The URL can be used to link to this page

Home My WebLink About09-02-15 T pennsylvania 1505614105 ... EX(03-14)(H) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT I Fftl F -16 3 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYWY 015 03181927 06072 Decedent's Last Name Suffix Decedent's First Name MI Babcock Elmer (if Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI 01 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW GID 1.Original Return C=:) 2.Supplemental Return, C=) 3. Remainder Return(date of death prior to 12-13-82) O 4.Agriculture Exemption(date of C=:) 5.Future Interest Compromise(date of C=) 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) C=:) 7. Decedent Died Testate C=) 8.Decedent Maintained a Living Trust 9. Total Number of Safe Deposit Boxes (Attach copy of will.) (Attach copy of trust.) C=:) 10. Litigation Proceeds Received C=:) 11.Non-Probate Transferee Return C=:) 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) C=) 13. Business Assets C=) 14.Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO- Name Daytime Telephone Number F"ai Ruth Vooys 1(717)486-3399 First Line of Address 5 Westwood Drive Second Line of Address City or Post Office State ZIP Code Mt Holly Springs 17065 cr) Correspondent's email address: evooys@comcast.net 2z REGI LS-USE ONLY REGISTER OFWILLSUSE ONLY T- 7_ LEOWMOC) :3 r CJ cn DATE FILED STAMP PLEASE USE ORIGINAL FORM ONLY Side I i iiiiii iiiii iiiii iii �ii�iiiiiii�i� iiiii iiiii ilii ilii J 1 6 4 1505614105 1505614205 REV-1500 EX(FI) Decedent's Social Security Number Decedents Name: Elmer Babcock # RECAPITULATION 1. Real Estate(Schedule A). ............................................ 1. 2. Stocks and Bonds(Schedule B) ....................................... 2. ( 1 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) ..... 3. 4. Mortgages and Notes Receivable(Schedule D)........................... 4. 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E)....... 5. 50,388.15 j 6. Jointly Owned Property(Schedule F) O Separate Billing Requested ....... 6. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. 8. Total Gross Assets(total Lines 1 through 7)............................. 8. ii 50,388.15 9. Funeral Expenses and Administrative Costs(Schedule H)................... 9. I 12,58 8.221 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............... 10. 2,310.28 11. Total Deductions(total Lines 9 and 10)................................. 11. � 14,898.501 12. Net Value of Estate(Line 8 minus Line 11) .............................. 12. 35,489.65 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. 35,489.651 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES ! 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.0- 15. 16. Amount of Line 14 taxable ' " at lineal rate x.0 45 16. 1 1,597.03 17. Amount of Line 14 taxable ~ at sibling rate X.12 17. 18. Amount of Line 14 taxable at collateral rate X.15 18. 19. TAX DUE........................................................ . 19. 1,597.03 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Under penalties of perjury,I declare I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the person responsible for filing the return is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS 5 Westwood Drive, Mt. Holly Springs, PA 17065 SIGNATURE OF PREPARER OTHER THAN PERSON RESPONSIBLE FOR FILING THE RETURN DATE ADDRESS sloe 2 iii�i�i�iiiii iiiii ilii lin 1505614205 REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: DECEDENTS NAME Elmer Babcock STREETADDRESS 1 Longsdorf Way CITY STATE ZIP Carlisle PA 17015 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 1,597.03 2. Credits/Payments A.Prior Payments B.Discount 79.85 (See instructions.) Total