.
�y PAYMENT O � � ��,QG���_
BAL. DUE MONEY gy Counry
OORDER � . 118z
�'!, f ! — -— _
' 3. Lot Size:r� � (j(.� iC �(J sq.ft./acres 4. Type of Facility to 6e Served by this System:
5. '_ 'fYPe of,Onlot System Act�Y!ty ' , , ,
, „-• < . -•;- •'�'SingleFamilyReSidential ❑�M�IUfaFnily.Re�identi�i �::,, ',❑' Permit or;doverage,undec Chaptgr M02 Erosipn
❑ New ❑ Modification � and Sedimentation Control required. `
❑ Commercial/Nonresidential
❑ Repair ❑ BTG(Use Only With Repair) � Permit or coverage under Chapter 102 Erosion
No.of Bedrooms� gal/day and Sedimentation Control obtained.
6. Facility Water Supply: Public❑ Well� Spring❑ C�gist�e j❑ � Surface ❑
? 7: Distence fo the nearest existing or proposed Private Wa4er Supply(on or off the property)'.���ft. -
PART II.LOCAL AGENCY.USE ONLY "` ` -
._ _ . . __ . . .. .
SEWAGE PLANNING: :. '_ .SITE SUITABILITY . . :APPLICATION STATUS
❑ Approved Planning Mod. Soil Series Percolation Rate min/in. ' ACTION DATE
DEP Code No.. ❑ Not conducted ❑Complete Application
❑ Received / /
date Slope Site is: ❑ Permit Issued � �
�.. �. a�, ❑ Suitable for inground system. ❑ pertn'it Denied � �
O Area Not,Plan.ned
(lot created beforo May�5,tsz2) ❑ Suitable for elevated system. p jnterim Inspection ' / /
❑ Limitatibns in Effect ' Type of Limiting Zone � Suitable'for IRSIS p Interim Inspection / 1
- FEES PAID ❑ Unsuitable ❑ Final inspection / /
_ •
AppliCBtion $' Depth of Limiting Zone ❑ Approved
Testing O Disapproved SEOlnitiais
Inspe n inches
; th. Type of Cover(Ag.Grass,Forest) ' ❑ Revoked Permit �_/
:�Tot� $ .
PART'lll` PL�T PLAN AND SYSTEM�DESIGN ' ', ;`
1. System Classification 2. Treatment/Tankage 3. Type of Filter
❑ Conventional Total Tank Capacity gal. p Buried Sand
❑ Altemate ❑ Free Access Sand
❑ Experimental ❑ Septic Tank ❑ Aerobic Tank ❑ Other Media
❑ Holding Tank ❑ Vault Privy ❑ Effluent
❑ Denitrification ❑ Other
4. Type of Disinfection ' ' � ` ' S. Distrib�ition , ' ` " 6. Absorption s ?. � �
❑ CL Erosion ❑ CL Hypo � UV ❑ Pressure ❑ Gravity Total Absorption Area sq,ft.
❑ Pump(Electrie) ❑ Std.Trench ❑ Std.Bed
❑ Pump(Pneumatic) ❑ Elev.Sand Mound ❑ Elev.Sand Trench
❑ Siphon ❑ IRSIS ❑ Drip Dispersal
❑ At-Grade ❑ Other
7. Other 8. Altach the Following Documentation
❑ Chemical Toilet ❑ Incinerating Toilet a. A copy of fhe Form 3800-FM-BPNPSM0290A (and B when required) or a morphological evaluation report
❑ Compo.$tin�gToilet ❑ Recycling Toilet (See Part Iq.
'�= b. A detailed plot plan and sewage system design (including cross sections plan reviews and comments).
• See instructions on reverse side for required details.Indicate the number of attached sheets
, ..:.:- ,: .
. ,;,
. ..
..:.
PART IV SIGNATURES . ; -. ,
I am the owner of record (or the authorized agent of the owner)of the lot dsscribed in Part i of this application. I intend to install an onlot sewage system on
this property.The informafion provided as part of this application is true and correct to the best of my knawledge. 1 understand that providing false information
on this application is subjeet to the penalties of 1`8 PA C.S.A:§4904,relating to unswom falsification to authotities. Submission of this form grants authorized
representatives from the local agency and/or DEP access to the lot to inspect and conduct tests of 1)the site;2)the system and structures under construction;
3)the completed sewage sy tem;,and,4)the operational st us of the system.
�C--`.' '' � " �ia���pf
Property Owner's Signature� '�--��'�''L� �'""' Date
The information in this appiication is true and correct to the best of my knowledge.
SEO Signature Date Certification Na
�a��i ir�n�T
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ORDER
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PRICE PER AMOUNT
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IMPORTAN7:
Our order num6er must appe r on all ��
invoices,packages and correspondence.
