HomeMy WebLinkAbout08-16-06 (2)
REV-1500 EX + /6-00)
, '
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
I-
Z
W
C
w
o
w
c
DECEDENT'S NAME (LAST, FIRST. AND MIDDLE INITIAL)
CHRIST AKOS
DATE OF DEATH (MM-OO-Year)
BETTY LOU
DATE OF BIRTH (MM-DD-Year)
06/04/2006 01/19/1931
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST. AND MIDDLE INITIAL)
~ 00 1. Original Return
~ ~CI) 0
(j a: ~ 4. Limited Estate
wo.o
:00 ~
<J ~ ~ LXI 6_ Decedent Died T estate ~Attach copy of Will)
Q.
c( 0 9. Litigation Proceeds Received
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)
D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
OFFICIAL USE ONLY
FILE NUMBER
2 1 -0 6 0 5 4 1
COUNTY""COOf"" --vEAr- - - NUM'BER- -
SOCIAL SECURITY NUMBER
2 1 6 - 2 8 - 4 5 1 5
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 3. Remainder Return (date of death prior to 12- 1 3-82)
o 5. Federal Estate Tax Return Required
_ 8. Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
THIS SECTION MUS,. BE COMPLETED. AL.LCORRESPONDENCEAND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
ROGER B. IRWIN ESQUIRE 60 WEST POMFRET STREET
FI AM NAM E (If Applicable)
IRWIN & McKNIGHT
TELEPHONE NUMBER
717 249-2353 CARLISLE PA 17013
z
o
t=
c(
...J
;:)
....
0:
c(
o
w
a:
z
o
i=
c
....
::)
D.
:E
o
o
~
....
~
z
w
C
z
o
Q.
en
w
a:
a:
o
o
1. Real Estate (Schedule A) (1)
2_ Stocks and Bonds (SchedLHe B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
o Separate Billing Requested
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) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
(8)
80,000.00
OFFICIAL USE ONLY
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a){1.2)
0.00 X _ (15)
0.00 X _ (16)
0.00 X .12 (17)
2,718.13 X .15 (18)
(19)
~':"1
", ,-,-"j
6,431.13
"
"./
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
20. D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
>,> \'BESORE'10"ANSWEA..Att:QUeS1"IONS;ON':REVERSE.$,IDE:AND'RECflECK--MATH < <
')
'. .;;
)
I
1
)
, . )
j
j.~"-)
L . 86,4'31 . 13
15,605.10
68,107.90
(11 )
(12)
(13)
83,713.00
2,718.13
(14)
2,718.13
0.00
0.00
0_00
407.72
407.72
Decedent's Com lete Address:
STREET ADDRESS 620 NORTH BEDFORD STREET
CITY
CARLISLE
STATE
PA
ZIP
17013
Tax Payments and Credits:
1 Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
407.72
20.39
Total Credits (A + B + C )
(2)
20.39
3. Interest/Penalty if applicable
D. Interest
E. Penalty
T otallnterest/Penalty ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 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)
A. Enter the interest on the tax due. (SA)
B. Enter the total Df Line 5 + SA. This is the BALANCE DUE. (5B)
Make Check to: REGISTER OF AGENT
0.00
0.00
387.33
387.33
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 Df the property transferred; ........................................................................... 0 00
b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 00
c. retain a reversionary interest; or ...................................................................................................... 0 00
d. receive the promise for life of either payments, benefits or care? .................:........................................... 0 00
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?..................................................:.....................,..................... 0 00
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. 0 00
4. Did decedent own an Individual Retirement Account, annuity, or other non.probate property which
contains a beneficiary designation? ....................................................................................................... 0 00
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of pe~ury, 1 declare thai I have examined this return, includjn~ accompanying schedules and statements. and to the best of my knowledge and belief, it is true, correct and complete.
Declaration of preparer other than the personal representative is based on alllnformalion of which pre parer has any knowledge.
SIGNATURE OF PERS ESPONSIBLE FOR FI~N>>RETURN DATE
J ~ ~jIV&
ADDRESS 60 WES 0 FRET STREET
CARLISI.:
SIGNATURE OF P AR THER
ADDRESS
PA 17013
For dates of death on or after July 1,1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. s9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. s9116 (a) (1.1) (ii)].
The statute does not exemot a trBnsfer to a surviving spouse from tax, and the statutory requirements for disclDsure Df 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 twenty.one years Df age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is D% [72 P.S. s9116(a)(1 ,2)],
The t~x rate imposed Dn the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. S9116(1.2) [72 PS ~91 16(a)(1 )].
The tax rate im~osed Dn the net value of transfers to or tor the use of the decedent's siblings is 12% [72 P.S. s9116(a)(1 ,3)], A sibling is defined, under Section 9102, as an
individual who has at least one parent in CDmmon with the decedent, whether by blood or adoption.
REV.1502 EX + (6.98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
CHRISTAKOS BETTY LOU 21 06 0541
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real orooertv which is iointlv-owned with rjaht of survivorshio must be disclosed on Schedule F.
SCHEDULE A
REAL ESTATE
ITEM
NUMBER
1.
DESCRIPTION
630 North Bedford Street, Carlisle, Pennsylvania
SOLD - Settlement Sheet Attached
VALUE AT DATE
OF DEATH
80,000.00
~(O, fA) pi
;). (U ,U\) cJ!.;uf
-
Ob' uD
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
80 000.00
REV-1508 EX + (6-98)
'*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
CHRIST AKOS
FILE NUMBER
BETTY LOU 21 06
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.
0541
ITEM
NUMBER
,.