Credits(A+B) (2) 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 1,517.18 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred.......................................................................................... ❑ b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ c. retain a reversionary interest.............................................................................................................................. ❑ ■ d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ 2. If death occurred after Dec.12,1982,did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................................. ❑ E 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation? ........................................................................................................................ ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a step-parent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§911 6(a)(1 • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S. §9116(a)(1.3)].A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1508 EX+(02-15) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Elmer Babcock 21-15-0783 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 1. PNC Bank 38,525.15 2. 2006 Dodge Caravan 1,363.00 3. .Homesteader prepaid Funeral 10,500.00 TOTAL(Also enter on Line 5, Recapitulation) $ 50,388.15 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+ (02-15) a pennsylvania SCHEDULE H TWw DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' Hollinger Funeral Home and Crematory 11,979.67 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: 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: 215.50 5. Accountant Fees: 6. Tax Return PreparerFees: 7. Cumberland Law Journal 75.00 8. The Sentinel 148.06 9. Mt Holly Springs United Methodist Church-Funeral luncheon 150.00 . '10. PNC Bank-Estate check printing fee 19.99 TOTAL(Also enter on Line 9, Recapitulation) $ 12,588.22 If more space is needed,use additional sheets of paper of the same size. REV-1512 EX+(02-15) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Elmer Babcock 21-15-0783 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Omnicare of King of Prussia 152.13 2. Diakon Lutheran Social Ministries 1,803.09 3. Holy Spirit EMS 355.06 TOTAL(Also enter on Line 10, Recapitulation) $ 2,310.28 If more space is needed,insert additional sheets of the same size. PNC July 17, 2015 Mary R Vooys 5 Westwood Dr Mt. Holly Springs, PA 17065 RE: Name: Elmer Babcock SSN: DOD: 06/07/2015 Dear Ms. Vooys: In response to your request for Date of Death (DOD) balances for the customer noted above, our records show the following: Checking Account Account# 5116142097 Established: 05/12/2015 ELMER BABCOCK MARY VOOYS VACUST DOD balance: $ 3,595.00 non-interest bearing Account# 5140404325 Established: 12/22/1990 ELMER BABCOCK DOD balance: $ 34,180.98 + 0.16 accrued interest Savings Account Account# 5004740658 Established: 12/04/2007 ELMER BABCOCK DOD balance: $ 749.00 + 0.01 accrued interest Please note that this office provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings). We do not process any financial transactions or provide statements. If you need assistance with any of these items,please call 1-888-PNC-BANK(1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, National Financial Services Center PNC Bank, N.A. Member FDIC Page 1 of 2 This message is intended for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communications is strictly prohibited. If you have received this communication in error, please notify me immediately by reply or by telephone at 800-762-1775 and immediately destroy this faxed document. Page 2 of 2 tl�fl� KeLLey B[ue Book The Trusted Resource' ` ...