`•�se us if una6le to deliver complete
'•the date required BUYER
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� ,I�e$��....� 01993ACCOUSA,Ina � Cer6anlea
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Robir�sor� Lawr� Se�ic�
115 Ha�nond Road
S� n
ppe sbur�, PA 17257
Phone: (717) 961-6073
BILL TO
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DESCRIPTION Ql1ANT'IT'Y RATE AMOUNT
l 61 sh�.Tro Dl� . ����.��
Pu L� w�,os
��J Ge � ril ulth Qe/�S
1�'�m shr�as ,n F�o��
Fe�Y,�., �e L.w�,,�
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THANK YOU FOR YOUR BUSINESS. TOTAL # �9� , d0 ,
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Robi � Lawr� Se�ice
� 15 �Ia�n�r�.ond Road
Shippensbux�, I'A 17257
Phone a (717) 961-6073
BILL TO
j�enn y l,�aa
3v�I 7 R itr►e�' Hwy,
� Carl,is�.e , P19 I�0�3
�
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DESCRIPTION QUANTITY RATE AMOUII�T
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THANK YOU FOR YOUR BUSINESS. TOTAL # --
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Rosenberry's Septic Services �17VOIC@
888�l1e Road
Shippensburg,PA 172� Date invoice#
Phone# 71'7-532-�6 5/15/2014 9805
Faz# 717-532-7229
Bi8 To
Dennis Lebo
3047 Ritner Highway
Carlisle,PA 17015
DATE QTY DESCRIPTION LOCATION AMOUNT
5/12/2014 1 Inspection of Septic System-Prepare 161 Shatto Drive,Carlisle 225.00
for hydraulic load test;dig open outlet
pipe-drainage out of tank around pipe-
could not test. On 5-13-14 use line
locator to locate drainage line and verify
with exposing the line. More digging to
" expose the outlet pipe for verification.
S/14/2014 1 Hydra.ulic Load Test&Inspection � 450.00
PA tax 0.00
,
�
Thank you for the opportunity to be of service!
Total $675.00
Ternts: Net 30 days.Interest 1%%per month after 30 duys which is an annual percentage rate of 18%.
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CUMBERLAND LAW JOURNAL '" .:���:'�`ti
�.�:�;?�.'?;��'�'"`,\���,
32 SOUTH BEDFORD STREET ��, .,�,;:;;`;;;`;._,-
CARLISLE, PA 17013 '
Tele: (717)248-3166 Fax:(71�249-2663
May 23, 2014
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Marcus A. McKnight, III, Esquire
RE: Mabel K. Lebo Estate
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on following dates:
May 9, May 16, and May 23, 2014
Advertising Cost $ 75.00
Proof of Publication $ 0.00
Second Proof Request $ 0.00
Payment received $ 75.00
Total Amount Due $ 0.00
Becky H. Morgenthal, Executive Director
Rosenbeny's Excavating LLC
Esti m ate
8675 PinevilleRoad,� oate Estimate#
S�ippe„sburg,PA 17257 5/28/2ota �-7
Name/Address
Dennis Lebo
3047 Rimer liwy
Carlisle PA 17015
Project
161 Shatto Drive,Ca...
Cmi
Cost Total
Description 2��Sa�� 2,750.00
geplacing old septic tank�vith 1000 tin'o compartment tank:
Including hauling awey old tank,effluent filter,two rise�fi�g
up inlet of tank to house and hooking oudet w existing
(�;u $2_75 per gallon.
ed drivewaY due to fact the tank
Not responsible for repairing dama� of���y�ii need to be
is located under the driveway,�d P�
6.00°� 0.00
removed to access and*eplace tank.
PA Sa�es Tax •
l°��I $2,750.00
,
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_ —_ ._ ._.. _: __ __ � �
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LOWE'S NOME CENTEHS, LLC
� 850 EAST HIGN STREET
.. � CARIISLE, PA 17013 t717) 258-7700
'� — SALE —
�NI_ESA: S1"l10PP1 1921d3Y TAANSN: 10225977 05-27-f;}�,
I 220530 3M TUB & SN04lER REPAIR KI 15.IU
. �, 15.98 DISCOUNT �ACH -0.80 •
I 13867? NYLN PNCNR��UT 3/8%.615Su O.N7
� 0.92 AISCDUt�T EflCH 0.05
, ' 10720A LCC SYSTCi� I�SE ONIV O.UO N
SUBi0i4�Lt tu.05
TR%: Q.96
; INUuIi:E IU701 TOiHI: ��•��
'i LCC: 17.01
� T�TAL I�ISCOUNT: 0.85
MYL041E'S CARD NUMBER: 481UUOU5b4443tlt.
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G��;XKgXKXiO(RKXX6494 flMOUNT:17.J1 AUIi1�U:00Ud13 i
II SWIPEp REFID:225981171010 u5!'11114 1':25:21
STORE: 1710 TERMINAL• 10 05�2711d 17-?6'71
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9/26/2014 Purchase Details
PaymeM Method: �
Lowe's Consumer Credit Card
"*�""`.**6494
Lowe's Cdnsurner Credit Card ,
........:...6494
Subtotal: $�•2�
Tax: $0.67
Total $11•90
"Items retumed in store will remain visible in your purchase details
�2014 Lowe's.All rights reserved.lowe's and the gable design are 2gistered trademarks of LF,LLC.