DESCRIPTION
Sovereign Bank - Checking Account #1681720256
VALUE AT DATE
OF DEATH
3,115.83
2.
Personal Property - Appraisal Attached
2,320.00
3.
Jewelry - Appraisal Attached
670.00
4.
M&T Bank - Trust Income
294.25
5.
Cash on Hand
31.05
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
6,431.13
REV.IS11 EX + 112-99)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
CHRISTAKOS
ITEM
NUMBER
A.
1.
B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
BETTY LOU
Debts of decedent must be reported on Schedule I.
DESCRIPTION
FUNERAL EXPENSES:
Ronan Funeral Home
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
StreelAddress 60 West Pomfret Street
City Carlisle
State P A
Year(s) Commission Paid:
Attorney Fees Irwin & McKnight
Family Exemption: (If decedent's address is not the same as c1aimanrs, attach explanation)
Claimant
Street Address
City
State
Relationship of Claimant to Decedent
Probate Fees Register of Wills
Accountanrs Fees
Tax Retum Preparer's Fees Patricia A. Rosendale, CPA
Register of Wills, Filing Fee
Notary Fees
Roy D. Gottshall, Appraisal on Personal Property
The Sentinel - Legal, Estate Notice
Cumberland Law Journal, Estate Notice
S.W. Barrett Real Estate, Appraisal on Real Estate
Register of Wills, Short Certificates
Closing Costs from Sale of Real Estate
FILE NUMBER
21
06
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
Zip 17013
Zip
0541
AMOUNT
3.240.00
4,325.00
5,100.00
244.00
350.00
30.00
75.00
50.00
129.77
75.00
300.00
8.00
1,678.33
15 605.10
REV-1512 E~ + (6-98)
.
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
,
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
CHRISTAKOS
FILE NUMBER
BETTY LOU
21
06
0541
ITEM
NUMBER
Include unreimbursed medical expenses.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
DESCRIPTION
Sovereign Bank - Line of Credit #6819088906
VALUE AT DATE
OF DEATH
9,468.25
CitiMortgage #00167095-1
53,648.36
PP&L - Electric
65.54
Embarq - Telephone
79.09
AT&T - Telephone
37.17
East Pennsboro Ambulance - Medical
74.50
Borough of Carlisle - Sewer
87.48
Comcast - Cable
62.06
Carlisle Regional Medical Center - Medical
26.25
Carlisle Borough Tax Account - Personal Taxes
5.50
The Bon Ton #2116-0410-0533-5311
517.48
Bank of America - Visa Account #4427100005176040
4,036.22
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
68,107.90
"~""~.'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1, Joanne Clark Collateral
3986 Woodvalley Drive
Aiken SC 29803
2. Kelly Ryan Christakos Collateral
125 Azalea Drive
Hampstead NC 28443-8356
3. Janice Hans Collateral
8 S. George Street
Mechanicsburg, PA 17055
4. Ralph Tagg Collateral
511 Slaseman Drive
New Cumberland, PA 17070
5. Stephen T agg Collateral
1210 McCormick Road
Mechanicsburg, PA 17055
6. Joseph Tagg Collateral
11050 N.W. 60th Avenue
Reddick, FL 32686
7. Karen Rembisz Collateral
26220 Lookout Falls
San Antonio, TX 78260
41
AMOUNT OR SHARE
OF ESTATE
3 Carat
Emrald Diamond
2, )'UD
Diamond Wedding Band
2{/1..AJ
Personal Property
Personal Property
, Personal Property
Personal Property
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1,
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
Humane Society of Harrisburg Area, Inc.
710 Eppley Road
Mechanicsburg, PA 17055
the Helen Krause Animal Hospital
PO Box 311
Mechanicsburg, PA 17055
1/2 Remainder
2.
1/2 Remainder
TOTAL OF PART II - ENTER TOTAL NON.TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
CHRISTAKOS
Decedent's Name
BETTY LOU
Page 1
21 06 0541
File Number
Schedule J - Beneficiaries - 1
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS (include outright spousal distributions)
8., George P. Christakos, Jr. Collateral 2jW
PO Box 171
Telford, PA 18969 ;<'9-rD
9. Peter A. christakos Collateral
PO Box 171
Telford, PA 18969
LAST WILL AND TESTAMENT
of
Betty Lou Christakos
I, BETTY LOU CHRISTAKOS, of Upper Allen Township, Cumberland County,
Pennsylvania, declare this to be my Last Will and Testament, hereby expressly revoking all Wills
and Codicils heretofore made by me.
1. I direct my Executor to pay all of my debts, funeral and administrative expenses as
soon as may be done conveniently after my decease.
2. I authorize and empower my Executor to sell any realty owned by me at my death, at
either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I
could do if living.
3. I give, devise and bequeath all of my estate of every nature and wherever situate as
follows:
(a) My three-carat emerald diamond to Joanne Clark, according to my mother's
instructions;
(b) My diamond wedding band to Kelly Ryan Christakos;
\ (c) $2,500.00 to each of my three (3) step-grandchildren;
(d) $2,000.00 to my friend, Janice Huns;
J (e) My five nieces and nephews are to take any personal items and furniture
which they want, including the oil painting of my mother which is to be kept
in the family; and
(f) All the rest. residue and remainder is to be divided equally between the
Humane Society of Harrisburg Area, Inc., Mechanicsburg, Pennsylvania, and
The Helen Krause Animal Hospital of Dillsburg, Pennsylvania.