� - � _ HAS YOUR CARS WARRANN EXPIRED? " ISIT ISiBifJTTO I ! Advertisement Trade In to a Dealer 2006 Dodge Caravan Passenger Pricing Report Trade-in':Iatue $1,363 Style:SE Minivan 4D rr Mileage: >.es,000 Pro i. of r Vehicle Highlights Fuel Economy: Max Seating:7 Trade-in Values valid for your area through 8/27/2015 City 17/Hwy 24/Comb 20 MPG Good Condition Doors:4 Engine:V6,3.3 Liter Drivetrain: FWD Transmission:Automatic EPA Class: Minivan Body Style:Van Country of Origin:United States Country of Assembly:United States Your Configured Options Our pre-selected options,based on typical equipment for this car. ✓Options that you added while configuring this car. Engine Steering Cargo and Towing V6,3.3 Liter Power Steering ✓ Roof Rack Transmission ✓ Tilt Wheel Wheels and Tires Automatic Entertainment and Instrumentation Steel Wheels Drivetrain AM/FM Stereo Exterior Color FWD ✓ Cassette ✓ Red Braking and Traction CD(Single Disc) ✓ ABS(4-Wheel) Safety and Security Comfort and Convenience Dual Air Bags Air Conditioning Seats ✓ Air Conditioning,Rear ✓ Power Seat ✓ Power Windows 7-Passenger Seating ✓ Power Door Locks Exterior ✓ Cruise Control ✓ Power Siding Doors Glossary of Terms Tip: Kelley Blue Book®Trade-in Value-This is the amount you can expect to receive when you trade in your car to a dealer.This value is determined based on the style,condition,mileage and options It's crucial to know your car's indicated. true condition when you sell it, I�IIIIIIDDIIillullllinl�llllllll�lll�l��lll�lll�llilll , ' • ' ENROLLMENT FOR HOMES,----.--- _0002850508 • GROUP INSURANCE TO PO BOX 1756/DES MOINES IOWA 50306/800 477 3633 PROPOSED INSUR D(Please Pnnf) 'L'a'st)J First ii;44/ ex Bi hdat (M/D Age SS No ,/ '15.f7_ i si 40040. �!L /j' � iu � - Residence-No and Street Cijf or own f State Zip Phone No APPL ANVOWNER(If Other than Proposed Insure ,, )) S" LU� 4/OdD Last First dial Address City ate Zip SS No Relationship to Insured BENEFICIARYJ (After payme under �vassignments/rerrvaining proceeds are to be paid Relationship to Insured to the estat of the insured unless a beneficiary is specified above) R SINGLE PAYMENT PLAN if the insured does not sign the enrollment form the initial face E ❑ Certificate Face Amt $ amount of the certificate will be equal to 1 005 times the premium paid Q for all issue ages U ❑ Rider Premium $ E ❑ MULTIPLE PAYMENT PLAN(The proposed Insured must sign the tf the following questions are both answered no we may issue a S enrollment form to qualify for the Multiple Payment plan) certificate providing an immediate death benefit equal to the face T Years amount E Premium Face Amt $ OPTIONAL HEALTH HISTORY(Multiple Payment Plans) Payable 1 Is the insured now bedridden or currently admitted to or been D Premium $ advised to enter a hospital nursing home hospice program or B DEATH BENEFITS ON THE MULTIPLE PAYMENT PLAN ARE LIMITED any extended care facility or been diagnosed as having or been AS FOLLOWS treated for AIDS or ARC? ❑ YES ❑ NO E 2 Within the past five years has the insured been diagnosed or N Years Premium Payable treated for any of the following ailments? E Less than 5 years 1st Year = 50%of Face Amt Heart Disease Liver Disease Alcohol Abuse F 2nd Year = Face Amt Circulatory Disease Kidney Disease Drug Abuse 5 years or greater 1st Year = 35%of Face Amt Stroke Anemia Nervous Disorder ( 2nd Year = 70%of Face Amt Lung Disease Cancer T 3rd Year = Face Amt Diabetes ❑ YES ❑ NO S If death by accident during the limited period the face amount is payable Payment Method ❑Monthly ❑Annually ❑Semiannually ❑Ouarterly ❑Multiple Bill-(List other policies for PAC or MS) ❑Direct Bill ❑Preauthonzed Collection(PAC-See Reverse) Dividends urchase Additional