�
https:l/www.lowes.comlen_us/mylowes/purchases/purchase-details.html?myLowesCardNumber-4810D0056444381&transactionld=2699515422&ord... 2/2
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LOWE'S NOME CENTERS, LLC
?50 SOUT;; CONESTOGA DRIUE
SHIPPEflSBURG, PA 17257 (717) 530-3701
— RETURN 17883 —
SALES�;R 8�7"��flNS . i8649 09-13-14 �
RET 13861 WRDRBE DR G 4.03-
' ORIG. STORE: 1710 �ATE:082814 INV:10831
SUBTOiAI: 4.03-
TAX: 0.24-
• TOTAL REiURN: 4•Z7'
LCC: 4.27-
• MYLOWE'S CARD NUMBEA: 481000056444381
LCC:XXXXXXXXXXXX6494 NMOUNT:4.27-
' KEYED REFID:618653281617 09(13/14 10:30:54
STORE: 2816 TERMINAL: 17 09/13l19 10:30:54
STORE MANAGER: DOUG THOMAS
WE NAVE iHE LOWEST PRICES, GUARANiEED!
IF YOU FIND A LOWER PRICE, WE WILL BEAT IT BY 10�.
SEE STORE FOR DETAILS�.
***�*�M���*M��*�����*�*�**��*��*�*�****��*���*��**�*M***
* YOUR OPINIONS COUNT! *
X HE6ISTER FOR R CHRNCE TO YIN A �
� * f5.000 LOYE'S fiIFT CRRD! �
� iAE6ISTRESE PflRH TENER LA OPORTUNIDRD DE GANAR UNA �
� TARJETR DF. REGALO DE LOWE'S DE 55000! *
*
�
M REGISTER BY COMPLETIN6 R CUESi SAiISFACTION SURVEY *
* UITHIN ONE WEEK AT: �owu.low�es.com/suruer �
� Y 0 U R I D � 17883 2816 256 �
*
*
� NO PURCNASE NECESSARY TO ENTER OR WIN. *
* VOiD 41HERE PROHIBITED. MUST BE 18 OR OLDER TO EhTER. *
� * DFFICIAL RULES & WINNERS AT: uiaiw.lowes.corilsuruey �
*�**��:��*M��**M�*�*�%***M*M*����*��*�*������*�*�**�����*
STORE: 2816 TERMINAL: 17 09/13/14 10:30:54
. . � �.a. in.■ �
9/26/2014 Purchase Details
.-, . '
� Prices,promotions,styles,and availability may vary.Our local stores do not honor online pricing.
Prices and availability of products and services are subject to change without notice.Errors will be
iii�i�i�i� N���O����� corrected where discovered,and Lowe's reserves the right to revoke any stated offer and to correct
any errars,inaccuracies or omissions including after an order has been submitted.
Purchase Details
Back to Find Purchase
Purchase Details
Date: 08/28/2014 Invoice#: 10261140
Location: CaHisie Lowe's Status: COMPLETED
(717)258-7700 Total: $11.90
MyLowe's Card: 4810000564d4381
in-Store Purchase
COMPLETED Unit Price Qty Total
�w �' Prime-Line 2-Count Adjustable Sliding Closet Door $4.03 2 $8.06
� �� Bottom Guides
Item#:13861 �Model#:N 6661
Add To �
RETURNED Unit Price tlty Total
��� ° Prime-Line 2-Count Adjustable Sliding Cioset Door $4.03 -1 $-4.03
� � Bottom Guides
item#:13861 �Model#:N 6661
Add To �► '
_. _ _
COMPLETED Unit Price Qty Total
- . Prime-Line 2-Count Sliding Closet Door Bottom Guides $3.17 1 $3.17
Item#:195832�Model#:N 6761
I Add To � �
COMPLETED Unit Price Qty Total
���^ PROMOTIONAL DISCOUNT APPLIED $0.00 1 $0.00
Item#:155670�Model#:
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�, A E RENTED AT THE RATES SET FORTH BELOW AND
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'" �' CONTRACT. RENTAL CHARGES ARE MAQE FOR THE TIME THE EQUIPMENT IS IN
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1625 Ritrt�r Highway
Carlisle, Pa.17013 PENNSYLVANIA CRIMINAL LAW DEFINES ANY OF THE FOLLOWING ACTS AS THEFT:
Phone 1• Signing a rental agreement with a name other than your own.
(717)249-7110 �717� 249_714q 2• Failing to return rental property within the specified time.
MONDAY-FRIDAY 7:30 A.M.TO 5:00 P.M. 3• Using deception of any kind to avoid payment.
SATURDAY 8:00 A.M.TO 5:00 P.M. A CLEANING FEE WILL BE CHARGED ON EQUIPMENT RETURNED DIRTY
Do not rely on others to return equipment rented,the responsibility is yours.
WEEKLY&MONTHLY RATES ONLY APPLY IF RENT IS PAID IN ADVANCE
THIS E�UIPMENT FOR RENTAL ONLY-NOT FOR SALE
3ENTED T0: ADDRESS AT WHICH EQUIPMENT WILC BE U$ED TICKET NO.