4. I nominate. and appoint ROGER B. IRWIN to be the Executor of this my Last Will and
Testament; he is to serve as such without bond. Should he die before my de.ath, renounce or
refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and
appoint MARCUS A. McKNIGHT, III, and DOUGLAS G. MILLER as substitute executors, also
to serve as such without bond, with the same powers as are given herein to my executor.
5. I hereby suggest that my personal representatives retain the serVices of Irwin &
McKnight as attorneys in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
(J-J
day of
June _, 2006
~"-
.,~~ Lc.<.... - (: {~M,.t-o-t(~
BETTY LOB CHRISTAKOS
~1i'd.J",
(SEAL)
2
Signed, sealed, published and declared by BETTY LOU CHRISTAKOS, the Testatrix
above-named, as and for her Last Will and Testament, in the presence of us, who, at her request.
in her presence and in the presence of each other have subscribed our names as witnesses hereto.
tdt'~//2~
. /) ~ '--..7 '."
~Wl'LI' />1: (..y- ).. ~A~'(.h-/A:,~j
3
ACKNOWLEDGll1ENT AND AFFIDA VIT
WE, BETTY LOU CHRISTAKOS, MARTHA L. NOEL and SHARON L.
SCHWALM, the Testatrix and witnesses respectively, whose names are signed to the foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
Testatrix signed and executed the instrument as her Last Will and Testament, that she had signed
willingly, that she executed it as her free and voluntary act for the purpose herein expressed. and
that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a
witness and that to the best of their knowledge the Testatrix was, at that time, eighteen years of
age or older. of sound.mind and under no constraint or undue influence.
Jk,\.
/'~ (p.. ^ civ,,~~~*~
, BETTY' W-El!RISTAKOS
J . J .
~~r .t'" rH.. Ir: J.:::;~JL''' )a.(Ar,j
, SHARON L. SCHWALM
COMMONWEAL TH OF PENNSYL VANIA
SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by BETTY LOU CHRISTAKOS,
the Testatrix herein, and subscribed and sworn to before me by MARTHA L. NOEL and
SHARON L. SCHWALM, witnesses, this ,J{ day of June, 2006.
/'
'3. ctb,-
No.tary ublic
COMMdNWE. TH OF PENNSYLVANIA
.. NoIarial Seal
Roger B. InMn, Notary Public
Carlisle Born, Cumber'.and County
My Commissioo Expires Oct 3, 2008
Member. Pennsylvania As!;ociation Of Notaries
4
A Senlement Statement
B Type of Loan
1 OFHA
4. OVA
C.
2. OFmHA 3. OConv. Unins. 16. File Number 17. Loan Number
5. OConv Ins. MT2006-245GFD
I his larm IS furnlsneoro give you a stau~tmem ~T aelUaJ. sernemenr COSts. A~Ol!n!S pala, ro ana Dy me se~tlement agen~are snown
Items marked "(p ocr were paid outside the closing; they are shown here for InfOfmahon purposes and are not Included in the lorals
WARNING It IS a crime to knowingly make false slatements to the Unlled Slates on this or any other similar form Penalties upon
convlctlgn~n Include a fine and Imprisonment For details see: Tille 18 U. S. Code Section 1001 and Sachen 1010
FINAL
I 8. Mortgage Insurance Case Number
I TitieExpress Settlement System
Printed 08/11/200~1QJJ1KLJ-
D NAME OF BORROWER:
____ADD~ESS
E NAME OF SELLER:
~_ ADDRESS
F. NAME OF LENDER:
~DDRESS~_
G. PROPERTY ADDRESS: 620 North Bedford Street, Carlisle, PA 17013
__ _ Carlisle Borough
H. SETTLEMENT AGENT: Abstract Company of Central PA, Inc., Telephone: 717-243-6222 Fax: 717-243-6486
PLACE OF SETTLEMENT 26 West High Street, Carlisle, PA 17013
I. SETTLEMENT DATE 08/11/2006
_n~,-SUIVIMARY_OF BORROWER'S TRANSACTION:
_lQo._G~QSS AM_OLlNT DUE FROM BORROWER
_jilL Contract sales price _
102. PersDnal Property
103 SettlemeIlt charqes to borrower (line 1400)
104
105.
Note:
Nathan B. Stoner
Estate of Betty Lou Christakos
Community Banks
80000.00
3133.13
Adiustments for items paid bv seller in advance
_._~---
~Q7. Countv taxes 08/11/06 to 12/31/06
ul0!LS~h9DI Taxes 08/11/06 to 06/30/07
109____ _ _____
-110
111-
112.
120, GROSS AMOUNT DUE FROM BORROWER
200. AMOUNTS PAID BY OR ON BEHALF OF BORROWER
201. Deposit or earnest money
202. PrinCipal amount Df new loans
. 203. _ExistingloanJs) taken subject to
204.
135.42
744.15
84,012.70
2 000.00
80,000.00
205.
206.
_ 207 __
~
~09._
Adjustments for item~unoaid bv seller
213
214~_____
_?1~___
_?16___
217
218.
219
220. TOTAL PAID BY/FOR BORROWER
300. CASH AT SETTLEMENT FROM OR TO BORROWER
_301. Gross amount due frDm bDrrO\'ier !line 12m
-192 Less amounts paid byjfDr borrower (line 22m
82,000.00
84012.70
82 000.00
303.j;A~~ FROM BORROWER
2012.70
K. SUMMARY OF SELLER'S TRANSACTION-:-
400. GROSS AMOUNT DUE TO SELLER
401, Contract sales price
402. PersDnal Prooertv
403.
404.
405.
