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Home My WebLink About01-1038 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION No. To: .21-01 -/0.3'8 Estate of also known as VIRGINIA N. SNYDER Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Social Security No. The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl ies for letters of administration on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. Decendent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at 4201 Gettysburg Road~ Camp Hill (Lower. Allen Township) . (list street, number and municipality) Decendent, then 76 years of age died October 27 at Lower Allen Township, Cumberland County, Pennsylvania ~ 2001 , , Decendent at death owned property with estimated values as folllows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $ Unestimated $ $ $ None Petitioner_ after a proper search h~ ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Relationship Residence Clifford C. Snyder. Jr. Son 29 Heatherland Road, Mid PA 17057 Paul H. Snyder Son R. D. 1, Box l72-A, Loys Kathv L. SDealman Daughter R. R. 1, Box 475-16, New PA 1 dletown, ville, PA 17047 Bloomfield, 7068 THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. '" - Q) u c: Q) ~3 Q)..... ~Q) = -g.g c:tIo,;j 3~ Q) ...... 50 co = OIl Ci3 J{~ g i:o'(~--- Katny L. pealman R R. 1, Box 475-16 New Bloomfield. PA 17068 7"7 - 'J 0 -C( OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } ss The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal representative{s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and before me this 13th . Nove~be~ . /nO} c.. -"~ T- fLP.B. - F'\ subscribed f day of 32001 I Register L }Ia H t ~ oh---- Kath~. S ea1man - en '-' <I) ~ = ..... t'd Q bO V5 N 21-01-1038 o. Estate of VIRGINIA N. SNYDER , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW November 14 ~?()()1 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that Kathy L. Spea1man is/~ entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to Kathy L. Spealman Virginia N. Snyder in the estate of 'mal><.{ C . ~ ~,PI; ~t. Register of Witts 1 & SPARE, P. C. FEES Letters of Administration $ Short Certificates( ).......... $ Renunciation ................ $ J~P $ TOTAL _ $ 64.00 Filed .., J;-IPY ': . J-::1,1.~Q9)'. . ., A.D. 19_ 40.00 9.00 10.00 5.00 By Ri a R~(kHe:Ier.rI. . o~ 5 44 West Main Street Mechanicsburg, PA 17055-0318 ADDRESS (717) 697-8528 PHONE ,,; r.~r.; ":'-=~\~ This is to certify that the information here given is correctly copied fron: an original certificate of death dul~ filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. 21-01-1038 Fee for this certificate, $2.00 t2~ 7( qf;;;;~J-::/P~'a.--- Local Registrar U 0" " Li 3 0 2001 p 7745041 No. Date .144 Rev. 1/91 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH e VITAL RECORDS CERTIFICATE OF DEATH (Coroner) SWE FlU! NUMBER SEX SOCIAL SECURITY N\JM8ER 2. Female 3. 174-20-3295 BlATHPLACE (Oly and PlACE 01' OEAI'H (Check only one - _ in8ItucIions on olhe< side) Stale or Foreign Country) HOSPITAL: OTHER: Green Park, PA InpaIJenl 0 ER/Outpallenl D ~ D ~ 0 ~ . FACILITY NAME (II not ll'llIIituliorl. givellreet and number) 4201 Gettysburg Road 1.. Did no.K] 'I'M, deoIdenllhold if1 Lower decedent hln. nwthPrlAnn IOWnIhIp? lTdD ~~':=of MOTHER'S NAME (Filsl, Middle. Maoden Sur/llllTle) 1.. Stella Barber INFORMANT'S MAILING ADDRESS 1S1!881. ClIy/Town. Slate. Zip Coclel RR 1 Box 475-16, New Bloomtield, PA 17068 PLACE 01 ITION . Name 01 Cemelery, CremllOly LOCAnON . CilyfTown, Stahl. Zip coo. or 01'* PI.- /' lling Green Man. Park Canp Hill, PA 17011 ~. 1~ UNOER 1 DIH Houra Mlnut.. CITY. Lower Ie. 11b. DATE OF DEATH (Monlh. Day. Yeer) ~ October 27, 2001 College (1-4 or 5+) ~)D MARITAL STATUS. MarrIecI N.- Merrled, WlcIIlWd. Divorcecl (SpecoIv) SURVIVING SPOUSE (II wile, give maiden name) r: city~ 1903 Mkt St, CH, PA 17011 DATE SIGNED (MonIh. Day. 'lllar) .. prx. DATE !Mon1h. Oay, 'lllar) 2.. 9:00 A M. 2. 27, 2001 ~. PIMT I: e-the............. orc:omplk:allOnlwhlCll caueedlhe duth. Do not mer the mode of dylng.lUCh.. cardiac orrelpiratory .......1, Ihocl<or hurt lallure. IApproldmaIe LIIl only __ on NCh line. : Inlefval '*- \_anddHlh I 2311. _s CASE REFERRED 10 MEOlCAl. EXAMINE v.a.l\ MRT II: Olher IignlIicanl condiIIOnI conlribuling to dMlh, but not rtIUlllntlln the UflderlyIng ca... glven In IWlT I. Oc lusive Coronar DUE 10 (OR AS A CONSEQUENCE OF): Disease b. DUE 10 (OR AS A CONSEQUENCE Of): DUE 10 (OR AS A CONSEQUENCE OF): d WERE AU10PSY FINDINGS AM.A8lE PI'IIOA 10 COMPlETION OF CAUSE OF DEATH? MANNER OF OEAJ'H ORE OF INJURY (M0I'llh, Day. Yeer) ~ D D Hornk:Ide Per1dIng ~iorI CoWd not be determined NatuqJ Accldenl 'laD NoD ~ 21. ... 2ItI. CERWIER (Ctleck only one) OCERQlYlNCJ PHYSICIAN (PhyIicilIn -'ilyio1g '*- 01 deelh ""*' another pllyIict/In has pronounced deaII1 and compleled Ilem 23) To...IIMt..""knowlecIge........__...lo...---c.)..._........................................................... . OPfllONCMINCINQ AND CER1'IFYING PH't8ICIAN(PI1~ boll pronouncing -.II and certlIying Iocaul8 of dulhl TothellMt...,....................__.....tInle......Il1d............to...ceIM(.)and_..atatecI......................... . OMEDICAL EXAIIINEJVCORON on... .....oI~ ....u0l'~.1n lIlY opInlon. dHIh~" ....1Ime..... end~..... clue to the ClIUM(a) 8Ild ---..................................................................................................... . :IlL AEGIS )p?,/ P(I/ ( I R? NoD NIDDM HTN TIME 01' INJURY INJURY IfJ WORK? DESCRIBE HOW INJURY OCCURRED. ~i 'I'M D NoD L Coroner 34. 21-01-1038 RENUNCIATION In Re Estate of VIRGINIA N. SNYDER deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned son and heir-at-law of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration be issued to Kathy L. Soealman WITNESS my hand this 4 day of November , D 2001. x R. D. 1, Box l72A Loysville, PA 17047 (Address) (Signature) (Address) (Signature) (Address) 21-01-1038 RENUNCIATION In Re Estate of VIRGINIA N. SNYDER deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned son and heir-at-law of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration be issued to Kathy L. Spealman WITNESS my hand this ..s day of November ,l' 2001. y - or '1' "'n r r . - Igna ure 29 Heatherland Road Middletown, PA 17057 (Address) (Signature) (Address) (Signature) (Address) ,- =---- --- -- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Virginia N. Snyder, Deceased Date of Death: October 27,2001 No. 2001-01038 PA No. 21-01-1038 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following heirs of the above-captioned estate on or about November 19,2001: Name Address Kathy L. Spealman RR 1, Box 475-16 New Bloomfield, P A 17068 Clifford C. Snyder, Jr. 29 Heatherland Road Middletown, PA 17057 Paul H. Snyder RD 1, Box 1 72 A Loysville, P A 17047 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: NONE. ~ t cf '0 ~ .:J. ~ N ':) ":~;.~ 0- I',,) ,';::::0> - N ';:::) ~::=J Q;.\ :> c:::: j~) to {') +-' 5! ~.;:: (l) <l) .... '~h ." 0 ~ .0 (.) (1) S <tl a:: - ... 