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HomeMy WebLinkAbout03-02-07 REV-1500 EX + (6-00) .. '*' .- Z W C W (.) W C COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 06/28/2006 REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY - ---..,-.------ FILE NUMBER _-/, _ _ ~I - ;JOl) fP .!..J q r COUNTY"'Cci'5E --vEA~ - - ~:uMBER- - SOCIAL SECURITY NUMBER DATE OF BIRTH (MM-DD-Year) 78- 5 0 - 3 2 2 3 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 06/27/1948 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER W I- ~ :$(/) ull::~ wO-u xOo "ll:: ...J ~ O-lD 0- <C 00 1. Original Return o 4. Limited Estate D 6. Decedent Died Testate (Attach copy 01 Will) D 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (date of death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy ofTrust) o 10. Spousal Poverty Credit (date 01 death between 12-31"91 and 1-1-95) o 3. Remainder Return (date 01 death prior to 12-13-82) D 5. Federal Estate Tax Return Required Q.. 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. S'113(A) (Attach Sch 0) I- Z W a z o 0- (/) w ll:: ll:: o U NAME Lawrence J. Nea , Es uire FIRM NAME (If Applicable) COMPLETE MAILING ADDRESS 108-112 Walnut Street Harrisburg, PA 17101-1609 TELEPHONE NUMBER 717)238-4798 z o ~ <( ..J ::> .- it <( (.) W D::: z o i= <( .- ::> a.. :E o (.) >< <( .- 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule 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) D 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) OFFIC1AL USE ONLY \~. .: I 16,756.521, I f"') c:., (8) 174,356.52 22,918.30 430,377.61 (11) (12) (13) 453,295.91 -278,939.39 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES (14) -278,939.39 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 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 0.00 X _(15) 0.00 0.00 X .045 (16) 0.00 0.00 X .12 (17) 0.00 0.00 X .15 (18) 0.00 (19) 0.00 20. 0 , CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < Decedent's Complete Address: STREET ADDRESS 3 Ed dO' gewoo rive ~ CITY . Mechanlcsburg I STATE PA I ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( 0 + 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. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check to: REGISTER OF WILLS, AGENT 0.00 0.00 0.00 0.00 PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred; ........................................................................... D b. retain the right to designate who shall use the property transferred or its income; ........................................ D c. retain a reversionary interest; or ...................................................................................................... D d. receive the promise for life of either payments, benefits or care? ................... .......................................... D 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?......................................... ..................................................... D 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. D 4. Did decedent own an Individual Retirement Account'Annuity, or other non-probate property which _ t . b f" d . t' ? L / r-e...----; .- r- j", ( e ! t. n--- con alns a ene IClary eSlgna Ion. ................................~.t..:>.k-:..r.Ul........Q'Y.\..i ........................... L.::J No Er 13- 13' B Et [3"" D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before 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. ~9116 (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. ~9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX +,(6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Leao Nancy A. 