80,000.Oll
Adjustments for items paid bv seller in advan~.
CDunty taxes 08/11/06 to 12/31/06_
School Taxes 08/11/06\006/30107._j-_____
407.
40B.
409.
410.
411.
412.
420. GROSS AMOUNT DUE TO SELLER __~___-'IO
500. REDUCTIONS IN AMOUNT DUE TO SELLER
501. Excess DeoDsit (see instructiDns\
502. Settlement charqes to seller 'line 140m
50~. Existinq loan(s) taken subject to
504. Payoff of First Mortqaqe LDan
CitiMortaaae
135.42
744.15
-__---..1
53,~-!ll.36
505.
506.
_507
50B.
509.
---
Escrow for Sover Payoff
15,OgO.0()
Adjustments for items unoaid bv seller
513
514.
515.
516.
517.
51B
519.
520. TOTAL REDUCTION AMOUNT DUE SELLER
600. CASH AT SETTLEMENT TOOR FROM SELLER
601. Gross amDunt due to seller (line 420) 1
602. Less reduction amount due seller (Iine_520) _-_ __ ___
603. CASH TO SELLER _ _
---- -----~-
7 0,326.~
8 Of879,5I
7 0,326.69
1 0,~52.88
SUBSTITUTE FORM 1099 SELLER STATEMENT The information contained herein is Important tax information and is betng furnished to the Internal Revenue Service If you are reqUired to file a return
a negligence penaltyor other sanction Will be Imposed on you If thiS item IS reqUired 10 be reported and the IRS determines thalli has not been reported The Contract Sales Pnce descnbed on
line 401 above conslllutes the Gross Proceeds of thiS Iransacllon
Sf-LLER INSTRUCTIONS If lhis real estate was your principal residence, file Form 2119, Sale or Exchange of Principal Residence. for any gain, with your Income lax return; for olher transactions
cumplelnlhe applicable parts at '-arm 4797, Form 6252 and/or Scheduie D (Form 1040)
TIN
You Are required by law 10 provide the seltlement agent (Fed Tax ID No . ) with your correcllalc:payer identification number If you do nol prOVide 'lour correct taxpayer IderMIC.allon
number, you may be subject to cIvIl or comlnal penalhes Imposed by law Under penalties of perJury, I cerMy lhal the number shown on thiS stalement IS my correct talc:payer Identification number
___ SELLER(Sj SIGNATUREIS)
SELLER(S) NEW MAILING ADDRESS
U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
_ ___ SEIILEMENT ST A TE~ENT
L. SETTLE:MENT CHARGES
700 ' TO:rA~ ~I\~E"/~R.QI<~R~~.COMMISSION based on price $SO,OOO~ 0.000 =
Division of cornllll:3!'lorUlln~ZQ01~~JQIIowL____
701 .$ to
702 $_____lQ____
__703 CUITlIlllSSIOn paid at Settlement
SOD. ITEMS Pi\YABI.;JttQ.QNNECTIQN WITH LOAN
80ijc~an Qilll@EQllF!,.f'___ %Community Banks
~0~.1oanl.ll~Q~nt__.___. %
80L_AfJp.!.alsalJ'!,e to Community Banks
804. Credit Rep.2r1_____________
-8115- FIOl)(J c:~rl__IQ_~<:>mm~~!!y~anks ______
801i Doc Plep Fe!'______.J.cl....f<>.mmunity_ Ball~~______ _____________
807_As~QlIlpll()nF~~ ____________ --______n__
...BOB. _ _ _ _______
809
~lU_ _
File Number MT2006.245 FINAL
TilleExpress Setllement System Printed 08/11/2006 al 09,15 KLL
PAID FROM PAID FROM
BORROWER'S SELLER'S
FUNDS AT FUN OS A r
SEHLEMENT SEIILEMENT
PA(3E 2
(P,O.C,) 100.00 Bu er
811
~QQ-!T~M~REQUIR;DB'( LENDER TO BE PAID IN ADVANCE
iiOl ~lt~r~SLf'rorn 10 _~__--.ic1ay.
902 . ~()rt9.ag~ InSlJr<;tlCe Pl!'fT1illlll.fQr_________ 10
9tn HazJllJ InslIIdnce Premium for 10
_SilJ4 ____ _
_~Q5 _ ______________
1 000. RESE~y;~[);J'QSITED WITH LENDE~ FO_R_
.1()Ql_f1.azard JlIsur<.Jnc;~_________----.iI1.<J..@ $
_!llQ;!. Ml)lllliillgJnsuranc~ 1110 (ij) $.
. IQQLCilyproperty Tax. _ mo (ij) $
1QQ4_Counly ProJ!f'r~~_____ mo. (ij) $
IQQ5 Scl~QITax~s.._ mo @ $
11109 A9.9.re9?IQf\n~lysisAU1Q~tlll~L______
1100. TITLE CHARGES
-------_._-----~----
_ 11Ql~!'ltlcrnQllt OJ c;1()~II9. ~_____
l1Q? t::~rt of TI1I!'L132 ENorth St 10 Abstract CO.!11P~of Central PA, Inc. ._____
II 03 TIII~ e..x.<lI1J!natlon
11114 TrtI'!.lnsI,J!il.nc;.f'..iJirlcier
110S Do<:.Pr"Jl.l Spousal Waiver) to Saidis, Flowe.r & Lindsay
II0fi Not9ryFces __~_____-'o SaicHs, Flower & Lindsay
1107 !,1I0111q{sfees . __ ___-''2....l3oger Irwin, E~:_pgc;SELLER -_____~c,__
[lfl(;I!Jdes dl)OV~II~Ill~NQ____ .___.1
I 1108 Tille IllstJrilncle lo'p-bstract Coll1pan'L.<:>,f Central pA.lnc.________
(ingudes dt)O~~~~N.2__ _~___.__ ._-~___J
_!1Q9 Lender's.PJlIII}'_____ ___ ____~QJOOO.OL:
111 I) OWllfJi}fJoIICY__ __un 80,000_00 . 664.88
11lLENQ.1QQ, 300L~1 10 Abstract CompanY.Qf Cenlr&J"A, Inc. . _____~_~
_111~.In~~red Closrr19lo.tr:.______ 10 Abstr~(;!..Q.QrllJlal1Y. of Central p'A,lnc.