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�RTIFY THAT I HAVE THIS DAY RECEIVED �
lth.Code: 02406C �ITEMS LISTED ON THIS CONTRACT, HAVE �rYj[ •�;.�x (�� t���! i �
ED THE ITEMS AND FIND THEM S UI TABL E
:Sj�O11S6�APPROUAL O 2 4 O G C IN GOOD CONDITION AND FULLY UNDER- .-: ;�
�quence Number� 0003 pFj}��S CONTRACT�TME TERIu1S ON THE S�1`'S T a3( e'� �C;
�rchant Number� n��`",'�.��' �°�� I
008119749100 � �
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OB130f2014 Pre eulh SHEETZ 0263 LOC:CARUSLE PA (1�)
08/30/2014 Pre aulh JAMES IINE JEWELERS LOC:CARIJSLE PA (10.60)
9228
08l3012014 Che�ldrp Deposk
08128l2014 POS Debft Pri NWS OLD NAW USA 782 LOC:CARLISLE l5�)
08/2812074 �/C SETTL9IAENT ME531CK S LAC CARUSLE PA �9��
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082]f2014 DBT CR 2042 0626M4 00005004 EAGLE MOUNTAIN PRODUCT 800-3080864 Cer�i _ -
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I SOLD TO. SHIP TO.
Denny Lebo Denny Lebo
3047 Ritner Highway 3047 Ritner Highway
Carlisle,PA 17015-9573 Carlisle,PA 17015-9573
US US
Phone: 717-240-7748
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REDERICK, ���O�� �
SEIBERT& �
ASSOCIATES,INC. (301)791-3650
128 South Potomac SVeet www.fsa-md.com
Hagerstown, MD 21740-5504
CIVIL ENGINEERS�SURVEYORS�LAN�FLANNERS�LANDSCAPE ARCHITECTS
Invoice submitted to:
Denny Lebo
3047 Ritner Highway
Carlisle PA 17015
July 17, 2014
1n Reference To: Job No, 50028;0(PL} eLOMA processing and approvaf
nvoice#3p723
Professionai services
For eLOMA processing and approved by FEMA
Amount
For professional services rendered . $400.00
Balance due $400.00
Thank you for letting us be of service.
Pfease pay from this invoice-No statement wil!be sent.
Terms: Net Cash
Accounts 30 days past due wilt be charged 1.5 percent
each month (18%APR)
FREDE�CK, a ��V �J OO ���
SEIBERT� �J
ASSOCIATES,INc. (301)791-3650
128 South Potomac Street www.fsa-md.com
Hagerstown,MD 21740-5504
CIVIL ENGINEERS�SURVEYORS�LAND PLANNERS�UaNDSCAPE ARCHITECTS
lnvoice submifted to:
Denny Lebo
3047 Ritner Highway
Carlisie PA 17015
June 12, 2014
In Reference To: Job No. 50028.0(PLj Fload eleva#ion certi�icate
lnvoice#34549 :
Professional services
For flood elevation field suroeys.
For elevation computations and certi�cate preparation
Amount
For professional services rendered � $650.00
Balance due $650.Q0
Thank you for letting us be of service.
Please pay from this invoice-No statement wi!!be sent.
Terms::Net Cash
Accounts 30 days past due will be charged 1.6 percent
� each month(18%APR)
Black's Water Conditioning, In�. Invoice
147 Old State Road DATE INVOICE#
Gardners,P 7324 PA HICPA#
(717)486 33 PA25903 7/17/14 51699
BILL TO UNIT LOCATION
Dennis Lebo Dennis Lebo
3047 Ritner HighwaY 161 Shatto Dr
Carlisle,PA 17015 Carlisle.PA 17015
TERMS DUE DATE SERVICED
Net 30 8/16/14 7/17/14
ITEM DESCRIPTION QTY RATE AMOUNT
1 85.00 85.00T
Service Call Service Call and Labor 6.00% 5.10
Please include invoice#on your check,to pay by credit cazd please call o"r office Totai Due $90.1�
at 717-486-5033
A 1�:%Per Month Finance Charge is Added on the Unpaid Balance on If you have any questions on this invoice,
pccounts Not Paid By Due Date.T1us is an 18%Annual Rate. $40.00 please contact us at billing@blackswater.com
Service Fee on all returaed checks. Oi�17-486-5033
Black's Water Conditioning, Inc. I nvoice
147 Old State Road DATE INVOICE# ,
Gardners�,P� 17324 PA HICPA#
(717)48 �033 PA25903 6/11/14 51329
BILL TO UNIT LOCATION
Dennis Lebo Dennis Lebo
3047 Ritner H'ighway 161 5hatto Dr
Carlisle,PA 17015 Carlisle.PA 17015
TERMS DUE DATE SERVICED
6/11/1� 6/11/14
ITEM DESCRIPTION QTY i�►TE AMOUNT
: 1 . ,. 85.�i0 85:OOT
Service Ca11 �Service Call and Labor 6.00% 5.10
Please include invoice#on your check,to pay by credit card please call our office Total Due �90.10
at 717-486-5033
A 1'/:%Per Month Finance Charge is Added oa the Unpaid Balance on If y0U h�ve 811y QU6St10I13 OII�115 ii1V01Ce,
Accflunts Not Paid By Due Date.This is an 18%o Annual Rate. $40.00 please cantact us at billing(a�blackswater.com
Service Fee on all returned checks. oi 717-48b-5033
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°�'��" contact us by Feb 12. -U pplelectric.com � � _ �I. _ � �
Pp� ';•.: 1-800-DIAL-PPL : •
- (i-800342-5775) 37550-68004 Feb 12,2015 $81:9T
a��,�e+�u w ree. �� M-F:9 a m t o 5 p m - --
Your Electric Usa rofile Billing Summary (Billing details on back)
Service to: Balance as af 1an 22,2015 Sp.00
MABEL LEBO Charges:
161 SHATTO DR Total Supplier Charges $98.77
CARLISLE,PA 17013 Total PPL Electric Utilities Charges -$16.80
Meter:87465361
Your next meter reading is on or about Feb 19,2015. Total Charges $81.97
Thls sectlon helps you understand your year-to-year mount Due By Feb 12,2015 581.97
electric use by month. Meter readings are actual unless Account Balance $81.97
otherwise noted.