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 oronertv which is iointlv-owned with riaht of survivorshiD must be disclosed on Schedule F, ITEM NUMBER 1. DESCRIPTION 3 Edgewood Drive, Mechanicsburg, Cumberland County, Pennsylvania 17055- Parcel No. 18-22-0519-224* VALUE AT DATE OF DEATH 150,000.00 2. Dolphin Beach Club - Daytona Beach Shores, Florida - week 13/Float Unit - timeshare* 2,100.00 3. Massanutten's Mountainside, Harrisonburg, Virginia - week 27/Unit 20 - timeshare* 5,500.00 * Jointly owned with spouse - but reported in the Estate of Nancy A. Lego by virtue of Slayer's Act. TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 157,600.00 REV-1508 EX +,(6-98) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Leao Nancv A FILE NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION Tax prorations at settlement on sale of 3 Edgewood Drive, Mechanicsburg, Pennsylvania (Settlement Sheet attached) VALUE AT DATE OF DEATH 1,010.02 2. 2003 Hyundai* - auction sale 9,400.00 3. Household possessions* - auction sale 4,881.00 4. Refund of Bankruptcy Chapter 13 payment less fees 1,226.00 5. Homeowner's Insurance - refund 85.00 6. Vehicle Insurance - refund 154.50 * Jointly owned with Spouse - but reported in the Estate of Nancy A. Lego by virtue of Slayer's Act. TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 16,756.52 REV-1511 EX + (12-99) .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Leao Nancv A. ITEM NUMBER A, 1. 2. B. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER Debts of decedent must be reported on Schedule I. DESCRIPTION FUNERAL EXPENSES: Musselman Funeral Home Rolling Green Cemetery ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Joseph J. Lego Social Security Number(s)/EIN Number of Personal Representative(s) Street Address 3 Edgewood Drive City Mechanicsburg State PA Zip 17055 Year(s) Commission Paid: 2007 Attorney Fees - Lawrence J. Neary, Esquire Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent Probate Fees Register of Wills of Cumberland County Accountant's Fees Tax Return Preparers Fees Appraisal costs - Timeshare units Mountainside Villas - Annual Assessment Dolphin Beach - Annual Assessment Auction Commission - personal property Borough of Mechanicsburg Cumberland County Law Journal (Estate advertisement) Carlisle Sentinel (Estate- advertisement) Liberty Mutual - Auto Insurance United Water Culigan - water system PP&L Liberty Mutual - Auto Insuance TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed. insert additional sheets of the same size) AMOUNT 6,097.40 1,195.00 2,000.00 5,000.00 304.00 720.00 350.00 356.89 1,663.22 106.82 37.50 57.63 140.75 74.60 51.80 359.29 147.75 22,918.30 Continuation of REV-1500 Inheritance Tax Return Resident Decedent Lego, Nancy A. Decedent's Name Page 2 File Number Schedule H - Funeral Expenses & Administrative Costs - 81 ITEM NUMBER DESCRIPTION AMOUNT B. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (5) David A. Lego 2,000.00 Social Security Number(s)/EIN Number of Personal Representative(s) 202-52-8249 Street Address 803 Highland Court City Mechanicsburg State P A Zip 17050 Year(s) Commission Paid: 2007 SUBTOTAL SCHEDULE H-B1 2,000.00 Lego, Nancy A. Decedent's Name Continuation of REV-1500 Inheritance Tax Return Resident Decedent Page 3 File Number Schedule H - Funeral Expenses & Administrative Costs - 87. ITEM NUMBER DESCRIPTION AMOUNT 19. 20. 21. 22. 23. 24. 25. 26. 27. Borough of Mechanicsburg - sewer Certified Mail - Notice PP&L United Water Culigan - water system Amber Rexroth - yard maintenance Elmer Murry Auctions - advertisement fees PP&L United Water 106.82 4.64 98.76 16.77 35.07 490.00 1,440.00 47.97 15.62 SUBTOTAL SCHEDULE H-B? 2,255.65 REV-1512 EX';' (6-98) '* SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Leao Nancv A. FILE NUMBER Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. Settlement charges, Members First FCU mortgage payoff (as per attached Settlement Sheet) VALUE AT DATE OF DEATH 125,728.14 2. Members First mortgage payment 929.13 3. KISB - Korean Television 85.00 4. Bally's Park Place 2,000.00 5. Boscov's Credit Card 175.32 6. Capital One 2,611.51 7. Capital One 1,362.67 8. Capital One 6,094.97 9. Cabela's Club Visa 252.98 10. First