0 Il) a: . Do ~ RIchard C. Snelbaker, EsquIre 44 West Main Street Mechanicsburg, PA 17055-0318 (717) 697-8528 Date: November~ 2001 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SPEALMAN KATHY L R.R.1 BOX 475-16 NEW BLOOMFIELD, PA 17068 -------- fold ESTATE INFORMATION: SSN: 174-20-3295 FILE NUMBER: 2101-1038 DECEDENT NAME: SNYDER VIRGINIA N DATE OF PAYMENT: 08/02/2002 POSTMARK DATE: 08/01/2002 COUNTY: CUMBERLAND DATE OF DEATH: 10/27/2001 NO. CD 001473 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $16.62 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: KATHY L SPEALMAN CHECK# 663 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $16.62 MARY C. LEWIS REGISTER OF WILLS /~-d?t:J- 9 ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX KATHY L SPEALMAN RR 1 BOX 475-16 NEW BLOOMFIELD 23 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 09-16-2002 SNYDER 10-27-2001 21 01-1038 CUMBERLAND 101 * REV-1547 EX AFP 101-02> VIRGINIA N PA ,],7068 Allount Rellitted f "'. ~ \ .... MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-V=is4j-i3f-AFP--foi-:oz:f-Niffici--OF-'rtiHiiiiTAifcE-TAX-APPRAisii'-ENT~--Aii-oWANCE-ifi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SNYDER VIRGINIA N FILE NO. 21 01-1038 ACN 101 DATE 09-16-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Hortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitab1e/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 2,200.00 711.00 .00 .00 6,452.03 .00 .00 (8) 6,817.10 I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate 16. Allount of Line 14 taxable at Lineal/Class A rate 17. Allount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: NOTE: 2.176.62 (11) (12) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 9,363.03 8.993 7'2 369.31 .00 369.31 (15) .00 X 00 = (16) 369.31 X 045 = (17) .00 X 12 = (18) .00 X 15 = (19)= .00 16.62 .00 .00 16.62 "'''Tncnl IU;"'I:.&..... 1 l+J AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) 08-01-2002 CDOO1473 .00 16.62 TOTAL TAX CREDIT 16.62 BALANCE OF TAX DUE .00 INTEREST AND PEN. .01 TOTAL DUE .01 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) LAW OFFICES SNELBAKER. BRENNEMAN & SPARE IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION INRE: ESTATE OF VIRGINIA N. SNYDER, Deceased ESTATE NO: 21-01-1038 PRAECIPE TO WITHDRAW APPEARANCE TO: CLERK OF ORPHANS' COURT DIVISION Please withdraw the appearance of the undersigned as attorneys for the Administratrix, Kathy L. Spealman, and the Decedent's Estate in the above referenced matter. SNELBAKER, BRENNEMAN & SPARE, P.C. By_ -~ . char C. Snelbaker, Esquire Supreme Ct. # 06355 44 West Main Street P.O. Box 318 Mechanicsburg, P A 17055-0318 (717) 697-8528 Dated: September 17, 2003 '-,.' LA W OFFICES SNELBAKER. BRENNEMAN & SPARE CERTIFICATE OF SERVICE I hereby certify that I am this date serving a true and correct copy of the foregoing Praecipe to Withdraw Appearance upon the Administratrix of the Estate of Virginia A. Snyder, Deceased, by sending the same by first-class mail, postage paid addressed as follows: Kathy L. Spealman RR 1, Box 475-16 New Bloomfield, PA 17068. Snelbaker, Brenneman & Spare, P .C. 44 West Main Street P.O. Box 318 Mechanicsburg, P A 17055-0318 September 17, 2003 REV-1500 EX (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 1?-c:2o- INHERITANCE TAX RETURN FILE NUMBER ~ L - -C)i RESIDENT DECEDENT COUNTY CODE YEAR REV-1500 _LQ.?L~ NUMBER SOCIAL SECURITY NUMBER I- Z W C W U W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) s- ro DATE OF BIRTH (MM-DD-YEAR) 9-5 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 10- - 0 (IF APPliCABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 1, Original Return o 4, Limited Estate o 6, Decedent Died Testate (Attach copy of Will) o 9, Litigation Proceeds Received TELEPHONE NUMBER (~ - z o ~ ...J :) t::: D- c:( U w 0:: 1. Real Estate (Schedule A) 2, Stocks and Bonds (Schedule B) 3, Closely Held Corporation, Partnership or Sole-Proprietorship 4, Mortgages & Notes Receivable (Schedule D) 5, Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6, Jointly Owned Property (Schedule F) (6) o Separate Billing Requested o 2, Supplemental Return o 4a, Future Interest Compromise (date of death after 12-12-82) o 7, Decedent Maintained a Living Trust (Attach copy of Trust) o 10, Spousal Poverty Credit (dale of death between 12-31-91 and 1-1-95) o 3, Remainder Return (date of death prior to 12-13-82) o 5, Federal Estate Tax Return Required o 8, Total Number of Safe Deposit Boxes 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8, Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10, Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11, Total Deductions (total Lines 9 & 10) 12, Net Value of Estate (Line 8 minus Line 11) COMPLETE MAILING ADDRESS, Kctht l SpeC. fW1H' RRI &'/'i7S --.1<:0 /l.Jevv 0100"'" {; ef); Pc {(ok,Y (1) (2) (3) (4) (5) ~ dOO,'OO 7 \ I, 00 OFFICIAL USE ONLY ~ i.j 5).0.5 \..~)11L 4S~ (8) q3L 3 n3 (9) (10) In'6 )7./0 ;). \7b, ~.2- (11) 15'9Cf,5,7;)'. (12) ~ X1,3i . (13) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14, Net Value Subject to Tax (Line 12 minus Line 13) ,) io t.3-t SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES (14) z o rct ~ :) D- :i!E o u g 15, Amount of Line 14 taxable at the spousal tax rate, or transfers under See, 9116 (a)(1.2) 16, Amount of Line 14 taxable at lineal rate 17, Amount of Line 14 taxable at sibling rate 18, Amount of Line 14 taxable at collateral rate 19, Tax Due ~ :)~i " x,O_ (15) --- _- 'llo~ ,,:A x ,0 '1.L (16) x ,12 (17) x .15 (18) (19)_ 1~. b.:L CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 20.0 p.o. Box 67013 (711) 234-8484 (Harrisburg) Horrisburg, PA 17106-7013 (800) 237-7328 (Nationwide) website - http://www.psecu.com INTRODUCING VISA PAYROll TRANSFER! NO MISSED PAYMENTS OR lATE FEES DUE TO SLOW MAIL OR FORGOTTEN PAYMENTS. CAll PSECU FOR DETAILS. JOINT OWNER VIRGINIA SNYDER PAGE 3 ....... .....,,,. NUMBER AMOUNT NUMBER AMOUNT NUMBER 001626 100.00 001627 10.00 110101* * ASTERISK NEXT TO NUMBER INDICATES SKIP IN NUMBER AMOUNT 210.00 SEQUENCE NUMBER 110502* AMOUNT 31. 42 ...... ........ ....... ......... . . . . ....... . . . . POST EFF DESCRIPTION PRINCIPAL -FIN CHG_ BALANCE ... ..... ... ... .h ... . ... ." . .. ... ..... .. .... . .y...... . ... . . . .. .. . . . ..... . ..... ..... ... . . . . ............ .... 1101 0.00 .... ........ ............. " TOTAL DIVIDENDYTD: 'YEAR TO DATE TOTAL YTD FINANCE CHARGE: YEAR TO DATE .' ... .. 102.31 0.00 15J~,Ji ?51J,OO __ /JY,31 Zl24425 + PS~C4t VIRGINIA SNYDER RR1 BOX 475-16 NEW BLOOMFIELD PA 17068 Post Eff 1201 1210 1231 1231 Page 2 Description ID 01 REGULAR SHARES Beginning Withdrawal Transfer To SNYDER, ESTATE OF XXXXXXXXXX Payment: Dividend 2.230% Annual Percentage Yield Earned Based on Average Daily Balance Ending Balance Dividend YTD: Year to Date Page 2 Balance Amount Balance 3164.20 3159.20- 5.00 Share 04 1.75 6.75 2.26% from 12/01/01 through 12/31/01 of 922.19 6.75 ---------------------------------------------------------------------------------- ---------------------------------------------------------------------------------- 87.01 Post Eff 1201 1210 1214 1214 1217 1231 1231 Description ID 04 CHECKING Beginning Balance Withdrawal Transfer To SPEALMAN,KATHY L XXXXXXXXXX Share 04 Payment: Adjustment Account Adjustment: J40 - DIRECT DEPOSIT 3031036030 Withdrawal PP TYPE: ELEC BILL ID: 1230959590 Payment: Dividend 1.000% Annual Percentage Yield Earned Based on Average Daily Balance Ending Balance Dividend YTD: Year to Date Amount Balance 1536.39 496.21- 1040.18 812.00- 228.18 65.31- 162.87 0.58 163.45 1.01% from 12/01/01 through 12/31/01 of 681.16 163.45 17.63 ================================================================================== Total Dividend YTD: Year to Date Total YTD Finance Charge: Year to Date 104.64 0.00 REV-I502EX. (1-97) SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF '/. f<- V' All real prope owned solely or as a t ant 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 which is jointly-owned with right of survivorshiD must be disclosed on Schedule F. ITEM NUMBER 1. FILE NUMBER DESCRIPTION VALUE AT DATE OF DEATH ,QS7 'Smoke r \O-k'17 d- bJuY) I bcJl ~o\J -4v +k OLJ ()e(~ ~ -\- rC:ller pc< ()< d- J-cx.J. oJ TOTAL (Also enter on line 1, Recapitulation) $ J}ctJ~ oa (If more space is needed, insert additional sheets of the same size) :\ , ,. ,\:~ '-i'l;;:'\:}/,;{" ., \t', .I\l .. / ,- 'i:.,,:.:,;i:ri: ,i. i' i[iil\!' ,i ","f: CERTIFICATIONS:OF Ds:'ALI::R1TRANSFERS li!'i'!ilil!;if;,':; ",'Wi!ii', :1::;; 11'1':1111' :,';i:I:I;~!::;;~":'!t' ',:h)11!1" 'I ,'" . '1":': ,,';1, "':1'1" -::r:r;"I!