Insurance ❑Accumulate at Interest ❑Paid in Cash ❑Reduce Premium Replacement—Will the propos d certificate replace any existing life Insurance or annuity contracts ❑Yes VNo (If Wes"complete replacement papers) /lies (% z DECLARATIONS—T a best o no dge and belief, all statements and answers on this enrollment form are complete and true Is agree at no lnsuran a shall take effect until the premium has been paid and a certificate has been issued whit the insu ed is living I cerh , If I am applying for insurance on behalf of the insured, that I have an insurable interest In the pro osee insoed's Iif , and have full authority to use his/her funds as premiums on the Insurance applied for I have aid $ t s enrollment form Signed at 17GKe Date ty state X5 gnatu a Appll n Owner fother tha posed Insured) Signature of Proposed Insured Agent's Statement By my sprexcled at re I certify that, to the best of my knowledge, all information contained In this enr ent form is cor ect a urately, and confirm this enrollment form was signed in my presence Z_ � � Security Option Agek, s Signature Agent Number Prod Code. Mkt Code ❑ Advantage Option GP 201 PA Copies White-Homesteaders White-Homesteaders Pink-Provider Canary-Owner Rev 0709 RA *? WPM Hollinger Funeral Home & Crematory, Inc. Eric L. Hollinger, Supervisor June 19, 2015 Mary R.Vooys 5 Westwood Drive Mt. Holly Springs, PA 17065 The Funeral Service for Elmer Babcock.: We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES,AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. Professional Service Traditional Package $5150.00 Merchandise Casket— Batesville 2895.00 Vault—12 Gauge Steel 1575.00 Memorial Package—Gold Seal Register Book, Memorial Folders, Acknowledgement Cards, Bookmarks N/C AT THE TIME FUNERAL ARRANGEMENTS WERE MADE, WE ADVANCED CERTAIN PAYMENTS TO OTHERS AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES. Cash Advances Grave Opening 700.00 Cemetery Equipment 425.00 Certified Copies of Death Certificate (12@ $6) 72.00 Clergy& Organist 250.00 Flowers- Family Spray- Masculine w/ pink 159.00 Newspaper Notices—Sentinel 165.00 Total Charges $11391.00 Homesteaders Insurance PAID IN FULL THANK YOU 501 NORTH BALTIMORE AVENUE • MOUNT HOLLY SPRINGS, PENNSYLVANIA 17065 (717) 486-3433 • FAX (717) 486-3215 www.hollingerfuneralhome.com lit F .i• b : s YHollinger Funeral Home & Crematory, Inc. Eric L. Hollinger.Supervisor Mary,R �ooys 51Nestwa.od t`•F� Mt: Holly Srmgs"PA 17065 ` The Funeral+Se'rvicefor Elmer Babcock.: A `Y We-sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can..Please feel free to contact us if you have any questions in regard to this statement. ",Newspaper,Notice-Sentinel $353.67 Ridgewood News7. 400.00 Total Charges for Newspaper $753.67 Prepayment Amount 165.00 Balance Due $588.67 . SeLu rit rnha need dneed document. SEE bock or detnilr.W PN CB AW NO C) PNC Banl,N.A 044 Central PA 64-12731313 DATE � � � � PAY TO THEf�1`,,, r - DISI err t1t m e 4 �e m�t'�I^\/r ORDER OFA01" ''L DOLLARS " ESTATE OF,,LA M 2f('--'BC2 b �)C4 ' J EXECUTOR/ 1JY"'T u ADMINISTRATOR � _ _ _ ___ __ _ PERSONAL F FOR- n'�/r^/J0yy -- __...___�..__ REPRESENTATIVE ''/'�/ �_....�_.__...__._—__••M'. TRUSTEE .0 3l3 1 27 381: 5004439961ai' 501 NORTH BALTIMORE,AVENUE * MOUNT HOLLY SPRINGS.. PENNSYLVANIA 17065 (717) 486-3433 " FAX,(717) 486-3215 wwwrhol•lingerfuneralhome.com RECEIPT FOR PAYMENT LISA M. GRAYSON, ESQ. Receipt Date : 7/15/2015 Cumberland County - Register Of Wills Receipt Time : 13 : 34 : 52 One Courthouse Square Receipt No . : 1081976 Carlisle, PA 17613 BABCOCK ELMER Estate File No. : 2015-00783 Paid By Remarks : MARY R VOOYS wz ------------------------ Receipt Distribution ----- - ------------ --- --- Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 90 . 