!.Ll~____ _________
1?OO"QQVERNM~t'!T..Ric;Q~DING AND TRANSFER CHARGES
1~01 R-,,(;oldlngFIOQ~ I.lQcd$ 38.50__....;.Mor~ $ 54.50...;BEJlease $
1202 Crly/ColJllly lax/slalllQS __Qeed$800.00 ; MorlqageL...._
12IJ3SIille Tax/stamp". ____--..Qeed$8QQ,QO ; MortgaiJE!.l__
12U4 RQQ!rcJ ~I!J. 1:12 E. ~,jorth St 10 Recorder of Deeds _ _
1205
~-._~--~ --_.._--~ ..-------...--.---
1~00. ADDITIONAL SET!LE~E_t'!T CHARGES_____ ____ ______
!~Ol_;>Q0607 Sch_QQIJ.?x__ 10 Carlisle Borough Tax}.ccount
_l~L _____~.___
l~J Ov.!'I[ll!lhlPayoHs____!Q._SaiQisJ'!ower & Lindsay___ ____
1304.._________
J:Jt]Q._____
IJIJ6
IllJ7
J~~_ __________ ____._ ___
---~i= ~ --- ~----
-~--- ----- ~
---
Irno
1111()______
IllIo
~:LLIl1.Cl...___
69.86 11110
75.00
22.00
---.--
--- -=- -=---- ~I-~-~~ - --=!~:~~1--
54.50
-----
-~---
838,33
~~~---~-----
40.00
._---_..._--_.._--------~-----
_.._-~---_._--.._-_._---~---
_1400JQT,A,~ ~;TTh.~~~TJ:!iARGES
(enter on lines 103, SectionJ and 502, Section K)
~ 3t1~~!;l ____1 t678~~
t~je a~?ltbelief, It IS a tlue <Ind accurale statement of 811 receipts and disburSEments mode url my accoulll or by llll!
--~
WAf<NING If '0 (" 0 KNOWINGl Y MAKE FALSE SIArEMENTS TO THE
UNITED STAltS ON THIS OR ANY SIMILAR FORM rENALf ItS lJPON CONVICTION
CAN INLLUDE A FINf AND IMPr<ISONMENT FOR D!:TAIL:) SEE TITLE 18
IJ S COOl: SECTION 1001 AND SECTION 1010
The IIULJ-1 St:lllement Slatement whidll have prepared IS i::ItnJe and accurate dLcounl a/thiS trallOiacll{)1l
By 'j;;;;;~'~ lI;:to;eft~b~'e:"~dal;~"(h ~l~' c:~'e"t
~~-~
ESTATE OF
SOCIAL SECURITY #:
DATE OF DEATH:
Sovereign Bank
Betty Lou Christakos
216-28-4515
June 4, 2006
Account #: 1681720256 Type:
In the name of: Betty Lou Christakos
Date of Death Balance:
Int.(YTD) from 1/1/2006 to
Accrued interest to date of death:
Other Info:
Account #: N-6819088906 Type:
In the name of: Betty Lou Christakos
Balance Due at Death:
Checking
Open date: 7111/1997
$3,115.83
5/14/2006
$0.03
$0.28
ine of Credit
$9,233.49
Open date: 8/2/2004
Page 1 of 1
~~. {}.-A~ ~
6,..<cJ A/, &~~CJ-
G~6~/ rl1, ! 7<::/3
~2-.-Z~cf~~.7': a-/;v/?~p-~.---4 .::?"k ~~ ~~,
3;,...; ~- ,6~~~. ..r I
- ~ --;:;' , ,,~/, . , -.L '"
,;"..Z I' c:.~ -b4.-'--?-K" .,/C:-w--J, ..v-Lc~...C:i ./' --'i .:t:::-.
//,' (/ /". I
~y!: ft-"'.,:~"'-""4V, -.L ---: ~ ~ /- _ " 7' =
;:1~~Z~::~ :;,;:
.:4~~ &:5''r''Z/~ pco
,,~~4'r~~,~/ c/?o.c<:)
.~~ 0-CJq;)
..~7'~,I~~~~ .$?CC/
/1
.~~eI*#~z.:1t~~0r,4/~~ /"O.e:/
:~.-t. ~~/";':4~ .a ,~
.~~~~~/~~~~ ifc-.co
~-d~#~#t~
.2 ;;0 /ir'k~ _ . ~ @) ?,,"''''....
'.' ~bk h-(~. P"/~
R~/~/
~ur-ec#~~T~
~~_?~.~..-'C..
../3'~~0/c?7""C'
~-C.-,~/~~~<.,
./ _ '7""'- /' ../ /" /.