_<i "!:['II ,:f!',i/ ":~'i:',I'.n~'l[oIi' "i' ':, :' :'l,,!i'Ii'liil'!::1 .:;;11" i1iji;:' "i r.J:~,'IIi!",li!J~::,:,I:i* ,~:"'.':~Rois ~~E~'1~g~~A~~~C~~B:~E oF~r~~:t~J ~:A~~~~ CERTlFIC~rEI,~f!iJ~~~"IS'i~~S,FE~~~~,\1~ :Ki~fi~r~T~~E~ PENN~Yf~~i~:~~~~i~' ~o HOLOS IT FOR RESA~f!CER~:FI~~pO;N,\~! 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TYPE: ELEC BILL ID: 1230959590 WITHDRAWAL POS #00031907 POS 5140 SIHPSON FERRYHECHANICSBURGPAHEIS ;::.,..:i'..:'::;f~l.'.f.;0J!'..=I...:,~.i!.E.':"~~.~'::.,.:1.'::.,.'.,.".'"...: ..~.::;.':,.':'i;)\':;i.:').';;,i(..l::.:.:.'..::':',,: ~h::::,;:;=:~;.n:;fJf' '::':':;" ,.,.,.,.,.,.,.............. ":':' ""':"':':'. "'::::'.:.,.:,.:.";.:,,;.:'.:..' 1022 WITHDRAWAL VERIZON PHONE BI 25 63- 1029 45 TYPE: PAYMENTS ID: 9220397860 1023 WITHDRAWAL POS #00034551 ii.... ji:JJ!~b::.!~1tl'jrlt~=~WI~.:l:i1~'I~i........... 1031 PAYMENT: DIVIDEND 1.000% ANNUAL PERCENTAGE YIELD EARNED 1 01% FROM BASED ON AVERAGE DAILY BALANCE OF 1,291.99 ij";;;::'.:":'lUl,.,lf'i:i:;;'=e=~~::C':j:~;i~:;.,m1t:~:':j:;'.":"':f:1'''':~t::~~:i.:" j~.~' ....I~;~..I".~~~1i;;;:z.. ..... ... ..... .... '.. .. . ...... ........ .,......,..:....."..,.,,,,, .,:..,.........: . '.:'.' ..... ,. """:':":":":",.,.'. : ."....:., ,,::,:.:. ":. "",:,':"'''':",':'',,': .. .:... . '" .... ::. . NUMBER AMOUNT NUMBER .. liMouNT" NUMBER .. "AMouNT' "'NuMBER . .. AMOUNT 001628 225 50 100101~ 210.00 100502~ 31 42 ~ ASTERISK NEXT TO NUMBER INDICATES SKIP IN NUMBER SEQUENCE '.~~*l'f~~ilIIffF1fi=~~i1i~*r#~~~~F~#.~Il;~F~~f.II;'~~~~.~:l'Ii~~ir:iIl;~~F!#I~!!F~#l:If~~Fr;~FF~.~~~r#;#.~i1i:;;~IiI~~i#~j*$iF#iF.;. ,"',., ... '" .{{..."...;/),: .......... . ....::'...':*~n(ANNuAt;~ERCENTjG.ER.ATE.12~:900%(::.*.;;:::PERIODIe}RATE.}(:DAttY>lo3S54~%' :..... .. );,"" . ;,: "'::" :e:7:r:::. ::"., '.:- i:n:;:!::::!':: '. .... .' .:";; . . ..... .....:POSy..EFF:'DEsciuPTION .......:':::::,:................. .. ....::... ....:..: ........:. '.:. .'PRJ:NCI:PAL~FIN:cHG~t :BALANCE ..:....... .... 1017 7 70- 1307 89 41 39- 988.06 t~~:~~!~~1i~'" .;:',,:,:'::';"'.::.:'.'" :.:.':..""";':;';;.":.;:,.:;?""", 1. 10 1214.24 10/01/01 THROUGH 10/31/01 .. '::.,:.::".",:" ....... ,.,,:., 1001 ID 01 PSL LOAN (OPEN END) BEGINNING BALANCE . . '" . . CONTINU.EDOH:FOLLOWING' PAGE" . ... . 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JOINT ONNER VIRGINIA SNYDER PAGE 2 . . .. ::.::'::.,'::::':.:: .:.::.':..;':':::::::.::"::':'::;' ................. .. .. . . ........ .. ...... . .... ....... ...... ..... . .... .......Q..,\:: POST EFF 0201 ..,.",..,..,,,:,,,...'.".",,;aZ21,'.;.,, ================================================================================== AMOUNT " ....................... .. .. ....... .. ............ ............... .............. " ........... .......... . .. . ................ .. .... ..... .. . .. .. .... .... ",',"' ...... .......... .. ...... ...... ..... .... .. '" .... . . . . . . . . ... .. . ....... . . . . " " ............ .............. .... ................. ...... ... . .. ... ......... ............. .... ...... .......................................... . ... .................. ... '" .......... .............. 0228 163.72 0.27 17.63 . ............ . . . . . . . ... . . ..... . . " . . . . .... .... ...... ... ...... .... ................ ....... . . ..............,.'.,...'..... .................... . . ... . . ,. .. ., . . . , , ' , . . . , , 2143006 PSECL; p U ~hJ\:);U I ~ (/ i n r~ 1 H'I'H (11"1' ',I) It~'1 H[JrdllJi'j, !','\ :/'U6 !013 website - http://www.psecu.com HOW WOULD YOU LIKE TO WIN $10,0001 OPEN A SHAREBUILDER ACCOUNT TO ENTER. FOR MORE DETAILS, SEE THE ENCLOSED INFORMATION. JOINT OINNER VIRGINIA SNYDER PAGE 2 ", . ',. . ..... .... . ..... ............. ................. . ............ ...... '.. ............. POST EFF 0301 0311 .................................... .. .... ..... .... .~ .. . ... . . . . . .. . ...... . .. BALANCE 163.72 0.04 163.76 , , .. ........... ..... ......... , " ............ ..... ............. . .... ....... .~~h.. .h.... . . .. . . . . . . . ... . . . . . .. . ..... ... . 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Box 67013 (717) 234-8484 (Harrisburg) Harrisburg, PA 17106-7013 (800) 237-7328 (Nationwide) website - http://www.psecu.com PLEASE NOTE: BASED ON IRS CRITERIA THIS ACCOUNT DID NOT RECEIVE AN IMPORTANT TAX RETURN DOCUMENT HAPPY HOLIDAYS! 1...111.11111....11..1111.111.1111.1.1..1.11111.1.1.1.1111.1.1 ESTATE OF VIRGINIA N SNYDER KATHY SPEALMAN ADMINISTRATOR RR 1 BOX 475 NEW BLOOMFIELD PA 17068-9741 JOINT OWNER 12/10 ID 01 REGULAR SHARE BEGINNING BALANCE 0.00 12/10 PAYMENT: ACCOUNT ADJUSTMENT: 5 00 5 00 ~l~~\W!'l!~t~!~i;I~~i~~t.I!I.;jii~tif~II~II!~li(I~lir~,ii~i~:i't;I!!!!~'1 12/31 ENDING BALANCE 3709 08 DIVIDEND YTD: YEAR TO DATE 4 08 --------------------------------------------------------------------------------------- iii~::~~~~ii[j~~:::~~~:jj.vjj~=~~~i~]i?li~J=~Ji,~[ii~i~i~::i~:Hl:~;.<.~.......fil;~~;i~j~if;j~i~~~~;~if:~ijj~s:g:~~~IIJ~I~~:-iiil>lilli'l. ."'.1"...< (11. .~.l."" :.l'~ii))i~i~M< ,;i'N'.' 'T""h",<.s.. 9)~H ~k~/*~" ,'.. .... .1.)) ....i.< '....,.)))i/./ ".)8~' ".5....,~Ib(> 1'."'8.' 4\;.I!i...... \ . .......,. 11...... . .. ....... J0:KT' c;; . ..J.... .T....""....~ '.. ..v..... .41'\ .,.....c............. . . . . .. . ...... . .. . .......... ...... .......c.......,............. ........ .. QzJ""'.. ... "' 11 ..~"'. . 12/10 PAYMENT: BY CASH 21 82 1602 17 12/10 PAYMENT: TRANSFER 3159.20 4761 37 tll~~4;~i~'i~:~iiJI1;1.:~fi~ill~1=l.il~';I!f.jl~~tlllll;lll~:#;~!'l'!~~:~:~~.....,.. .. Ii!! . .<< .... ...}...... ". ........ .....)12Zl82461043BlJ231RVN6i:S983AGWAVPETROLEUH .a22"ii~~~ilRT...PA'. ...... .'. . .... '.. ...} .......... ". lZ12(} .. CHECK 0001 01 Ll~hllul -~ (Mv<' \~/p~ 1~)o,Ld(bd.m~in1-b Q(,ci-.c,\ . 97.89- 953.98 12/24 CHECK 000103 p!l;{1f;1 i'\::\AJ:,,,,Ju -e,..r 25.00- 928.98 ,\!,:~~~i:I:!tiA'b.;~~~~:~b~~h~1&~ .'iI~!;~~h;;I:\!. .....i. '.' i...... hi;'; ".;! 1. . 'i6!}~ ':~-. ..... . :~~ ::;!;l1iiti.fi :~filll~!illll:ll~lrJ~~~tI.~:U~I=C11"11~.~~;j~~I~F!~il~.I.~r.i'~~~t~~!'l'if~~fiff%::f 12/31 ENDING BALANCE 895 93 DIVIDEND YTD: YEAR TO DATE 1 00 :t1I"b!iI~I"I~~1~11i~lf'IIIm!m;.r~.I!;JI~;i~gi~~~~;~~~~~~,!.!;1illl: TOTAL DIVIDEND YTD: YEAR TO DATE 5 08 ....i. .....:.. .. . ,,:."{,'. ....... ,','.:. . . ::-:<::::::;:::::-:" . . . .. . .c.... . :l~I:!{rl;;~!I!1 .!'l~..r '.1.\'..""'''(>1 :'II)~';j.I'I,lli;1 .. ':.'1..:'11" .t'.j." ".'11"'111/ .l.'~ ....:11 ..! ..[ '..!! . .. .... }}.. . .' . . ". .. . .. '. .. . ..... ...... ..... ...... .. < . ...... ::. ....... . ... ..... >.. .. .... ... ..:..... ... .......................... . -.-.,-.. "... . . ... -:';':-.:<<<':-:';':':',';':-:';'.. . ...-...-.......,.... . ............