�2o�a ■20�5 PPL Electric Utilities'price to compare for your rate is$0,09318 per kWh.
This changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch.com
so or www,oca.state.pa.us for suppller offers.
t 50
x � Your Message Center
c 30 • With paperless billing,you can receive and pay your
a PPL Electric Utilities bills online.The process Is free,
m zo quick,convenient and secure.To learn more or sign up,
a io
visit pplelectric.com.
o • Information about appliance energy use and tips on �
� F M A nn i � a s o N D saving energy are available throu h the Energy Library
on our Web site,pplelectric.com�e-power �
Months • Before digging around your home or property,you
should always call the state's One Cali notificatlon
' � ' ' system to locate any underground utllity lines. You can
� �• � � • � do this by simply dialing 811,which will connect you to
Jan 2015 .33 1413 43 30F the One Call system: Be safe and call 811 before you
dig.
Jan 2014 33 1629 49 30F —
'� �• �- ' •• • _Payment Methods =
Jan 21 Actual 71431 � Online at: �By phone:i-S00-342-5775 =
Dec 19 Actual 70018 PPlelectric.com or call BiIlMatrix(service fee applies) _
at 1-8D0-672-2413 to pay using Visa, _
33 Days kWh Bliled 1413 MasterCard,Discover or debit card. =
• �. . . . . . � By Mafl: Correspondence should be sent to: -
Feb 2014-Jan 2015 5831 � 4g6 z North 9th Street Customer Services _
CPC-GENNi 827 Hausman Road —
Feb 2013-Jan 2014 18048 1504 Allentown,PA 18101-1175 Allentown,PA 181049392
Other important information on the back of this bill-�
_ .___-----
.t� -,
QuestionsP Please Vlsit us online at Page 1
'•';.::;,..
� ' •:;:. � contact us by May 14. pplelectric.com : �
1-800-DIAL-PPL ' � � � � �
pp •:•,•:� (1-800-342-5775) 37550-68004 May 14,2014 ' $106.97.
�.e«a+�uu�roe. � M-F:8amto5pm
Your Ele ric Usage Profile Billing Summary (Billing details on back)
Service to: Balance as of Apr 23,2034 50.00
MABEL LEBO Charges:
161 SHATTO DR Total PPL Electric Utilities Charges $106.97
CARLISLE,PA 17013
Meter:87465363 Total Charges 5106.97
Your next meter reading Is on or about May 21,2014, Amount Due By May i4,2014 5106.97�
This section helps you understand your year-to-year Account Balance $306.97
electric use by month. Meter readings are actual unless pp�Electrtc Utllitles'price to compare for your rate Is$0.08754 per kWh.
otherwise noted. This changes the 1st of Mar,Jun,Sept,and Dec,Visit papowerswkch.com
�zo�a �2o�a or www.oca.state.pa.us for supplier offers.
�so Your Message Center
r izs
Y 1� • Budget Summary:
� We billed you S1,330,00
o �5 Including this blll,you used 55�,004.33
' so After this payment,your budget is ahead $325.67
�°
a ZS •Wlth paperless billing,you can receive and pay your �
° PPL Electric Utilfties bilis onllne.The process Is free,
� F M A M i � n s o N D qulck,convenient and secure.To learn more or slgn up, <
nnoncns visit ppielectric.com.
• Information about appliance energy use and tlps on
• � � ' saving energy are available throu h the Energy Library
, ., . .., • . on our Web site,pplelectric.comf e-power
Apr2014 33 428 13 47F
Apr2013 30 2141 71 47F
• • •••� • Payment Methods
• Apr 22 Actual 68768 ./� Online at: �ey phone:i-800342-5775
Mar 20 Actual 68340 U PP�electric.com or call BIIIMatrix(service fee applies)
at 3-500-672-2413 to pay using Vlsa,
33 Days kWh Bllled 428 MasterCard,Discover or debit card.
� �. � � , , . , � By Mail:_ _ Correspondence should be sent to:
. � w..0u.u� �a�i �
. �
� � Questions?Please ,/� Visit us oniine at Page 1
��'� � corrtact us by Apr 13. -�J pplelectric.com � � , �
Pp'f �;::: 1-800-DU1L-PPL �
(1-800342-5775) 3755a68004 Apr 13,2015 ����� �'
n aivawo umnro• ` � M-F:8am to 5pm
��
Your Electric Usage Profile Billing Summary (Billing detauis on back)
�ervice to: Balance as of Mar 23,2015 $0.00
v1ABEl LEBO Charges:
1615HATT0 DR Total Supplier Charges $85.63
:ARLISLE,PA 17013 Total PPL Electric Utilities Charges $59.04
�leter:87465361
'our next meter reading is on or about Apr 21,2015. Total Charges $144.67
his section helps you understand your year-to-year �~ � � �4 �,.��'�� ���a , �'"s�p��,��io����r�taa����t ,.