I;;~ ._SCi_,~> ~ --?,0LX~'
~~~~~1C~/~dc'R
~-::C~ >/F~.,a
~;&;>?>::
. ~ ~. L ,/
~~,.d~~t", A...~<L
.. '/'( P '~~--L ./ /7'- /
~.dd~~~:;>/?'/.?2~;"':'L ' /C.a~~
;;
~.,q:/
/' s-a::;/
/;? f7CJ
w.c:e:..
/"7, cV
/'-<:0
....:JC; ~I
/" !c.r
~ ,~.
i
/ S;C2:/'
/-<:~.
r . /7 /_
~~-c . ~.."!-c...." ",,-#
J6id::- .
I '
~-
="~. 1-_'
...;..J......, t
i
/;:F
4<!"7 C-h..<:~~ ~~
11
t (Co,.v /, )
~ aA<~/
.~~~;~~/#c~;~
,~.~~ ~t.:"!! "7 c--L:z~c
I, //
j;C~~
"~~~r /'/ ~
:.', ~.;J;" ar., A.."::......" .//-
r ' . / "'----";iY:.r -
,I' :e"
,~~.L' ~..~/~
.:i.l?~. t.'~..~~C~,6.c:;r @P;~'?~
,!'/3/~~-L /Vu/ i/t!.R.
i!~ /" .,./ 'I
::~~~~~~~~/~v';+~~
~ ": /'. /~'" 77'
.' .._. ~ 'I
- ~??/., .
!...I..'~~.., . -:/~~~~
"1 #' --ri/ -''::-/ /' u/-' - L'd.Luk '
.t~~~~+u?//hU1-i.-L/~rir ~.A~!.L
,~,~~
':~Zf--' N""/ L-~
~. .' ..-. --~-- 7- --- .1 I
': . r"'~-d-_~.r-~./c;,~e: r/~
.:(3 ~ 7U k.)/~~
17~~~~,
t;~ ~'L- YN~.h~~",--
.p2.~J-?t.~~;r-- ~.:../T
LJ' . (/ ~
,,~~.!>??:,-.-dO
.~~~
~ /$?/
I _' .'
j;2 -.3 ~c: ~:U-"J /C/~ ~ to:"'_';;:; f' €? /d(,A::--4-
~ ("f /' /,
~~/
t' ~" /' ---r-- /
"..6 ~~-e'~~~">7'~ ~b;;F( ~~-;?<:::;Y
~'" ~//
. .., 'AM", t/. "J / /""<'!.t"
I J/'.L-I J~
.~-CL.~. /~~~r':: '~-:hII!..~>d/L
,.'
I
i
#"1
"/?!~
!
Aft.z;
i
7"~
~ia=;
I
/.:;:; i...v
/~Iq?
,
fi,..{ f2/
I
~O~
. /?-ro
cA f';C
I
..::< j.:O
y~
,;;2..t:7 !d7
/?,a:;)
"0 4:;/;
";;r,, I
./ /. l.cJ
-rei
,
/~~
I
/O,ot::)
,
/R~
I
c;2Y~I
~rC,
I
~ ~cr- ;
-' .-~
9/c.5.
I
, -;J[' _)
/) Y /' // ~ ,,<,/1/
.....r 4a>>/ S,i-t2?',' ( L D. ---- r::::;. // .' _-
v _<."-;--' . 7' ' /.~.' /" .'/ /". .
//~e_~~'___h" _
- ~/:;rC- ~-,.. '. ' ,. .'.. ;;,/ //.-<:..
c2-~ :_~';:;<';" ."'./:_~ . .
'/ . J '.~ c:'.-//?---' ....-<c----L-/<..
...-7-'-~/'-~>r~-- ~_._, _
::;;.-' -' "-'-.' .-/
'r- -</- . .. _- " ~,A'"/~/"
'/~-C , -~--:(.; ~ /'.. ~c.C'..
-. ;' / ~~J qtJ((.5'~/!
'?'L( /~G~ J! ~'~...;Z-A7'
.' b....-: /~
. ..........--""....-..........
') '-&" ", n,' " '.(.L...-:,' 4....1- .
~.cy :.. .",- , _.
~~ ,
- ,........
'.= .:.'"C
0.-..' "
.....,..:;- '"
"~
...-.:...- '
~
;r--
'-- .-
..,-' ,"-'
" '
I
,
i
V~
/ !
/2 ~.
~970 i~
~35U !a;
---- I
~~o fV
':1
. ~'v
This app!a~saB comp~. ~r:F1
BJ:-.~~~~~~ r
. .. /' - \\' ~",", - 0/~.G
~ .
~~
~o'\
~;r- .$.s?o,a-e-'
.P 3~CJ ,crV
...... ,
. :?D'':::'''''''/
7lZ 6: <17 D 'C:~i/
/ . 5""e- ' c '-'
itrt~ . ..:; __ -,--a---'
j -~ ~ (!f ,~
YI ;l-"'-"
BETTY L. CHRISTAKOS ESTATE
d/o/d - June 4, 2006
Appraisal by:
Harry E. Danson
CARLISLE COIN SHOP
25 Circle Drive
Carlisle, PA 17013
243-8943
<f1;1~
I ~ rJ RA/v')
IJ6~
?(I~
1,"/ fh:.H I r >M. "'-'~ 7~ ~ - ~
I
r'- ~~~ d?JI.:v'd- ~
/ _ '^' ~ 13 d.'v"';""\" ,,'t 1(+ --.
R ~ u V1 d / <;..--.. ~:t }i-6"~~ <)~) c..L~L,;.i; ....,...