<>.. .. . ......... . . .' . .... ..... ..' . . .. ': . ..' .' . . ,.. ':.'. .' . .:......... ....... ......:..:... .... .... '. ..:.... .... .(.: ..... ...... ...... .... . ... .. '.. . ..,' . .. .. .....". . .' :. . . '., ..c. ,.c. .. .. . c'. .. ..... "..' :. ... . ,', .'. . 4024217 PSEf1~ ~.. P.O. Box 67013 (717) 234-8484 (Harrisburg) Harrisburg, PA 17106-7013 (800) 237-7328 (Nationwide) website - http://www.psecu.com NOW IS A GREAT TIME TO SHOP FOR A USED VEHICLE. Pennsylvania State Employees Credit Union CHECK OUT OUR LOAN RATES AND APPLY ONLINE AT WWW.PSECU.COM. 1...111...11I11I.11..1..1.1.1..1...1.1..111I11111.1.1.1..1.1.1 ESTATE OF VIRGINIA N SNYDER KATHY SPEALMAN ADMINISTRATOR RR 1 BOX 475 NEW BLOOMFIELD PA 17068-9741 JOINT ONNER .. ..'. ::-.. .... ':' ::: 1iiEw: :. ':.:..:::'.'.:..:..~~' 3716.10 6.36 3722.46 02/28/02 .. NEW BLOOMFIELD PA 17068-9741 _~~_~1 ~t43~~ PAGE 1 . · iiFFEClIVE . ....~ ID 01 ESTATE OF VIRGINIA N SNYDER KATHY SPEALMAN ADMINISTRATOR RR 1 BOX 475 NEW BLOOMFIELD PA 17068-9741 PAGE 1 ======================================================================================= 03/01 ID 04 03/1], ""'"""""""""""""""""""""""","""" ESTATE OF VIRGINIA N SNYDER KATHY SPEALMAN ADMINISTRATOR RR 1 BOX 475 NEW BLOOMFIELD PA 17068-9741 JOINT CNVNER ~~01~02 _ PAGE 1 ESTATE OF VIRGINIA N SNYDER KATHY SPEALMAN ADMINISTRATOR RR 1 BOX 475 NEW BLOOMFIELD PA 17068-9741 TOTAL DIVIDEND YTD: YEAR TO DATE 45.29 Account 8303794450 NYDER,ESTATE OF Transaction Summary 07/24/2002 ID Eft Date Transaction Balance Chg InUPnlty Fees S 01 07/09/2002 Check 00 1809345 Disbursed 5,386.65 S 01 07/09/2002 Check Withdrawal -5,386.65 0.00 0.00 S 01 07/09/2002 Transfer Deposit 1,636.30 0.00 0.00 S 04 07/09/2002 Withdrawal Transfer -1,636.30 0.00 0.00 S 04 07/09/2002 %% APYE Avg Daily Bal 1,635.94 S 04 07/09/2002 %% APY Earned 1.01 % 07/01/02 to 07/08/02 S04 07/09/2002 Dividend Deposit 0.36 0.00 0.00 S 01 07/09/2002 %% APYE Avg Daily Bal 3,748.72 S 01 07/09/2002 %% APY Earned 2.00% 07/01/02 to 07/08/02 S 01 07/09/2002 Dividend Deposit 1.63 0.00 0.00 New Balance Description/Pmt 0.00 5,386.65 From Share 04 0.00 To Share 01 1,636.30 3,750.35 4265 ADDRESS ~;;~UfA . :,) Dew..g. I"' <' h ~i .s\- 0' NAME SHIP TO ADDRESS TERMS DATE 'ORDER NO. D -y -() I WHEN SHIP SALESMAN BUYER I HOW SHIP (.{) (l Dr (::, > i- ,f ~ (}' . -, r-l"~. r-j(") ~,~ 9\, Fiji; ~:hI.O(j Yl It (J c.'~_ k; D(l i I ~ 'l"1Q)t5 ,~( I , ('1e.11. t-:. \ '1 iYo cJ-:1I ~ .(?./ j,(. W C"'~ D ,r.' jJ. - A U j ~ ;;Fops FORM 46500 @ ~ . /11111111111111111111111111111111 01464 VIRGINIA N C/O KATHY SPEALMAN SNYDER RR 1 BOX 475-16 NEW BLOOMFIELD PA 17068-9801 VIRGINIA N C/O KATHY SPEALMAN SNYDER RR 1 BOX 475-16 NEW BLOOMFIELD PA 17068-9801 Policy Number: 5837MH932562 Refund Amount: $ "o'o'o'o~66 . 00 Check Number: Check Issued: 58093879 01-04-2002 V SNYDER 2250 0443-10-12-3DG RR1 BOX 475-16 NEW BLUEFIELD, PA 17068-9702 11..111...1111.1111..1..1.1111111111111.1..1.1.1111.111...11.1 PAYMENT SUM..M4RY , '\ 10 NUMBER: VOUCHER NO: 5252724401 0002245978 VOUCHER DATE: 01/09/02 REFUND PAYMENT TO ACCOUNT: 5252724401 BILLING CORP: 5 2 $31. 42 PL Electric Utilities Corp Date 03/13/2002 Vendor Code 0000106245 Check No. 264069 Allentown PA 18101 Print No. 11930000020 Total $***********55.89 Invoice Date Invoice Reference Message Code Net Amount 03/08/2002 019571807900 55.89 \,,"'" HAAR'$ AUCTION DILLSBURG, PA 432-3815 · 432-3011 AUCTION EVERY TUESDAY & FRIDAY EVE. - 6:30 PM ITEM c. /1(, f- i ,: ! r. /~. :.' (11 (> ,> . ( C i )( Ci I f ,. I I' I, I --+- / (. I li i , I.~'. t i I~ '[.. /) : ' (,. :../ (,i (/ /f-.. ,/ f j" i C- ::, ~ 7- I I /.. f' I i it/../ ,~(CiIC If.( / I'.J~ t TAX TAXABLE TOTAL SALE COMM NET .' t' ., ,,,,i '..j ) I (t ~r \ .... .;. Name Street or R.FD. (. I '1:;' , i' J .(/,.. .'") ~".... (~_..,....) C" c'~ ,- \. City # % --~(;1 --;:--::= 1 c L , J ,) DOLLARS CENTS '-I I: {) \,' J ,) " " ...../ t_ .> (i () I , /\ \.../ (I 6 ' (\ ., I {" {.1 ,:J v' 6 () [~ (J TAX // .' , / . Ge; State ZIP '1- sheet CHARGE / ;/ ~) V"/ /j / ' Lj( [q/t!" ....- 'r ..../ II / / <' ,) I I:') j (j,// - L c ' / / /"" ./ /;:'; t1 / VIi.--' .,/ i.~) i//~ 1/' j- 'Vi I \j, //" I () it , "-.--""' ~..r~.;(",f;'",,-r:.Rr~-:...-,__.<:^r..~.,("..~.~r.T~':'-<<7'~-~_'7'.:,.''''"' '," ,~ GEORGE ~~~R AUCTIONEER 933 w~ SIDDONSBURG RD. orLLSRURG PA 17019 NO\l Q 28 f 2001 VIRGINIA N. SNYDER ESTATE 4201 GETTYSBURG RD. CM~P HILL, PA. 17011 LISTED BELOW IS MY APPRP,ISAL OF HOUSEHOLD FURNISHINGS FOR THE ABOVE NlLl'v1ED ESTATE. MISC. WRAPING PAPER, CARDS ETC. CHRISTMAS BEAR 3 BOXES OF CANNING JARS ELEC HEATER, IRON, SHREDDER 4 PANS & LIDS NICK NACKS ETC. DISHES, CUPS ETC. S I L VERv-Jp,RE BUTCHER KNIVES BOX BOOKS 18 VCR TAPES 7 CD'S 22 TAPES CONFECTION OVEN RECLINER CHAIR W/HEAT RECLINER CHAIR FLOOR FAN PICTURE 2 -Tp,BLE LIGHTS STANLJ S'I'EER HORN CHILDS ROCKER TOYS 2-SMALL WATER FOm~TAINS BOX POTS & P}lliS TOYS DECORATED Hfu~ SAW BOX PLASTIC ITEMS BOX PLASTIC ITEMS SAMSUN MICROWAVE TOASTMASTER TOASTER OVEN ELEC FAN ELEC HAND MIXER CROCK POT SWIVEL ROCKER 11'11 CROWA VE STAND ELEC BLENDER, WAFFLE IRON, CAN OPENER, TOASTER ELEC PAN & CORN POPPER ~ 00 4 00 1 50 3 00 b 00 2 00 4 00 c:: (\(\ v vV ~ 00 1 00 18 00 7 00 8 00 5 00 70 . 00 ~[:;: 00 5-, "' 00 1 00 n1 '.J . 0 ' ~.(}O I 5 00 ~ ~ ..., 00 L., 3 nn ~.i v 10 00 1 50 1 00 1 00 L- ao ~ [:;: 00 -1-, 2 50 2 00 - 00 1 00 20 00 'J nn '..-" V 10 00 "-i:: 00 1 BEAR~ c)~~rr SC:L4J\flfER_ IVIAPLE POCKEl' ZEl'JI1'H COLC'R~ T'J vl/P_EMOTE T\l S ]1A:tID SP--AR P VCR SLIDE ROCKER SONY STERREO W/REMOTE TABLE LIGHT CERMIC CAT SNACK TP~YS, CANES STEP STOOL BOX GOBBLETS, CUPS ETC 6-WHITE STORAGE CABINETS S~~LL IRONING BOARD SEWING MACHINE & CASE FOLDING CHAIR TOWELS, SHEETS, WASH CLOTHS BED FP_.l'I.ME BOX SPRING & MATTRESS BISSELL Sv-lEEPER ELEC FAN CLOCK RA.lJ I 0 END TABLE SEARS TABLE MODEL COLOR TV MAGNO VOX VCR COSTUJ'vlE JEWELRY PICTURE rllISc ITEMS GLIDER ELEC F~~, 2 PORCH CHAIRS 3-PLASTIC END TABLES 5PC PATTIO SET W!UMBRELLA ELEC CORD, PHONE MIse ITEMS TOTAL APPRAISAL 8 00 ...., r-\ .~__ :-' lu.UU 85~OC lO.OC 10.00 25~C)O 15.00 .--- (", =::JU ~-5C 10.00 4~OO 4~OO 18.00 1. 50 3.00 l~OO 5.00 2.00 25.00 7.50 2.00 1.00 1. 00 10.00 8.00 5.00 1. 00 6.00 5.00 3~OO 1.50 30.00 3.00 5.00 $603.00 .~ GEORGE AUCTIONEER 933 W. SIDDONSBURG, RD. DILLSBURG,PA 17019 PHONE 717-432-3815 MYERS-HARNER FUNERAL HOME, INC. 1903 MARKET STREET P.O. BOX 291 CAMP HILL, PENNSYLVANIA 17011 ROBERT H. HARNER SUPERVISOR LOCALLY OWNED AND OPERATED TELEPHONE 717.737.9961 November 14, 2001 Kathy Spealman RR1 PDx 475-16 New Blocmfield PA 17068 Services for Virginia Noll Snyder October 31, 2001 Charges for Services Selected Professional Services Use of Facilities Automotive Equipment $ 3,375.00 $ 3,375.00 Charges for Merchandise Selected Casket $ 2,350.00 Cash Advanced Clergy Certified Copies Flowers $ 75.00 24.00 106.00 $ 205.00 Total due within thirty days, please: $ 5,930.00 p~ SNELBAKER, BRENNEMAN & SPARE, P.C. Attorneys at Law 44 West Main Street P.O. Box 318 Mechanicsburg, P A 17055-0318 (717) 697-8528 Kathy Spealman R.R. 1, Box 475-16 New Bloomfield, P A 17068 6/28/02 For Professional Services Statement of Account Date Balance Due 6/28/02 802.10 Amount Due $802.10 ROBERT W. MORRIS & COMPANY p.e. CERTIFIED PUBLIC ACCOUNTANTS 19 EAST MAIN STREET, P.O. BOX 68, NEW BLOOMFIELD, PA 17068. (717) 582-8135. FAX (717) 582-7392. morriscpa@pa.net MEMBER: AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS PENNSYLVANIA INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS March 17, 2002 CONFIDENTIAL VIRGINIA SNYDER RR 1 BOX 475-16 NEW BLOOMFIELD, P A 17068 For professional services rendered in connection with the preparation of your 2001 individual tax return: Form 1040 (Individual Income Tax Return) Social Security Wrks Pensl Annuity Report (Pension and Annuity Report) P A Form P A-40 (Income Tax Return) PASch I (Federal Reconciliation) PA Sch SP (Tax Forgiveness) P A Summary Worksheet ilt: ~] ~. \, , lLD Vc."':' Z::::.;- Amount due $ 85.00 Balance Due is payable upon receipt. Delinquent accounts over thirty days will be subject to a finance charge of 1.50% per month. d Total number of exem tions claimed . . . . . . . . . . . . . . . . . 