�lectric use by month. Meter readings are actual unless Account Balance $144.67
dherwise noted.
■2014 �2015 PPL Electric Utllities'price to compare for your rate is$0.09559 per kWh.
This changes the lst of Mar,Jun,Sept,and Dec.Visit papowerswitch.com
� or www.oq.state.pa.us for supplier offers.
so
,� Your Message Center _
• With paperless billing,you can recelve and pay your
3o PPL Electric Utilities bills online:The process is free,
� zo quick,convenierrt and secure:To learn more or sign up,
visit pplelectric.com.
10 —
o _ • Information about appliance energy use and tips on �
i F M A nn > > n s o N D saving energy are available throu h the Energy Library
on our Web site,pplelectric.co�e-power �
nnonms • Before digging around your home or property,you
should always call the state's One Cail notification
system to locate any underground utility lines. You can
t • . do this by simply dia�ing 811,which will connect you to
Mar 2015 2g 1225 42 ZgF �e One Call system. Be safe and cali 811 before you
dig.
Ma�2014 28 980 35 33F —
Payment Methods =
Mar 20 Actual 74143 J� Online at: By phone:i-800-342-5775 =
Feb 19 Actual 72g6g V PP�electric.com �or call BiIlMatrix(service fee applies) —
at 1-800-672-2413 to pay using Visa, �
29 Days kWh 8illed 1225 MasterCard,Discover or de6it card. =
. . � , � By Mail: Correspondence should be serrt to: _
4pr 2014-Mar 2015 5853 488 Z North 9th 5treet Customer Services _
CPC-GENN1 827 Hausman Road —
4pr 2013-Mar 2014 13499 1125 Allerrtown,PA 18101-3175 Ailentown,PA 181049392 =
Other important information o�the back of this bill�
__
Page 1
Questions?Please ,2� Vlsit us online at
'•�C::1: �i � � • s. � . � •
•;• •• • � contact us by Mar 13. -U pP�eledric.com :
1-BOO�DIAL-PPL 37550-68004 Mar 13,2015 $177.60
ppl .��;- (1-800-342-5775)
�������ro� � M-F:8am to Spm
Blllill Summa (Billing details on back)
Your Electric Usage Profile Balance as of Feb 20,2oi5 So.00
5ervfce to: Charges:
MABEL LEBO Totai Supplier Charges $1o7.4a
1615HATT0 DR $70.16
CARLISLE,PA 17013 Total PPL Electric Utilities Charges
Meter:87465361 $177.60
Your next meter reading Is on or about Mar 20,2015. Total Charges 2015 5177.60
Thls section helps you understand your year-to-year
Amount Due By Mar 13, --- $177.60
electric use by month, Meter readings are actual unless Account Balance
otherwise noted. PPL Electric Utilitles'price to compare for your rate is$0.09318 per kWh.
�2o1a .20�5 This changesthe lst of Mar,Jun,Sept,and Dec.Visft papowerswitth.tom
so
or www.oca.state.pa.us for supplier offers.
3 50 Your Messa e Center -
= ao .With paperless billing,you can recelve and pay your
g' 30 pPL Electric Utllities bllls onllne.The process is free,
;, quick,convenient and secure.To learn more or sign up,
' zo visit pplelectric.com. _
a lo • Information about appiiance energy use and tips on �
a saving energy are available through the Energy Library �
� F M A nn � � n s o N D on our Web site,pplelectric.com/e-power
Months • Before dlgging around your home or property,you
should always call the state's One Call notification
� � _ • system to locate any underground utility lines. You can
do this by simply dialing 811,which will connect you to
. • � � � the One Call system. ee safe and call 811 before you
Feb 2015 •29 1537 53 24F dig. _
Feb 2014 30 1760 59 23F =
. . � Pa ment Methods =
�' •72968 Online at: �By phone:i-800-342-5775 —
. Feb 19 Actual � ppielectric.com or call BiIlMatrix(service fee applies) _
Actual 71431 at i-800-672-2413 to pay using Vlsa, �
Jan 21 MasterCard,Discover or debit card. �
29 �avs kWh Billed 1537 _e ..,..,�...:_._,,., ------ �
. Page 1
Questions?Please � Vislt us online at
� � ��� � � contact us by Jun 11. pplelectric.com � � . - .. - � � ' "
ppl••.;�:; (18003'42-5775) 37550-68004 Jun 11,2015 $17.59
������, �' M-F:8amto5pm
Billin Summa (Billing details on back)
Your Electric Usage Profile $a�
Balance as of May 21,2015
Service to: Charges:
MABEL LEBO Total Supplier Charges $1,89
161 SHATTO DR 15.70
CARLISLE,PA 17013 Total PPL Electric Utilities Charges $
Meter:87465361 $17.59
Your next meter reading is on or about 1un 19,2015. Total Charges —
Amount Due By Jun 11,2015 537.59
This section helps you understand your year-to-year $17.59
electric use by month. Meter readings are actual unless Account Balance
otherwise noted. PPL Electric Utilities'price to compare for your rate is$0.09559 per kWh.