00 CUMBERLAND COUNTY GENERAL FUN WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN CODICIL 15 . 00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 25 . 00 CUMBERLAND COUNTY GENERAL FUN INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 35 . 50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN ----------- ---- Check# 1285215 . 50 Total Received. . . . . . . . . H15 . 50 D ccGti�. CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717)249-3166 Fax:(717)249-2663 August 14, 2015 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: Mary Ruth Vooys RE: Elmer Babcock 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: July 31, August 7, and August 14, 2015 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 PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA : ss. COUNTY OF CUMBERLAND Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for thepublication of all legal notices, and has, since January 2, 1952,been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: July 31, August 7, and August 14, 2015 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. Lisa Marie Coyn , Editor SWORN TO AND SUBSCRIBED before me this 14 day of August, 2015 Notary Babcock, Elmer, decd. Late of South Middleton Town- ship. Executrix: Mary Ruth Vooys, 5 Westwood Drive, Mt. Holly Springs, PA 17065, (717) 486- 3399. COMAAONVIJEA[3. 1 OF PENNSYLVANIA Attorney: None. Al^1NUARIRL SEAL Notary Public CJcRi_I5!E 80k0.,Ctih11,c!P_ANO CKY Illu C()!;1fnISStOr Ex.;w s' ApF 26,2018 4 rIFTN el MARY VOOYS AD NUMBER PAGE NO. IF he Sen www.cumberIink.com 5 WESTWOOD DRIVE 440814 1 of 1 � MOUNT HOLLY SPRINGS,PA 17065 BILL DATE SALESPERSON 717-486-3399 CMUNE SIHIPPENWRG PERP,Y COUMY 08/10/15 maxwe START DATE STOP DATE 07/27/15 08/10/15 AD NUMBER AD DESCRIPTION CLASS LINES 440814 EXECUTOR'S NOTICE LETTERS TESTAMEN 10 PUBLIC NOTICES 26 2 cols Publication Insertions Rate Net Amount Gross Amount 3 THE SENTINEL-LEGAL 3 LGL $138.06 TOTAL AD CHARGE $138.06 3 MOBILE SITE MOB2 $3.00 3 PROOF OF PUBLICATION 01 PRF $7.00 PREVIOUSLY PAID ($148.06) Purchase Order Vooys $0.00 $0.00 Lee Enterprises no longer accepts credit card payments sent via e-mail. Emails containing credit card numbers will be blocked. Please use the coupon below to send credit card payment to our lockbox. E SENTINEL You may also send the coupon to a secure fax at 319-291-4014. THE c/o LEE NEWSPAPERS Thank you for advertising with The Sentinel! Deadline for PO BOX 540 in-column legal ads is 4:00 p.m. two business days prior to WATERLOO IA 50704-0540 date of insertion. For questions, call (717)240-7130. Return this portion_with your payment Legal THE SENTINEL ❑ Check# _ ❑Credit Card Ad Number 440814 c/o LEE NEWSPAPERS ❑ ❑ vs^' ❑ ❑ """E"°"' Billing Date 08/10/15 - PO BOX 540 I. I ❑=_1=_T� Amount Due $ WATERLOO IA 50704-0540 Acct#: .00 Exp.Date:❑ Amount . Name on credit card Enclosed . $ Signature Please make checks payable to: THE SENTINEL 000172 THE SENTINEL t MARY VOOYS c/o LEE NEWSPAPERS 5 WESTWOOD DRIVE PO BOX 742548 MOUNT HOLLY SPRINGS, PA 17065% CINCINNATI OH 45274-2548 215402000000044b8140000000000000000000000000000000 PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Cathy Clark,Advertising Director, of The Sentinel, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle,County and State aforesaid, was established December 13t11,1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues on Tuly 27&August 3 & 10,2015. COPY OF NOTICE OF PUBLICATION Affiant further deposes that he/she is not interested in the subject matter of the aforesaid notice or advertisement,and that EXECUTOR'S NorlcE all allegations in the foregoing statement as Letters testamentary in the Estate of ElmerBabcook late of South Middleton Township,Cumberland County,Pennsylvania,deceased,have been to time, place and character of publication granted to the undersigned. - All persons.having claims against the estate of the decedent shall make known ar true. the same 4o the undersigned or,their attorney and all persons indebted to the decedent shall make payment to the undersigned without delay. al' 'v Mary Ruth Vooys . 