7 Wages, salaries, tips, etc. Attach Form(s) W-2 ....................................................... 8a Taxable interest. Attach Schedule B if required. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Tax-exempt interest. Do not include on line 8a . . . . . . . . . . . . . . . . . . 8b 9 Ordinary dividends. Attach Schedule B if required. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Taxable refunds, credits, or offsets of state and local income taxes (see page 22) ................ 11 Alimony received ........................................................................... 12 Business income or (loss). Attach Schedule C or C-EZ . .. ..... .. . .. ........... . ... . . .. . . . ....0 13 Capital gain or (loss). Attach Schedule D if required. If not required, check here ~ ............ 14 Other gains or (losses). Attach Form 4797 .................................................... 15a Total IRA distributions ~ I b Taxable amount (see page 23) 16a Total pensions and annuities ~ b Taxable amount (see page 23) 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . . . . . . . . . . 18 Farm income or (loss). Attach Schedule F .................................................... 19 Unemployment compensation.. . ........ . . . . . .. . . .. .. . . ... .. . . .. . ... ........ ... . . . .... ....... 20a Social security benefits. . . . .. ~ I b Taxable amount (see page 25) 21 Other income. List type & amt. (see page 27) ................................................. 22 Add the amounts in the far ri ht column for lines 7 throu h 21. This is our total income ~ 23 IRA deduction (see page 27) . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 24 Student loan interest deduction (see page 28) .. . . . . . . . . . . . . . . . . . 24 25 Archer MSA deduction. Attach Fonm 8853 25 26 Moving expenses. Attach Form 3903 ........................... 26 27 One-half of self-employment tax. Attach Schedule SE . . . . . . . . . . . . 27 28 Self-employed health insurance deduction (see page 30) . . . . . . . . . 28 29 Self-employed SEP, SIMPLE, and qualified plans. ... . ....... . 29 30 Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . . 30 31a Alimony paid b Recipient's SSN~ 31a 32 Add lines 23 through 31a .. ........ . .... .. . . . . . . '" . . ... . ...... . . .......... . ..... .. . . . . ... ... 33 Subtract line 32 from line 22. This is our ad'usted ross income. For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 72. OM Form 1 040 Label (See instructions on page 19.) Use the IRS label. Otherwise, please'print or type. Presidential Election Campaign See a e 19. Filing Status Check only one box. Exemptions If more than six dependents, see page 20. Income Attach Forms W-2 and W.2G here. Also attach Form(s) 1099-R if tax was withheld. If you did not get a W-2, see page 21. Enclose, but do notattach,any payment. Also, please use Form 1040-V. Adjusted Gross Income } No. of boxes checked on 6a and 6b .. '...... -. ......... '.. ... ............ ..... ....... ... .... No. of your children on 6c (4) Ck. if who' ual. child . ,. . d 'th for child Ive WI tax credit yo u see . 20_ did not live with you due to divorce or separation (see page 20) Dependents on 6c not en- tered above Add numbers entered on Department of the Treasury- Internal Revenue Service U.S. Individual Income Tax Return 2001 L A B E L Your first name and initial Last name VIRGINIA SNYDER If a jt. rtn., sp. first name & initial Last name H E R E Home address (number and street). If you have a P.O. box. see page 19. RR 1 BOX 475-16 Apt. no. City, town or post office. state, and ZIP code. if you have a foreign address, see page 19. PA 17068 ~ 3 4 5 6a b Souse Dependents: (3) Dependent's relationship to c (2) Dependent's 1 First name social security number Last name u y Your social security number 174-20-3295 Spouse's social security number ... Important! You must enter your SSN(s) above. ... No ~ 1 105 9 10 11 12 13 14 15b 16b 17 18 19 20b 21 22 3 025 3 130 ~ 3 130 Form 1040 (2001) Form 1 n4n 2001 Tax and Credits Standard Deduction for- .People who checked any box on line 35a or 35b or who can be claimed as a dependent, see page 31. . All others: Single, $4,550 Head of household, $6,650 Married filing jointly or Qualifying widow(er), $7,600 Married filing separately, $3,800 Other Taxes Refund Direct deposit? See page 51 and fill in 68b, 68c, and 68d. Amount You Owe Third Party Designee Sign Here Joint return? .... See page 19. r Keep a copy for your records. VIRGINIA SNYDER 34 Amount from line 33 (adjusted gross income) ........ .. . 35a Check if: ~ You were 65 or older, 0 Blind; 0 Spouse was 65 or older, Add the number of boxes checked above and enter the total here b If you are married filing separately and your spouse itemizes deductions, or you were a dual-status alien, see page 31 and check here .............. Itemized deductions (from Schedule A) or your standard deduction (see left margin) . Subtract line 36 from line 34 If line 34 is $99,725 or less, multipiy $2:90ci by itie iatili number at" exempiions 'C1aimed on' . . . . . . . . . . . . . . . . line 6d. If line 34 is over $99,725, see the worksheet on page 32 ....................... 39 Taxable income. Subtract line 38 from line 37. If line 38 is more than line 37, enter -0- 40 Tax (see page 33). Check if any tax is from a 0 Form(s) 8814 b 0 Form 4972 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ... . . . . . . Alternative minimum tax (see page 34). At!. Form 6251 Add lines 40 and 41 ............ . . . . . . . . . . . . . . . . . . . . . Foreign tax credit. Attach Form 1116 if required Credit for child and dependent care expenses. Attach Form 2441 Credit for the elderly or the disabled. Attach Schedule R Education credits. Attach Form 8863 ......... . Rate reduction credit. See the worksheet on page 36 Child tax credit (see page 37) . . . . . . . . . . . . . . . . . Adoption credit. Attach Form 8839 Other credits from: a B For;'; '3800' . . . . b' . "D' 'F~~~' 83~i6 c 0 Form 8801 d Form (specify) 50 51 Add lines 43 through 50. These are your total credits. . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Subtract line 51 from line 42. If line 51 is more than line 42, enter -0- 53 Self-employment tax. Attach Schedule SE ............................................... 54 Social security and Medicare tax on tip income not reported to employer. Attach Form 4137 55 Tax on qualified plans, Including lRAs, and other tax-favored accounts. Attach Form 5329 if required 56 Advance earned income credit payments from Form(s) W-2 .................................. . . 57 Household employment taxes. Attach Schedule H 58 Add lines 52 - 57. This is our total tax 59 Federal income tax withheld from Forms W-2 and 1099 .. ........ 