'I-. ')0 ~
75" ---
/10
~ tv~J ~h~\l-
{taJv~ c~ ~~~ ~~
b-'~~-()G
",
Ronan Funeral Home
Phone 717-258-9863
255 York Road
Carlisle, Pennsylvania 17013
Lynn A. Ronan, Funeral Director
We Care 100%
Our Family Serving Your Family
Fax 717-241-4041
Thursday, June 15, 2006
Mr. Stephen Tagg
1210 McCormick
Mechanicsburg, Pennsylvania 17055
Dear Mr. Tagg,
. Thank you for selecting our funeral home to provide services for your tamily during your time of bereavement. I hope that you
found our services, so far, to be of the highest standards that we always try to achieve. The following is a summary of the
service charges as previously explained and provided in written form on the services for:
BETTY CHRISTAKOS
1. Professional Services
Basic Service Of Funeral Director & Staff
Other Preparation of Deceased
Crematory Fees
3. Automotive Equipment
Transfer Remains To Funeral Home
Hearse
Utility Car
TOTAL OF PROFESSIONAL SERVICES, .
FACILITIES AND AUTOMOTIVE EQUIPMENT
Merchandise
Casket: Minimum Alternative
Other Receptacle Urn Vault
SPECIAL SERVICES
Direct cremation
TOTAL SPECIAL CHARGES
CASH ADVANCES
Cemetery Charges
Certified Copies of Death Certificate 10
Coroner Fee
Incl
lncl
Incl
Incl
Incl
Incl
$75.00
$ 350.00
$ 2095.00
$425.00
$2,095.00
$ 635.00
$ 60
$ 25.00
BALANCE DUE
$720.00
$3,240.00
$3,240.00
TOTAL FUNERAL CONTRACT
If there are any questions or concerns that remain unanswered, please call me. BALANCE DUE Iun 10, 2006
A late charge of 1.5% per month on the outstanding balance
(annual rate of 18%) will be added to the balance.
~~~~--
Aug 15 2886 87:52:35
SOVERE IGn BAnH
-)
+7172496354
Page 882
~'Sovereign BankSM
Payoff Statement
Account Of:
August 15, 2006
To
Betty Lou Christakos
Clo Roger Irwin Atty
60 W Pomfret St
Carlisle PA 17013-3243
Betty Lou Christakos
C/o Roger Irwin Atty
60 W Pomfret St.
Carlisle PA 17013-3243
Line Of Credit #:
Principal Balance
Interest Due:
Lien Satisfaction Recording Fee:
Insurance Due:
Other Fees:
Late Charges Due:
Escrow:
Unapplied
Pending
Extension Refund:
Termination Fee:
Fax Fee:
6819088906
$9,194.71
$206.54
$27.00
$0.00
$0.00
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
Payoff Total: $9,46B.25
This Payoff Total is good until 08/18/06 however, if the payoff is not received on that date, please add $2.33 (per diem) per day for
every day thereafter.
Please return this form with a check made Davable to:
Sovereign Bank
10-421-CP2
450 Penn St
Reading, PA 19602
Requested By:
Prepared By
KAREN NOEL
06-75
Phone Number
Payoff Fax Number:
610-988-1685
Fax Number:
Phone Number:
717-249-6354
877 -768-2265
This payoff has been quoted on a line of credit and is subject to change. Please wrif)' prior to setllemenl.
Every effort has been made to ensure accuracy in this calculation. In the event of a calculation or clerieal error, any overages will be refunded to the customer by Sovereign
Bank, and any shortages (including retumed checks) will be paid directly to Sowreign Bank by the customer. Once the payoff, which includes a lien satisfaction recording
fee has been received, the lien documents will be sent to the courthouse and recorded to satisfy the lien. If a customer chooses to omit the lien satisfaction recording fee
from their payoff, the customer will be responsible for recording the satisfaction of lien, provided to it by Sowreign Bank. unless otherwise required by state 'aw. All activity
will continue on this account until payoff has been received.Every effort has been made to ensure accuracy in this calculation. In the event of a calculation or clerical error,
any owrages will be refunded to the customer by Sowreign Bank, and any shortages (including retumed checks) will be paid directly to Sowreign Bank by the customer.
Once the payoff, which includes a lien satisfaction recording fee has been received, the lien documents will be sent 10 the courthouse and recorded to satisfy the lien. If a
customer chooses to omit the lien satisfaction recording fee from their payoff, the customer will be responsible for recording the satisfaction of lien, provided to it by
Sowrelgn Bank, unless otherwise required by state law. All activity will continue on this account until payoff has been receiwd.
*"*** Signature(s) required to authorize closing and satisfaction of lien ***"'*
Customer Name:
Betty Lou Christakos
6819088906
Account Number:
I hereby authorize Sovereign Bank to cancel my line of credit. I understand that by doing so, funds will no longer be available to me,
and the lien securing the loan will be satisfied. Future need for funds would require a new loan.
Borrower:
Date
Borrower:
Date
BQN.TON
Customer Service (Servicio a/ Clienta): 1-800-942-0739
Payment Address: Retail Services, PO Box 17264, Baltimore MD 21297-1264
Mail Billing Inquiries to: Retail Services, PO Box 15521, Wilmington DE 19650-5521
Days in Billing Cycle: 31
Statement Date: 06/17/2006
TOTAL MINIMUM
PAYMENT DUE
$16.00
AVAILABLE
CREDIT
$1,782.52 .
PIMa - ,..,.... tor imporfMt dillcloaur.., including grace period information.