�2o1a ■20�5 This changes the ist of Mar,Jun,Sept,and Dec.Visit papowerswitch.com
60 or www.ow.state.pa.us for suppller offers.
� So Your Message Center
� 40 • With paperless billing,you can receive and pay your
S 3o PPL Electric Utilities b(IIs online.The process is free,
d quick,convenient and secure.To learn more or sign up,
m 20 visit pplelectric.com. _
a 1� • Information about appliance energy use and tips on :
o saving energy are available throu h the Energy Library $
� F M A nn i � n s o N D on our Web site,pplelectric.comf e-power
Months • Before digging around your home or property,you
should always call the state's One Call notification
, . • : system to locate any underground utility Ilnes. Yau can
• • ' � � � t et0`ne Call systema��Be safe and eall 811 before y�uto
May 2015 Z9 27 1 63F d�g,
May 2014 29 36 1 58F
` Pa ment Methods
. May20,• Adual .74386 � Onlineat;
�By phone:i-800-342-5775
Apr 21 Actual 74359 PP�electnc.com or call BiIlMatrix(service fee applies)
at 1-800-672-2413 to pay using Visa,
MaSterCard,Discover or debit card.
29 Days kWh Billed 2�
� By Mail; Correspondence should be sent to:
� �• � ' � � 2 North 9th Street Customer Services �
Jun 2014-May 2015 5582 465 CPC-GENN1 827 Hausman Road
Jun 2013-May 2014 10870 906 Allentown,PA 18301-1175 Allentown,PA 18104-9392
Other important information on the back of this bill-�
' ' � Question57 Please � Vislt us online at Page i
�'����':;", contact us by May 13. pplelectric.com
1-800-DIAL-PPL ' � � � � � � �
pp� •���� (i-800342-5775) 37550-68004 May 13,2015 $32.39
�,,o�,,,�� M-F:8am to 5pm
Your Electric Usage Profite Billing Summary (Biliing details on back)
Service to: Balance as of Apr 22,2015 S�•�
MABEL LEBO Charges:
1615HATT0 DR Total Supplier Charges $11.60
CARLISLE,PA 17013 Total PPL Electric Utflities Charges 520.79
Meter:87465361
Your next meter readfng is on or about May 20,2015. Total Charges $32.39
Thls section helps you understand your year-to-year Amount Due By May 13,2015 532.39
electric use by month. Meter readings are actual unless Account Balance $32.39
otherwise noted.
�2014 ■2015 PPL Electric Utilities'price to compare for your rate is$0.09559 per kWh.
This changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch.com
60 or www.oca.state.pa.us for suppller offers.
� � Your Message Center
o • With paperless billing,you can recelve and pay your
3o PPL Electric Utilities bills online.The process Is free,
a Zo quick,convenient and secure.To learn more or sign up,
Q lo vistt pplelectric.com. ;
o • Information about appliance energy use and tips on ;
� F M A M > > A s o N D saving energy are available throu h the Energy Library ;
on our Web site,pplelectric.com�e-power �
Months . eefore digging around your home or Property,you
should always call the rtate's One Call notification
• � system to locate any underground utility lines. You can
� � , . do this by simply dialing 811,which will connect you to
Apr 2015 •3Z 166 5 qgF the One Call system. Be safe and call 811 before you
dig.
Apr2014 33 428 13 47F
�• � �• Payment Methods
• Apr 21 Actual 74359 ✓� Online at: �By phone:1-8Q0-342-5775
Mar 20 Actual 74193 U PP�electric.com or call BiIlMatrix(service fee applies) !
at i-800-672-2413 to pay using Visa, i
32 Days kWh Billed 166 MasterCard,Discover or debit card.
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ai��s nowdue and payab►e To: 2014-2015 CARLISLE AREA SCHOOL DISTRICT REAL ESTATE BILL
MELANIE STRICKLAND 2%Discaunt Face 10%Penalty
2053 SPRING RD Tax Type(s) Mills Jul Ot-Aug 31 Sep 01-Oct 31 Nov 01-Dec 31
CARLISLE PA 17013
School 12.9333 $2,509.57 $2,560.79 $2,816.87
Tax Reduction � -�130.16 -$132.82 -$146.10
Office Hours: See Reverse Side �e �
��� � \\
Phone: 717-254-1291
G 2o TQ'�AL'��r" �' $2�379�4'1' ' 3r S2�d2tST; �`�$2,670'7� "
Uz� ti x^ c.,+..�XSa�1'���s.`c''��J`��.���., . i� ;' kx ,s,: � .'"...�n4::°...t�.�t: , s�,.:::.,,,�4_'.v�43�sr�,�. ,::
` � J
� v ��1���� l,Bill# 0 364� arcel 29 17-1576 095.