60 2001 estimated tax payments & amount applied from 2000 return 61a Earned income credit (EIC) ...................... .NO... .. .. b Nontaxable earned income .... ~ I 62 Excess social security and RRT A tax withheld (see page 51) 62 63 Additional child tax credit. Attach Form 8812 63 64 Amount paid with request for extension to file (see page 51) 64 65 Other payments. Check if from a 0 Form 2439 b' . 0 . 'F~'r~ ~;;6 65 66 Add lines 59, 60, 61 a, & 62 - 65. These are ur total mt. .. .. .. .. . .. ... ..... 67 If line 66 is more than line 58, subtract line 58 from line 66. This is the amount you overpaid 68a Amount of line 67 YOlu want refunded to,yOU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ b Routing number . . ~ c Type: 0 Checking 0 Savings ~ d Account number I 69 Amount of line 67 ou want a lied to our 2002 estimated tax 69 70 Amount you owe. Subtract line 66 from line 58. For details on how to pay, see page 52 . . 71 Estimated tax enal . Also include on line 70 71 Do you want to allow another person to discuss this return with the IRS (see page 53)? Yes. Complete the following. Designee's Personal identification number (PIN) ~ I I name ~ PREPARER Phone no. ~ Under penalties of pe~ury, I declare that I have examined this retum and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Your signature Date Your occupation Daytime phone number D 'Bii~d: ~ 35a ~ 35b 130 Pa e 2 36 37 38 5 -2 2 650 520 900 o 36 37 38 39 41 42 43 44 45 46 47 48 49 50 40 41 42 o ... . ~ 43 44 45 46 47 48 49 ~ 51 52 53 54 55 56 57 58 o ~ o 59 60a 61a Spouse's signature. If a joint return, both must sign. DECEASED Date Spouse's occupation Pre parer's ~ CLIENT'S COpy ~ PA 17068-0068 Preparer's SSN or PTIN P00018433 25-1817405 Paid si nature Pre parer's Firm's name (or Use Only yours if self-employed), address, and ZIP code DAA 17 ROBERT W. MORRIS & COMPANY PO BOX 68 NEW BLOOMFIELD Phone no. 717-582 8135 Form 1040 (2001) REV.1512 EX'" (1-97) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF \J,r,iru'li AJ ~ltr FILE NUMBER Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. Q- ~~.Jl~ ekJ6 ~ ~ Ie.\- r'tn.+ <=-4 b \e- el e c.. f~orV- bll'l ,.liS... (.1 4l.S Lr u -h~,^, , u ~hc.~ \ rt,J..\ ~ Cl.Jv~J. if\. p..~r 'oi kLlL1'~ 50C,,,,L )e(/;r'~ "'-<)I!l ~( p€l 5"''''( 'f'Jl-......:') C, L~( +r\ e \ (.c-~"".t, 'VJtJr~ 1"""'- ~, t e-tt\Ak Cop,t>J. e\ev f~O~ p hof\.2' ~leG J--- ~l1. :J ~ tt-..t-I rt- Shk [('<po u~J so~ b'. tls- OrJ--Cf~ fV\.t aex}- TOTAL (Also enter 011ine 10, Recapitulation) (if more space is needed, insert additional sheets of the same size) AMOUNT iO.oJ 10).6) )..10. OV '01.1.( ), ~~. L{~ :>k30 l.{~,o5 1.)0 q /, '751 )5,0:) y{,O~ ~)). 6') >?5\ '{, J-l (PS',j I I L '1 f 3 7- ~'() ~~.35 l{q~..}t ),. .' / ,~!tj November 19,2001 Kathy L. Spealman R.R. 1 Box 475-16 New Bloomfield, PA 17068 717-582-0179 Re: The Estate of Virginia N. Snyder Dear Kathy Upon inspection ofthe 1957 lOX47 2 bedroom 1 bath Smoker/Smoker home Serial # ST-501682 located at 4201 Gettysburg Road Lt.# 13 Camp Hill, PA 17011 owned by Virginia N. Snyder was found to be in fair condition. Amenities include awning, 4 window awnings, metal shed, window air conditioner, range, refer, washer, and dryer. Home may remain at its present location. Based on the above fmdings it is of my professional opinion, with aid of the NADA Mobile Home Guide, and other homes sold of similar year and comparable condition, this home would have a market value, and retail at approximately $3,129.00 with an estimated remaining physical life of 7 -10 years. Respectfully submitted ~o_~ MANUFACTURE.O HOUSl~Ki VALU.<\ lION " ( !O PSECl: P.O. Box 67013 (717) 234-8484 (Harrisburg) Harrisburg, PA 17106-7013 (800) 237-7328 (Nationwide) 'eV<.:..bsite - http://www.psecu.com Pennsylvania State Employees Credit Union VISA- PAGE 1 }HH!!;}~k~f~~ii ::;:::::::::;::::)f::: ~:)itW~~iU$Qif!OOE:i ::::::::=-: 4.._:~.dM:P.A~L=.if:: ...'..-.....'....,....'...'..........-.'.....'...'.'.'.................'........ ..'-..'..'.....;.:.:;:::::::.:-:;::::::::>:::::::;:::::::::::::;:;:'::;:;:::::";:;:;::::.;::::::::,:::<:-::;::::>:<::: :::;:::::::;::;::::: . ~:~~.....' 0.00 1...111...111......11...11.11...11...11...1..1...11..11..1..11 VIRGINIA SNYDER 4201 GETTYSBURG RD LOT 13 CAMP HILL PA 17011-6664 Why waste time & money on writing checks and paying postage? 11 )'OU are going to make )'OUr VIsa payment using a PSECU check, log 11110 online banking and hIls1<< your VIsa peymentl Or, call us at (800) 237-7328 nationwide or (717) 234-8484 In Harrisburg. As the menu atar18, enter 44. Usten to the aelectlon and follow l1e inatructiona. (You'n need your lICCOUnt nwnber and PIN handy.) Either Way - No Coat, Quick & Easy. Available 24-houl8 a Dayl 3098607187591 TO REPORT A LOST OR STOLEN CARD' CALL OUR BUSINESS NUMBERS LISTED AT THE TOP OF EACH STATEMENT PAGE FROM 7 AM - 5 PM MONDAY TO FRIDAY AND 8 AM TO 12 PM SATURDAY, OT1-IERWISE CALL 80().556-S678 '~~'!:~~~:.~~!mi~~/ 8607187591 10/31/01 11/25/01 ID 09 VISA LOAN POST TRAN REFERENCE 1010 1009 24610438S03SFTJ2T 5964 DESCRIPTION QVC*2721212077 800-367-9444 PA AMOUNT 48.03 YTD FINANCE CHARGE: YEAR TO DATE eol~J 1(- J.I ~t~ 71 7070 ff(j".Q~ ..t~ -tf'y paiJ ~\.f~03 0.00 M~~P:_.i:::"'#~ ......+.@.~)( *)..i't) + lOTAL .....;.....,.,................,.,......,.;;,.,...,.....;.;.;...;.,.,...;.,.;;;...;..;.;...,.;.,........;;....;.;.;,....,..;.,;...;..;.;.....;......;.".;...,......,.;.".;;.;...,.;.;.....,.,<).~~..~M)) <H<~"'*~~~}::?;: FINANCECHAFIGE 0.00 0.00 0.00 0.00 48.03 0.00 ;:~..~t~.~ .......~ 0.00 0.00 0.00 0.00 0.00 0.00 ANNUAL PERCENTAGE RATE 9.900% 12.900% ~tml..y? )~.~i .................................. 0.82500% 1.07500% PERIODIC 0.00 0.00 ANANCE CHARGE lRANSACTlON 0.00 0.00 lOTAL 0.00 0.00 2143154 PN-Ol PATRIOT-NEWS CLASSIFIED ApplicationUtilitiesHelp12/13/01 LIST TRANSACTIONS FOR ACCOUNT Terms 99 Name SPELMAN/KATHY 3.31 Status Acct Balance A 59.05 Account # 7610446SPE Transaction # Type Date Perd Orig Date Rep RC Pb Prod Dist #Run Amount Tag Line Col Unit Size Rate See Loc Pg Trm TC5562091M 01 12/03/01 12/01 0634 DA CLS FULL 5 28.05 CAMP HILL 1957 Smoker. 1. 00 CL 3.0000 264 BOLD & 1ST DAY LOGO 6.00 NET OF INVOICE 34.05 TC5562031M 01 12/08/01 12/01 0634 DA CLS FULL 10 19.00 FORD '89 TEMPO LX Auto 1. 00 CL 5.0000 790 BOLD & 1ST DAY LOGO 6.00 NET OF INVOICE 25.00 PRINT MAIN MNU HELP PREVIOUS END OF LIST #81008 PRINTED BY: USER NAME: DEVICE: JJGAIM NTY3895: LAST KEY PRESSED WAS: ENTER ON FORM: SAD33002 DATE/TIME ON PRINT IS: Thu Dee 13 14:44:50 2001 95JJGAIM ******* AIM/7 NT ~ v \ C- " , ~ v VJ >2 ,- v -- ~ -'- ~ ,-C ~ ~J , - -.;:--~, ':::::c c; ---[- ,- Vi '-....... '- "-, c \:r Is 'u ,,'j .5 H ~ ~ V) ~ ,~ ':::::t:: c;: (- Cr '::::t. ~ CJ:' \ 0 ~ r- '- '~ Q) ,~ --t-- ~ ~ c... ~ V) -- ~ :3 0 C.J \':l 'lJ -8 c ~ ~ CJ Q C C c: E Q) p '- tr- .- c;:: c: :::;-- ~ ~ ~ 0"1; (C ~ 0 '- ~....) () .:5 (Y' ~~) ('-r- , ' c..b \ + Q 8 0 V\ '7 '0 r(, - E 0 0 lr) 0:- 0 T 8 ~ vi ~ r--:- j r'- <5 - P -..-.S) e l- f'-,.. (\) - r<J ~ V) u-' :J' _..__,. ...___. ._._.. __ _0-- _.__ _ '"________.__,,______._~___.__.__._______'_._ -- ---..---..--- ...-.----.