By sending us a check: for payment on your account. you authorize us either to use information
from your check to initiate an electronic fund transfer from your account aCCOrding to the terms of
the check or to process this transaction as a check. When we use your check to make an
electronic fund transfer, funds may be withdrawn from your account the same day we receive your
payment. and you will not receive your check back from your bank. If you do not want your
checks to be converted to an electronic fund transfer, please call customer selVice at the phOne
number at the top of this billing statement.
Transaction Date Transaction Detail Promo. Type/Credit Plan Amount
05118/2006 Previous Balance ................................................................................ $522.88
06117/2006 Billed Finance Charges........................................................................ $10~60
0610512006 Payment Received - Thank You ........................................................... -$16.00
06117/2006 New Balance......... ....... ................. ................................ ............~......... $517.48
~
.
=
-
=
1;1
!II
"'-
-
==
!!!!E
51
-
=e
Please check: your account number on your Bon-Ton credit card. If there are less than 16 digits,
please begin using the new card with a 16 digit account number that you received in November.
Please destroy your old card. Thank you.
Great online buys are just a click away! Visit WWW.bonton.com to Shop OUr latest sale and
PUrchase select Items online.
Page 1 of 3
06170022695
16
Please return coupon below with your payment
BON.TON
ACCOUNT NUMBER NEW BALANCE
2116-0410-0533-5311 $517.48
Customer ServIce (Servlclo al Cliente): 1-800-942-0739
RECOMMENDED MAIL DATE TOTAL MINIMUM PAYMENT DUE
06/29/2006 $16.00
PAYMENT DUE DATE
0711 012006
AV 01 013264 63328S 78 S**5DGT
BETTY LOU CHRISTAKOS
620 N BEDFORD ST
CARLISLE PA 17013-1915
00211
AMOUNT
ENCLOSED $
Please complete using black or blue ink only.
Make checks payable to Retail Services. Include your
aCCOUnt number on your check or money order.
, ",1/ '",'1/ """, "" I"" 1/ /,1"" ,1/,' """" /' ,"1/ '"'
RETAIL SERVICES
PO BOX 17264
BAl TIMORE MD 21297-1264
/"",",1/" ',1/""/"'/11,1/ 111,',1111,1,,/,11 "" ,,'" ""
DDD51748DDDDlbDDOOD211b041D053353110D211b
BETTY L CHRISTAKOS
.
Account Number:
4427 1000 0517 6040
Your Bank of America Visa@ Account
New Balance
$4,036.22 Past Due Amount
$17,000.00 Available Credit
$17,000.00 Available Cash
$0,00 Billing Date
Total Credit Line "
Cash Limit
------
Overlimit Amount
Minimum Payment Due
24-Hour Customer Service
For Lost or Stolen Cards
-----------
$111.39
$12,96378
---~--
$12,96300
07/08/06
$222.50 Payment Due Date 08/02106
1800.732.9194 Pay online! Visit
1.800.848.6090 WWW.bankofamerica.com
REF. DESCRIPTION
NO.
Transactions View recent transactions and pay your bill online at WNW.bankofamerica.com.
Finance Charge Summary
Corresponding Daily (D) I Monthly (M) Average Daily Minimum (M) I
APR Periodic Rate Balance (ADS) Periodic (P) Charge
POST. TRANS.
DATE DATE
~ Jui03.
Jul08 Jul08
LATE PAYMENT FEE
PERIODIC FINANCE CHARGE
ACCount Summary
Previous Balance
Purchases
Cash Advances
Other Debits
Credits
FINANCE CHARGE
Payments
New Balance
+
+
+
$3,964.76
$0.00
$0,00
$3900
$0.00
$32.46
$0.00
$4,036.22
$111.39
+
Past Due Amount
'"
Purchases
Cash
9900%
24.240%
0.02713% D
0.06642%v D
$3,988.20
$0.00
ANNUAL PERCENTAGE RATE 9.900%
AMOUNT
CR=CREDiT
$39.00
$32.46
$32.46 P
$0.00 P
v=Variable
Your account is currently past due. Please visit our secure Website WNW.myeasypayment.com to
make an instant payment online and avoid additional Late Fees.
Bank of America ..
Banko' America"
Customer Comer
Your 2006 Privacy Policy for
Consumens is enclosed In this
statement. Please read the polley
carefully for important updates. If
you have other accounts With
Bank of America, you may receive
more than one copy of the 2006
Privacy Policy.
Please note: This year we revised
the privacy policy so that if you
have one or more Bank of America
credtt cards, we may share
information with selected third
parties. If you do not want us to
share your information. wIlhthird.
parties, please tell US via secure
website www.bankofamerica.com
Iprivacy or call toll free at
1,888341,5000. We will not share
information with lhind parties for at
least 45 days from the date printed
on your statement.
Please return remit coupon
with YOur payment -&-
0007215 0022250 0403622 4427100005176040
BANK OF AMERICA
PO BOX 1516
NEWARK NJ 07101-1516
24'7 1 AT .308 07-0a-2330-0DMS-4DO_T'01.
1/. II." 1/1 ..1/1 ,.1/1 /,,1/ 1/1",/1./ / II II .1/.11. "," 1/1 11.,1 /
BETTY L CHRISTAKOS UPDDD24'7
620 N BEDFORD ST
CARLISLE, PA 17013-1915
11"111".111'1...,1".//.."/11.1",,,1/.1'/,,,/11//,,.1/,..'
.: 521.022250':001.,00005.71;01.,0""
Account Number 442710000517 6040
Payment Due~_ 08/02106
Total Minimum Payment Due $222.50
New Balance: $4,036.22
Amount Enclosed
Make ~heck or rnom~y order payable to Bank of America.