5 Westwood Drive Mt.Holly Springs,PA 17065 717-486-3399 Sworn to and subscribed before me this nil 44 — Not -y Public My commission expires: COMMONWEA1,TH OF PENNSYLVANIA Notarial Seai Bethany M.Floltry,Notary Public Carlisle Boro,Cumberland County My Commission Expires Sept.26,2015 MEMBER,PENNOTARIES Standard Checldng tatementy daa` I PNC Bank (3).PNCBANK r-,n\1 Primary account number:50-0443-9961 Page 1 of 3 For the period 07/1612015 to 08/17/2015 Number of enclosures:0 000905 For 24-hour banking,and transaction or RPpwi4 EST OF ELMER BABCOCK DECD interest rate information,sign on to M- MARY VOOYS EXTRX PNC Bank Online Banking at pnc.com. 5 WESTWOOD DR . For customer service call 1-888-PNC-BANK MOUNT HOLLY SPRINGS PA 17065-1155 Monday-Friday:7 AM-10 PM ET Saturday&Sunday: 8 AM-5 PM ET Para servicio en espatiol,1-866-HOLA-PNC Moving? Please contact us at 1-888-PNC-BANK 21 Write to:Customer Service PO Box 609 Pittsburgh PA 15230-9738 Visit us at PNC.com TDD terminal: 1-800-531-1648 For hearing impaired clients only Standard Checking Account Summary Est Of Elmer Babcock Decd Account number: 50-0443-9961 Mary Vooys Extrx Overdraft Protection has not been established for this account. Please contact us if you would like to set up this service. Overdraft Coverage-Your account is currently Opted-Out. You or your joint owner may revoke your opt-in or opt-out choice at any time. To learn more about PNC Overdraft Solutions visit us online at pnc.com/overdraftsolutions. Call 1-877-588-3605,visit any branch,or Sign on to PNC Online Banking,and select the"Overdraft Solutions"link underthe Account Services section to manage both your Overdraft Coverage and Overdraft Protection settings. Balance Summary Beginning Deposits and Checks and other Ending balance other additions deductions balance .00 49,768.78 6,951.30 42,817.48 Average monthly Charges balance and fees 42,178.93 1.9.99 Transaction Summary Checks paid/ Check Card POS Check Card/Bankcard withdrawals signed transactions POS PIN transactions 10 0 Total ATM PNC Bank Other Bank transactions ATM transactions ATM transactions 0 0 0 Activity Detail Deposits and Other Additions There were 3 Deposits and Other Additions Date Amount Description totaling$49,788.78. 07/16 39,096.30 Deposit Reference No. 052482591 07/29 8,727.50 Deposit Reference No. 049950069 08/12 1,944.98 Deposit Reference No. 0489.93415 PNDMLT01-JOB29329-N40-NNNNNN-002-001677 OMNICARE OF KING OF PRUSSIA Statement of Account fJ Omnicare nlcare Pharmacy Services,Inc. 25616 r, Omnicare Central Billing Center 69906 Snowdrift Rd Account No: KOPDX-9009-485 Allentown PA 18106-9580 Invoice No: PH1377232 t Invoice Date: 08/11/15 For billing questions,please call 888-565-6708 between the hours of 8:00am-6:00pm EST. Location: CUMBERLAND CROSSING Patient Name: BABCOCK,ELMER Amount Due: 56.20 Illllllllll�l�lllll�r�ll��llllll�llllllll'llll'll'll'llllllllllll 56975-13A 84 ELMER BABCOCK 1 LONGSDORF WAY APT 38-40 Did you know we now offer paperless billing and online CARLISLE PA 17015-7623 payments accessible on your computer,tablet or mobile phone? Visit us at htttp://omnIcare.statementmanaoement.com to learn more and register. Please have your payment ID 100771790 and validation code 7180 available. You may now also pay by phone at 1-844-920-9285. PAGE 1 OF 4 ^a_ .