- ---'~-----~ ,-"-- POOOO4-0014216 1m 01 Ll06 IISN @omcast 1~{ ij Cl t'i 2) I '1) ill ':" ') I, l...., , \t- Account Date Number Due Total Amount Due $31.42 0502052724401 12109/01 V SNYDER How to reach us... ~ You can reach our Customer Service Department at: (717) 540-8900 24 hours a day, seven days a week For service at: 4201 Gettysburg Rd Apt 13 Camp Hill Pa 17011-6664 ~ www.comcast.com Office Location: 3800 Trindle Rd., Suite B Camp Hill, PA 17011 SUmmary of Charges Billed from 11121101 to 12/20101 Total Due 31.42 31.42 cr 29.73 0.00 1.69 $31.42 PreviQPs Balance Paym~nts (includes payments received by 11/21/01) MOIltb}y Services Insbilla40Q Cnarges Taxes (J! Fees Detail of charges on back News from Corneast THANK YOU FOR PAYING YOUR BILL ON TIME. Your prompt attention is appreciated. A $2.00 late charge will be applied only when a payment is received 5 days past your Payment Due Date. For your convenience, we now accept regular and automatic monthly credit card payments, direct debit (ZipCheck) and MAC for payments. SEE 1HE ENCLOSED ISSUE OF COMCAST FRONT ROW FOR NEW WAYS TO ENRICH YOUR HOLIDAY EXPERIENCE. LEARN A NEW WAY TO PREPARE THAT FAMILY FEAST ON DISCOVERY HOME & LEISURE. MAKE NEW MEMORIES AS YOU LISTEN TO COMMERCIAL-FREE SOUNDS OF 1HE SEASON. COMCAST DIGITAL CABLE CAN HELP MAKE 1HE SEASON SPECIAL. GET HBO TODAY! CALL 1-800-COMCAST FOR SPECIAL OFFERS. GET DIGITAL CABLE CALL TODAY FOR SPECIAL OFFERS! 1-800-COMCAST .--------------------------------------------------------------------------------.-------------------- 3 ,;,..".df(). ~ --#" /3- ",...-X':'::::; / ,,'i,.r=2':P;./#C-/ - tZ/(J'!Yt. , ',' J~/~OIV I ...... /f~~i'IJi~~t=_~ ~~ ""~'...'.7:..<'-.-:::c7.;:?'~?;,.,...,.c,;-",. .... '~_..__ ..,'_,.::J~L_L_.~:,., - ----''',.,..,. i(~-...,v<..;;-~;.f~ . .' ~"~~_,~1._"",, ,!it:l!!l'~~(~ , '.",~. -- - PPL Electric Utilities Electric Service For: MRS VIlWINli\ N SNYI>I'.R 4~1l1 GElTYSBI ilW lOT L' CAMI' HlU.I'A 171111 PPL Ekcll'i<.' lIlilitks CustOlll<"1' StTvkc 827 Hausman Rd. AlIentown.I'A 18104-9392 1-800-342-5775 www.pplweb.eolll ppl Page 3 YO\lJBUI i\"QountNurnbef 01957-18079 To/alfrom Last Bill Payment ReceivedDec 17. Thank You! $ 65.31 $ 6531 Billing Details llalance as of Dec 26, 2001 $0.00 Current Charges Chal'ges for - PPL ELECTRIC UTILITIES Residential Rate: RS for Nov 26 - Dec 26 Distribution Charge: Customer Charge 200 KWH at 1. 7960oo00~ per KWH 449 KWH at 1.59400000<t per KWH Transmission ChaI:Ke: 649 KWH at 0.37700000(t per KWH Transition Charge: 200 KWH atl..88700000(t per KWH 449 KWH at 1.67400000(t per KWH Generation Charge: Ca~acity and Energv ~OO KWH at 4.tl460oo00(t per KWH 449 KWH at 4.256000001t per KWH PA Tax Adjustment Surcharge at -0.73000000% Total PPL ELECfRIC UTILITIES Charges Your Budget Plan Amount Other C1lar~es for PPL Electric Utilities Budget Bill fnterest Total of Other Charges 6.47 3.59 7.16 2.45 3.77 7.52 9.69 19.11 -0.45 $ 59.31 $ 66.00 -0.65 $ -0.65 A~.lDm~tic~i\l ~~Yll1ellt()Jl JlU . Account Balance $ 65.35 General Infornlation Nl,xt meter re<tding on o[ about Jan 25 Budget Summary: We billed you $396.00 Including this bill, you used 261.23 After this payment, your budget is ahead--~$IT4.77 Next month your budget amount will change to 55.00. Generation prices and charges are set by the electric generation supplier YOll have chosen. The PubHc Utility COlllmission reg,~llates distrioution prices ';lnq servi.ces. The Feqeral Energy Regulatory-Commission regulates transmIssIon pnces and servIces. PPL Electric Utilities uses about $6.53 of this bill to pay state taxes. In addition, about $2.90 of this bill pays the PA Gross Receipts Tax. lbe Transition Charge includes an Intangible Transition Charge (ITC) and the applicable gross receipts tax which together amollnt to $8.92. 'The ITC is a per usage cl1arge app'roved bv the Puolic Utility Commission which PPL Electnc Util ittes collects as -agent for PPL Electric Utilities Transition Bond Company LLC and which that company uses to service debt incllrred to recover a portion of PPL Electric Utilities' stranded costs. 111e gross receipts tax, which is collected for the COllllllonwealth of Pennsylvania, is equal to 4.4% of the ITC. I . I PPL Electric Utilities ppl Page 1 ... '('O\lr BiU Mco>iut Number 01957 -18079 . ... ... ... U$ewhellL'aUi ~. I Electric Service Summary Page Balance as of Dec 26, 2001 Char~s: TotafPPL ELECfRIC UflLnlES Charges Total Charges $0.00 For: MRS VIRGINIA N SNYDER 4201 GEITYSBURG LOT 13 CAMP HILL P A 17011 $ 65.35 $ 65.35 Account Balance $ 65.35 Questions about this bill? Please contact us by Jan 11 at 1-800-342 -577 5 or wlite to: Customer Service ,. 827 Hausman Rd. Allentown, PA 18104-9392 www.pplweb.com Electric Use 54 KWH - Average Per Day Meter Reading Iofm.mation eter #87485254 Dec 26 Actual Nov 26 Actual 30 Da s KWH Billed o Average - Dee Tel1\Jlerature KWH Per Day Yeady Use: Jan 2000 - Dec 2000 Jan 2001 - Dec 2001 2000 29F 52 90536 89887 ~ 2001 45F 22 This graph shows your electric use over the last 13 months. 45 'l'ypes of Meter Readings: 36 27 18 Estimated - 1TI7""I.). ................. ~ D 9 _ Total Use 8655 8099 Average Monthly 711 675 Actual Customer D J FMAMJ J ASOND 2000 Months 2001 Other important informatioll Oil back -+ ----------------------------------------------------------------------------- ---------- - ---- - - --.. ,.- ---------- ---- -------- -- --- - .------- --------- --- I'leasePavBv 01957-18079 Auto Pay 1111111...11111111111111111111111111.111111'1111.111111..11111 MRS VIRGINIA N SNYDER 4201 GETTYSBURG LOT 13 CAMP HIll PA 17011 -6664 PPL ELECTRIC UTILITIES ~ NORTH 9TH STREET ALLENTOWN PA 18101-1175 1 4200000653520000065359 0195718079 RECEIPT FOR PAYMENT ------------------- ------------------- Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Rece~pt Date 11/21/2001 Rece~pt Time 11:03:01 Recelpt No. 1027537 SNYDER VIRGINIA N File Number 2001-01038 Remarks KATH L. SPEALMAN PB ------------------------ Distribution Of Receipt ------------------------ Transaction Description SHORT CERTIFICATE Payment Amount 9.00 Payee Name CUMBERLAND COUNTY GENERAL FUN Check# 544 Total Received......... $9.00 $9.00 Z o i= :3 ..J UJ U Z <C U u. o UJ u - I- o Z -r- "00 coO (ijN 0. - co<D cl:-r- co> 010 oz N <D U') N ~M ~cn EI ~:2: :>.1"- .~ M ceo O-U') ~ .0"""".. .-...'............. If ." ...... ~ : ~ co- Ol- 0> COO B% ~ ~o Oil) cN 6oe:t' ~ 1-:: ({)o 1-"- ::>~ z<( 1-0.. (/)-1 a:w::::! wII !ROo.. ~Ol~ a: 0<( -'''10 - <:I <:I C\I "0 C o o CO 00- "'5 =.0 :001 ::=0 ~c coO 5co C) --'-(ij CO..c:: ~o 01 CO ..c::o 0.- co?: OCO "> en ~o COo Ul . _'<I" ljiW E'" _ :J ~a. "'0 .!::~ aGO o M"I . 0 '<I"wo W_"1 01 0 . _M ",co coco "OE ~=-1 001- c- a: =~O- ~ .- <( c co E0 Ri' 1ija::: ..sq coo B~ cl'- 51'- E <( Ri ~0 ?"- M <D <D , Cl,- 0: 0:,- WO: 0 ClW <!:ll"- )-....J O:::-r- Z- :::l (f)<( CO<( 0:C')(f)a. ZI-,....~....J <((f)I-I-....J --OW- - ZUJ....J<!J::r: ~~~,....a. ~@~~~ - ><!Ja.-;t<.;> ....J <( ..~ -W Oz cW 0> a::: E...J ~ a..::> ~Z oZ U-<( cD CJ c:: CO .... ~ III .E III :E - - ~ o .c CO c:: .2 - co E .... o - c:: cio '<<S '0 - "Om g 0>10' C\I =,Q)~ - '00.=0 - 0> -a. C\I -5EQ) U >-~..c: W .oE- 0 '00>> c:: Q) ~..a 0 .~ Cl.u % 8~.s ~~g 8 c::'O'O Z ar<<i 0. ..a a. 0> ..-~..o g~::Q en>=' 10100 ..c:..c:~ -='..c: ~g.Q E-.c >-~ 10 'en o.~ en ~c:.Q ='10- o.c 10 >-'0 c:~e: 0>='10 .cOe: ~~ Q)Q)O .28> '0 10:= e:Q):D .!a~'cn -5~l3 '0 a. 0- c:.....o> mai-5 Q)E- ~>ai _10> 10 0-0> -E:sa ~~B .= Q)> &'00) o><<l'<<S ~E:.o ~Q)O> ~..> E QI o>='E -0 <<i~- -"'-'0 Z (J):!:: III .... o - , 0) u e: 10 u Q) .c - 0> ~ o CD ..a '0 0> > '0) U 0> ~ - CO C W -1 -1 W U 0> Z =' e::( '0 U E =' .!!! E >. 0> .~ ~ "0 a. Q. ~ QI - o '5 e: CO c .... 0> ~ E c::. > - QI 10 ....~ 0- ~ "C :Q ;:E ""ffi O~ > E'E 10 o~ ~ J: Q. 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UJi U\ Z' <Ci Uf U. 0; UJ\ UI i=\ 0: Z' co ::3c Ol c ::3 ( 0, ~ +-' C co E 'iii' 1ij ..!:: c ( CO( BC cf gf ~ Ri ~, ~ ..