LEBO, MABEL K S���({,�� Issued 7/1 014 �-----�Land Use tot
3047 RITNER HIGHWA� 1 4��' Location 161 SHATTO DRIVE
CARLISLE, PA 17015
Beginning Assessment $198,000
��� � � �t�y�� HomesteadReduction $10,270
� s HOME OWNER COPY Farmstead Reduction $o
Net Assessment $187,730
�R�4�t����A�!
u�l��������Nl��������� 4��N(�f����S IF PAYING INSTALLMENTS, STP.RT WITH r'OUPON#1 AT THE BOTfOM
- - - - - - - - - - - - - - - - - - - -- - - - - - - - - - --
Bilis nowdue and payable To: 2014-2015 CARLISLE AREA SCHOOL DISTRICT REAL ESTATE BILL
MELANIE STRICKLAND No Discount Face 10%Penalty
2053 SPRING RD Tax Type(s) Mills Before Oct 31 After Oct 31
CARLISLE PA 17013
School 12.9333 $853.59 $938.95
3 Tax Reduction -$4428 -$48.71
Office Hours: See Reverse Side
Phone: 717-254-1291
,�,�,. t� ' .��;I`�►'LY�'��'�.�� ., S���� 5.� , �'�g9�,24 :
Installment 3(Discard if paid in Full) >�_ ,;, ,µ,�,._.5 t '= �.,f;�.:i4,...�,�,., . _ w:�, .t���.:< .:..
Bill# 002364 Parcet 29-17-1576-095.
LEBO, MABEL K Issued 7/1/2014 �and use �o�
3047 RITNER HIGHWAY FRONT �ocation 161 SHATTO DRIVE
CARLISLE, PA 17015
Beginning Assessme�t $198.000
Homestead Reduction $10,270
IMPORTANT! Farmstead Reduction SO
READ INSTRUCTIONS ON BACK Net Assessment $�8�,730
�BIIIIUII�IQI�I�@�Iuluflll�lll���lul�ll�l1�611 TEAR HERE
- - - - - - - - - - - - - - - - - - - - - - - - - - - -
Bi�ls nowdue and payable To: 2014-2015 CARLISLE AREA SCHOOL DISTRICT REAL ESTATE BILL
MELANIE STRICKLAND No Discount Face 10%Penalty
2053 SPRING RD Tax Type(s) Mills Before Sep 30 After Sep 30
CARLISLE PA 17013
School 12.9333 $853.60 $938.96
2 Tax Reduction -$44.27 -$48.70
Office Hours: See Reverse Side
Phone: 717-254-1291
c. .*, . 4 '.ya�,f+r�,+a <T � > i �` �.p�_�&:
kt N �r �',h.cy���aL-�`���"yEa §�� �� � :� �Jvav .,
Installment 2(Discard if paid in Full) ��, ,;r � .,;:;r�,��.l�iM `,�{k„;�,,,�„�;�'���� ..,�. <q��.��.�,��,
Bill# 002364 Parcel 29-17-1576-095.
LEBO, MABEL K Issued 7/1l2014 �and use �ot
3047 RITNER HIGHWAY FRONT �ocation 161 SHATfO DRIVE
CARLISLE, PA 17015 eeginning Assessment $�s8,o00
Homestead Reduction $10,270
IMPORTANT! Farmstead Reduction So
READ INSTRUCTIONS ON BACK Net Assessment $187,730
utliul19�1�EItlII��lu��19����IIIN��Y� TEAR HERE
. . .. . i �u_ ;.i r■ . i ..
�tateFarm BALANCE DUE NOTI�E ❑
�TM State Farm Fire and Casualty Company P�UCY NUMBER 38 C3$673-1
i 00 tafe Farm Place NOV 01 2014sto NOV 01 2015
8 ton Spa,NY i2020-8000
E-13-2627-FABC H p bATE DUE PLEASE PAY THIS AMOUNT
oozaeo 000� NOV 01 2014 �717.00
LEBO, MABEL K —
161 SHATTO DR
�•• . CARLISLE PA 17013-2120
�
s
0
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s
Location: Same as Mailing Address
Important Message(s)
�"i 50 3896 8769
See reverse for important information.
Agent JOHN ZAMPELLI JR Please keep this part for your record.
Telephone (717)249-1582 Prepared SEP 10 2014
-- 1PleasefoltlendtearhereL---.---- ---------.----------------
------------------------
Home Computers(for higher limits)
Identity Restoration
Incidental Business Liability (for those with an incidental office,studio,or school in the home}
Jewelry and Furs (for broadened coverage and higher limits)
Loss Assessment(for neig hborhoods with Homeowners Associations)
� **Optional Coverages con�tinued on the reverse side'"'`
N
� This notice ccntains only a general description of the coverages and is not a contract.All coverages are subject to
a the provisions in the policy itself. Should you have a need for any of these coverages or higher limits,contact your State
� Farm Agent to discuss details,cost and eligibility.
0
IMPORTANT INFORMATION ABOUT DAMAGE CAUSED BY FLO�DING
This policy does not cover damage to your property caused by flooding. You may be eligible for such coverage through t{ie
National Flood Insurance Program ("NFIP"), if you live in a participating community. For more information,contact your
State Farm�agent or visit floodsmart.gov.
sa39 2o�i i Agent JOHN�AMPELLI JR REP Prepared SEP 10 2014
_ w,oR,NP,6H,� Telephone (717)249-1582
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