-.�^^..7.�^!T2.`&44�L3ti-P,+,��s�.'-T.f..�.`"�''a."'F'9L�""�"-`�`""':%&:::9'..�3+L--K.`sE�'�4hz4u 7�s"S:.•:naZ�.'iia:Sn:<T..L�ruia!�#GR�'id..'iFF` 'id�i:^.f`�;sf.4?34!�3J�'�jyII3 Patient EST OF ELMER--BAB KDECDacrlber Qtt r___Amount Due MARY`VOOYS EXTRX I�I3.;a: — 5 WESTWOQD DR 6o-t273/3t3.;: -_93.73 MT HOLLY.SPRINGS,PA 17065 1155 �d� '301S . GLAUGHLIN 30 t76 0 27.0 j — GLAUGHLIN 30 27.00 S ------------- Pay -. -Pay to th I ) p Order of Yl i C V I l crc —g S(ci ollars I - Q PNCBAN-K - Prtc aan N.A. 040 alance outstanding 30 days or more. FDrC '4 kt?pok-9661 $56.20 : 1:031312738li: S00443996 Ills 011 1,2015 — —�-- agement.com 0 y 0 .... ►By phone at 1-844-920-9285 ►Using the payment slip below Previous Balance Payments/Adjustments Current Month Charges Tax Finance Charges Total Amount Due $95.93 $(93.73) $54.00 $0.00 $0.00 $56.20 ............ .................................................................................................... .......... ................................................... ............................. TO ENSURE PROPER CREDIT,DETACH AND RETURN THIS PORTION IN THE ENCLOSED ENVELOPE Total Amount now due $56.20 Account No: KOPDX-9009-485 Payment due before September 10,2015 Invoice No: PH1377232 Invoice Date: 08/11/15 Location: CUMBERLAND CROSSING Patient Name: BABCOCK,ELMER ,Illrnirlll'ulllll"III"'III"IIIIIIIIIIIIIII'llll'lll'll"III Amount Due: 56.20 OMNICARE OF KING OF PRUSSIA PO BOX 713611 CINCINNATI, OHIO 45271-3611 000009009-4853OPH13772327000KOPDX90000056203 tl OMNICARE OF KING OF PRUSSIA Statement of Account Omnicare Pharmacy Services,Inc. 22662 Omnicare Central Billing Center 69906 Snowdrift Rd Account No: KOPDX-9009 4$5 Allentown PA 18106-9580 invoice No: PH1368280 Invoice Date: 07/11/15 For biliing questions,please call 888-565-6708 between the hours of 8:00am-6:00pm EST. Location: CUMBERLAND CROSSING Patient Name: BABCOCK,ELMER y Amount Due: 45-93' c�5 JIV II1111{�!'lll'{Il�l�r��lr{I{'ILII'lllll{I!'1{I'!'ll"'illlrlilr 56479-14A 76 ELMER BABCOCK 1 LONGSDORF WAY APT 38-40 Did you know we now offer paperless billing and online CARLISLE PA 17015-7623 payments accessible on your computer,tablet or mobile phone? Visit us at http://omai.Care.statem n manaaement.com to learn more and register. Please have your payment ID innT7170n nnei vAid;% inn code.7180 available. You (�Secu itu hnnced dal. Sc beck or d trs i1.s. PNC Bank N.A 044 Central PA 60-1273/3.13 DATE OL17� PAY TO THE1� Q. `r.. ORDER OFI xY 1MQ11 —Y i irl� i t�1S5 t Ct' i q DO`LlARS12 ..{ .4. ESTATE OF h"I moi'• ( CC>C-J<- nr t i/....__-.__..._.._.-�.v...__....._ .::...._.-..._....._t V._-- EXECUTOR/ - - ' ADMINISTRATOR ' FOR._J_.�L�.CC-E C VO, (` C) DX" (S30.��'—T PERSONAL rs _ _...._.___—....._..___..._.-__._._.........,_._. _... __._ ..._.. - ;: � REPRESENTATIVE TRUSTEE NE13U HiIJM trgvi1i-t um i[' 4 '.. Payment due before August 10,2015 ►Online at httpJ/omnicare.statementmanagement.com . ►By smart phone by scanning this code 0- Op- ►By phone at 1-844-920-9285 ►Using the payment slip below Previous Balance Payments/Adjustments Current Month Charges Tax Finance Charges Total Amount Due $93.73 $0.00 $2.20 $0.00 $0.00 $95..93 ...... .............. ..... ..............•--•-------.................----•----• ----------------..-........ TO INSURE PROPER CREDIT,DETACH AND RETURN THIS PORTION IN THE ENCLOSED ENVELOPE Total Amount now due Account No: KOPDX-9009-485 Payment due before August 10,2015 . Invoice No: PH1368280 Invoice Date: 07/11/15 Location: CUMBERLAND CROSSING Patient Name: BABCOCK,ELMER �IIII'llifl'1111"I{�nlll��ri��illir�nllli��i{{lrt��l�ll�uil Amount Due: 95.93 ` OMNICARE OF KING OF PRUSSIA PO BOX 713611 CINCINNATI, OH€4-45271-36'€1 000009009-4853OPH13682807000KOPDX90000095937 OMNICARE OF KING OF PRUSSIA Omnicare Pharmacy Services,Inc. 23652 Omnicare Central Billing Center Statement of Account iW 69908 Snowdrift Rd Allentown PA 18106-9580 Account No: KOPDX-9009-485 Invoice No: PH1358821 Invoice Date: 06/11/15 For billing questions,please call 888-565-6708 between the hours of 8:00am-6:00pm EST. Location: CUMBERLAND CROSSING Patient Name: BABCOCK,ELMER Amount Due: 93.73 55989-15A 79 ELMER BABCOCK I LONGSDORF WAY APT 38-40 CARLISLE PA 17015-7623 Did you know we now offer paperless billing and online payments accessible on your computer,tablet or mobile phone? Wi Tback P.N NO'. 1, PNC Bank N.A- 040 ..Cefitra60-1273/313l PA DATE PAY -73 ORDER OF o DOLLARS7 k, EXECUTOR/. �e. a. ADMINISTRATOR Q NP PERSONAL REPRESENTATIVE -ed TRUSTEE (- --------- Dtl 11"0 3 13 1 27 3131: S004434'96 tit' Total amount now due $93.73 Payment due before July 11,2015 0,Online at http://omnicare-st6tementmanagement.com ►By smart phone by scanning this code► ►By phone at 1-844-920-9285 111►Using the payment slip below Previous Balance Payments/Adjustments Current Month Charges Tax Finance Charges Total Amount D $114.32 $014.32) $93,73 ue $0.00 ................................... ......... ................................... $0.00 $93.73 TO INSURE PROPER CREDIT,DETACH AND RETURN THIS PORTION IN THE ENCLOSED ENVELOPE.. --- ............... .......................................... Account No: KOPDX-9009-485 Total Amount now due $93.73 Invoice No; PH1358821 Payment due before July 11,2015 Invoice Date: 06/11/15 Location; CUMBERLAND CROSSING Patient Name: BABCOCK,ELMER Amount Due: 93.73 OMNICARE OF KING OF PRUSSIA PO BOX 713611 CINCINNATI, OHIO 45271-3611 000009009-48530PH13588213000KOPDX90000093737 STATEMENT page: 1 o 1 Ix KOn �uru�n^w �o�m�w/w/orm�_� CumbedandCrossings Retirement[ o Carlisle, PA 17015-7623 K M.— V Community 1 Lon d �Voy Facility# (717) 245-9941 Business Office# (717) 24U'GO4O Ma Vo 5Veo� ood Drive Mount Holly Sphngo. PA 17065 __ ____ _____-__ __ ____________________ _ __ Please make check payable toOiahmnLutheran Social Nim�tr�s Elmer Babcock CumbedondCmooingoReUremm�Communhy 06/30/2015 Mary I HSEMS - Chambersburg ALS/BLS olscovER 205 GRANDVIEW AVE STE 211 IVIM7- CAMP HILL, PA 17011-1708 ON REVERSE SIDe- pHOLY SPIRIT EMS Phone #: (800) 367-0512 Federal Tax ID: 23-2463002 A GEISINGER AFFILIATE PATIENT NAME: ELMER BABCOCK INSURANCE: WCS NONE CALL NUMBER: 25339929W DATE OF CALL: 06/02/2015 FROM: CUMBERLAND CROSSINGS TO: CARLISLE UROLOGY ACCOUNT SUMMARY ELMER BABCOCK 1 LONGSDORF WAY TOTAL CHARGES: 355.06 CARLISLE, PA 17013 PAYMENTS/ADJUSTMENTS: 0.00 PLEASE PAY THIS AMOUNT: 355.06 DETACH ALONG PERFORATION AND RETURN STUB WITH PAYMENT DESCRIPTION OF CHARGE QUANTITY UNIT PRICE AMOUNT STRETCHER VAN-1 Way Transport T2005 1.0 128.33 128.33 Stretcher Van Mileage T2049 2.1 4.77 10.02 WAITING TIME- 1/2 HOUR T2007 3.0 26.12 78.36 STRETCHER VAN-1 Way Transport T2005 1.0 128.33 128.33 Stretcher Van Mileage T2049 2.1 4.77 10.02 —.'T—�.I' -R/]..�—R_ '�(/L'] Seru _tY_ nhrt_n reA !_o_ n5_e bu_A 10_Ar1nI_, NO. Qq PNC Bank,N.A. 040 11 Central PA DATE I `� I S 60-1273/313 PAY TO THE ORDER OF_�_T._ . 355 `I. ESTATE OF hn e-r FOR .6 l �� VV .�_ �•_ —_— -- __. —_ .. —�—. M!, EXECUTOR/ . �� . ADMINISTRATOR' r'bUI CLI7 M T�^ ` PERSONAL QCI rSQry � REPRESENTATIVE . . '— r--- TRU - -- �---,�. STEE 1:03 13 L 2738x: 00443996'L:n+ PLEASE PAY THIS AMOUNT—INVOICE DUE UPON RECEIPT --i► $355 06 RETURNED CHECK FEE—$31.00 PATIENT NAME: BABCOCK, ELMER CALL NUMBER: 25339929W AMOUNT PAID: 06/05/2015 r IMPORTANT MESSAGES: This service is not covered by your insurance. Please remit payment to our office. HSEMS -Chambersburg ALS/BLS 205 GRANDVIEW AVE STE 211 CAMP HILL, PA 17011-1708