\ s"' ;- 1 ':.<: ~~, ~ :=f~ ~~ .::1- L)..- 'J "- M 0* a:' a:a: ,,:: ~~ a:R >-<e ::>~ za: ro<( (/)I-M({)o.. ~>- Z~I-I-::l <(wol-- -C)-1WI ~a: C)o.. fi@~o~ ;>"rf*tS \II\IIII~\~IIIII\I\~II\\ Pinnacle Health Hospitals ) P.O. BOX 2353 HARRISBURG, PA 17105 &N\'R~~,YI~~INl~09I2.....I...../......0.....1 i .............se. :.:.r.....:.y.1.....:.c......:.e.:.....:...:...l)~....f. e.::.:......;...........:...:.:....:....:.:......................:.::.. ....... .... '.' ..... .... .'. .'. ..... .. Serv1 ce .. End' . .. ............. ::.::."'.:.:.:..:::.::::.:::.:::.:<.' :k~II~~\~~~gZ~II~'~~~~~~9~ (717) 230-3717 For Account Information, Please Call (717) 230-3717 Statement of Account 11/11/01 Transaction Date Description PREVIOUS BALANCE I VENIPUNCTURE GOOOI 1 EXPANDED VISIT EST * 99213 1 VISIT-PHYSICIAN 1 EXPANDED VISIT EST T/F99213 1 EXPANDED VISIT EST P/F99213 1 BASIC METABOLIC PANEL 80048 PMT MEDI B VERITUS 701 MEDICARE PMT MEDI B XACT 701 MEDICARE MEDICARE DISCOUNT 701 MEDICARE MEDICARE DISCOUNT 701 MEDICARE MEDICARE DISCOUNT 701 MEDICARE 09121101 09121101 09121101 09121/01 09/21101 09121101 10/15/01 10/15/01 10/15/01 10/15/01 10122101 ()et 11-) S -C) ( bla~) 50 a~J l~; S~c; Estimated Insura.nce Due: .00 Account Balance: 16.55 Total Patient Credits: YOUR ACCOUNT IS PAST DUE! PLEASE CALL OR PAY IMMEDIATELY. CUSTOMER SERVICE HOURS MON-WED-FRI 7:00AM TO 4:00PM TUES-THUR 7:00AM TO 6:00PM CALL 717-230-3717 LOCAL OR 1-800-603-6064 OUT OF AREA Ph~ase c 9~ Amount .00 11.00 .00 .00 22.00 48.00 65.00 53.41- 27.47- 13.66- 61. 30- 26.39 ) Pinnacle Health Hospitals P.O. BOX 2353 HARRISBURG, PA 17105 ". -................-................................. ... .. ........$NYll~ll,Y~~q~N~~... ............:.O.......BQ:I...:....Z............I........../..............0........1...........................:....... >$efY'~#~J~~*~{)......) ...... .....r.. :........:.:.:::.:.:::.:.:: .$~hV~#~~Hr;l:)<> b#:##~*#}#fu#r}P:#}~::lJ*1*=~!0J.> A~MUhfN6;2iQ045iWt.......:.::::::::::.... . (717) 230-3717 For Account Information, Please Call (717) 230-3717 Statement of Account 11/19/01 Transaction Date OB/ZUOl 08/2UOl 08/2UOl 08/2UO 1 09/12/01 09/18/01 lU06/01 11/19/01 Description PREVIOUS BALANCE 1 DETAILED VISIT EST * 99214 1 VISIT-PHYSICIAN 1 DETAILED VISIT EST T/F99Z14 1 DETAILED VISIT EST P/F99Z14 PMT MEDI B VERITUS 701 MEDICARE MEDICARE DISCOUNT 701 MEDICARE PMT MEDI B XACT 701 MEDICARE MEDICARE DISCOUNT 701 MEDICARE p.l II <1- '} -0 I C)(# 553 omt'$ Y7,:)1 Amount .00 .00 .00 13.00 70.00 64.26- 67.33 44.69- 14.14- Estimated Insurance Due: .00 Total Patient Credits: Account Balance: 27.24 CUSTOMER SERVICE HOURS MON-WED-FRI 7:00AM TO 4:00PM TUES-THUR 7:00AM TO 6:00PM !,..i CALL 717-230-3717 LOCAL OR 1-800-603-6064 OUT OF AREA . . L..-,.___~____ -- - - - ------ ----________ __ _________________________ _ ______________ __ ~~..!'~~ _<!...!'!"-'!.!~<!. !!!.u!~_"!:i!'!.~~~.P!l'!'!~L__________ _____________ ___ ____ _______ _______ ________ ___ ____ _ _ __ ~" Ver;701J pel 1- .)1 c 1<' ~ 10'1 ~ ",. II 9/ Page 2 of 11 717 761-0446-393 92Y ....i January 10, 2002 This information is required by the Public Utility Commission. "Basic" service includes the I ine charge, local call ing and TOUCH TONE service (if appl icable). "Non-Basic" service includes optional services, other than TOUCH TONE, such as Maintenance agreement for inside wire and Guardian and does not include toll services. Past Due Current Totals Ba lances Charges BASIC $13.81 $ -10.61 $3.20 TOLL $4.65 $3.15* $7.80 NON- BASIC $13.63 $ -12.72* $.91 TOTALS $32.09 $ -20.18 $11.91 The following pages provide additional billing details. * (Includes Verizon and other service provider(s) charges.) ~' Ver;701J f)d.. l)~ I ;)., (JCtj.. ~ (, ~ (: ,.f-) 7 J -1 S' Page 2 of 10 717 761-0446-393 92Y November 25, 2001 This information is required by the Publ ic Uti I ity Commission. "Bas.ic" . . I des the I ine charge local call ing and TOUCH TONE serVice s(~frvlcel.lncbule) "Non-Basic" se;vice includes optional services, other I app I ca . f . . d . d th TOUCH TONE such as Maintenance agreement or InSI e wire an an, . Guardian and does not include toll serVices. Past Due Current Totals Ba lances Charges $15.15 BASIC $.00 $15. 15 TOll $.00 $3.22* $3.22 NON- BASIC $.00 $19.11* $19.11 TOTALS $.00 $37.48 $37.48 The following pages provide additional billing details. * (Includes Ver i zon and other serv ice providerCs) charges.) I COMiv!0NWEA.LTH OF PENNSYLVANIA STATE EMPLOYEES' RETIREMENT SYSTEM HARRISBURG REGIONAL COUNSELING CENTER 30 NORTH THIRD STREET, ROOM 319 HARRISBURG, PAI7101 717 -783-9065 1-800-633-5461 FAX: 717-783-9599 February 14, 2002 Estate of Virginia Snyder C/O R R 1 Box 475 New Bloomfield, PA 17068 Invoice #9258 RE: SS#: Virginia Snyder 174-20-3295 Dear Sir or Madam: We have recently been informed of the death of Virginia Snyder, a retired member of this System. We wish to extend our condolences to you at this time. Since Ms. Snyder died 10/27/01 and the October check was not returned to our office, this account has been overpaid in the amount of $22.51 for the period from 10/28/01 - 10/30/01. It will therefore be necessary for our office to be reimbursed for $22.51 to liquidate this overpayment. The reimbursement should be made payable to The State Employes' Retirement System, and mailed with the enclosed copy of this letter to the address shown above. We also need a certified copy or an original death certificate for our file. Upon receipt of the reimbursement, this account will be closed. There are no further benefits to be paid from this System. Should you have any questions concerning this matter, please do not hesitate to contact me at the above address or by telephone at (717) 783-9065 or 1-800-633-5461. Thank you for your cooperation. Sincerely, iJ;t/l;ta {;t;fJn Linda Dolan, Administrative Assistant Harrisburg Regional Counseling Center Enclosure , ..~~ \ ';\i ...~~:.,...' ..~ GEORGE HAAR AUCTIONEER 933 W. SIDDONSBURG RD. DILLSBURG, PA. 17019 PHONE (717)432-3815 NOV.28TH, 2001 VIRGINIA N. SNYDER ESTATE 4201 GETTYSBURG RD. CAMP HILL, PA. 17011 $50.00 APPRAISEMENT FEE FOR APPRAISING PROPERTY OF THE ABOVE ESTATE. PERSONAL ,~~ GEORGE HAAR AUCTIONEER 933 W. SIDDONSBURG RD. DILLSBURG, PA. 17019 PHONE (717)432-3815 ~)d \ 'J--7 \k# c GlYll PS-O,Cxj 1 ,".)(/ /1/('(/ l:rp)[('E t!: /l/?rZ/t Date ~/~/ dl 1:" . l );J 1-41/ L S'to e:Cl. I tYJ a JJ a~-'7"'-'-'-~-'-U ----. 'tlRJ-,,,L -:g 4. x .1:::. 75' - / & . ~~( 0 a f\'1~.~i?#17cJ &8 L .C,'i,.3''?:.i SEfcvi::es On' ./L...../..!!l::..../<2L.. ~J4"..e.11_1:_J;;: sf ~ l~_~rl..;'-_.yj~!:~ " >>/' a k/. S N f de ,- J..oeated A'c __~ 1.oJ._.G.e-JIysbu r K Od J Lt rL J 3 __Ca~:JL;P.LLJ2d' / / &".i 1) nr!'&~ f:1!. (:t:Gre r N ~?l,)(!!e : () AA I , ~ .- _".~.~...a_k~.L_..__- ' I;;!()de]~; ___~~..ak,_:f-c::.-_._-_._._-_._-------,"._---..~ Year: / 9 s .7 viidth: / tJ I' I.enqth: 4 7 I Ser ial 4#: S"t...5 t) J ~ 8.2- Estimated Market Value: $ 0 /;<. 9. tJ tJ 'rurAL .lii1.0UiP1.' DUE uPON I?ECEIPT: $ 7 s ,;:3-- P AY.lillLE TO: K4RHA.f~ 3 Ci:!.;l;;I'Li L}!,D }\'iA~nfF.i~CT[lRED HOUSTNG 8ERVICE 'i:HJn~R YOU. ~~ ~J ~I \4"~ t6k} \ \ f0\.y. .~ MANUFACTURED HOUSING VALUA TION ~. " ,..' . .' . (!i~ " l' 'i ,t} _ - ~..'--";,.~::r _- ~"'::"-, ..;-: {';:. ~'>"_':'_"'_~<"~<'",~~"" "'?"~_-:':"_' \..1 it' 1 ? :,1 , :,: '.I ',J ./ u "' ) i , " ( '. ,. " " " '/ .. ( '!- :J .\ i..) "'" 'i. l ,', i i.) Co' i i " - ~; ~ ' - ' ,