National Bank of Omaha 13,179.69 11. Goodyear Credit Plan 331.13 12. Harry Cahng 206,000.00 13. Hilton Casino & Resort 2,000.00 14. Kay Park 50,000.00 15. Sears 5,627.07 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 430,377.61 Continuation of REV-1500 Inheritance Tax Return Resident Decedent Lego, Nancy A. Decedent's Name Page 3 File Number Schedule I - Debts of Decedent, Mortgage Liabilities, & Liens ITEM NUMBER DESCRIPTION AMOUNT 16. Theresa Imes 10,000.00 17. Trump Marina 2,000.00 18. Trump Plaza Casino 2,000.00 SUBTOTAL SCHEDULE I 14,000.00 GRAND TOTAL SCHEDULE I $ 430,377.61 '''~'~nw(".. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER (Ann Nancv A RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE 1. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Joseph J. Lego Lineal 3 Edgewood Drive 50% Mechanicsburg, PA 17055 2. David A. Lego Lineal 876 Mandy Lane 50% Camp Hill, PA 17011 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. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) A. B. r JF LOAN: U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1.DFHA 2.oFmHA 3 ~CONV. UNINS. 4. OVA 5. oCONV. INS. 6. FILE NUMBER: 17. LOAN NUMBER: SETTLEMENT STATEMENT AAM06-00602 2030061149307 8. MORTGAGE INS CASE NUMBER: C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "[POC]" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. 1.0 3/98 (AAM06-D0602.PFOI AAM06-D060;!/3S) D. NAME AND ADDRESS OF BOffiOWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: Jos-8ph J. Lego and Estate of Philip S. Lego Decision One Mortgage Company, Christinia L. Lego, husband and wife and Nancy A. Lego LLC 3 Edgewood Dr. 3023 HSBC Way Mechanicsburg, PA 17055 Fort Mill, SC 29715 G. PROPERTY LOCATION: H. SETTLErv1ENT AGENT: 20-1201106 I. SETTLEMENT DATE: 3 Edgewood .Dr. Victory Settlement, LLC Me~hanlcsburg, PA 17055 December 12, 2006 Cumberland County, Pennsylvania PLACE OF SETTLEME~IT 341 Science Park Road, Suite 2051 State College, PA 16803 J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: -- 400. GROSS AMOUNT DUE TO SELLER 101. Contract Sales Price I 150,000.00 401. Contract Sales Price I 150,000.OC 102. Personal Prooertv I 402. Personal Property I I 103. Settlement C0~es to Borrower (Line 1'!.QQ2 I 6,156.95 403. I I 104. I 404. I I I -- i 105. 405. . Adiustment~ FIX Items Paid By Seller in advance Adiustments FIX Items Paid Bv Seller in advance ~CityfTown Taxes 12/12/06 to 01/01/07 I 17.87 406. CityfTown Taxes 12/12/06 to 01/01/07 I 17.87 107. CountyTClxes 12/12/06 to 01/01/07 I 16.29 407. County Taxes 12/12/06 to 01/01/07 I 16.2S 108. School 12/12/06 to 07/01/07 I 975.86 408. School 12/12/06 to 07/01/07 I 975.8E 109. I 409. I 110. I 410. I Y11. - r 411. I I 112 I 412. I I I 120. GROSS AMOLNT DUE FROM BORROWER 157,166.97 420. GROSS AMOLNT DUE TO SELLER I 151,010.0: I 200, AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER 201. Deposit or earnest money I 15,000.00 501. Excess Deposit (See Instructions) I 202. Principal Amount of New LoariTs) I 120,000.00 502. Settlement Charqes to Seller (Line 1400) I 6,5092S 203. Existina loanls) taken subiect to I 503. Existinq loanl s) taken subiect to I 204. 1-- 504. Payoff First Mcrtgage to Members 1st FCU ! 119,21885 205. I -- 50S. Payoff Second Mortgage I f----. 206. I 506. Deposit retained bv seller I 15,000.00 207. I -- 507. I 208. I 508. I 209. -- 509. I Adiustments FIX Items Unpaid By Seller Adiustments FIX Items Unpaid By Seller 210. CitvfTown Taxes to I 510. CitvfTown Taxes to I 211. County Taxes to --L 511. County Taxes to I 212. School to +- 512. School to ~ 213. 513. 214. I 514. I 215. I 515. I 216. ~ 516. I 217. 517. I 218. I 518. I 219. I 519. I - I I 220. TOTAL PAID BY/FOR BORROWER 135,000.00 520. TOTAL REDUCTION AMOUNT DUE SEUER 140,728.14 300. CASH AT SETTLEMENT FROMrrO BORROWER: 600, CASH AT SETTLEMENT TO/FROM SELLER: 301. Gross Amount Due From Borrower (Line 120) I 157,166.97 601. Gross Amount Due To Seller (Line 420) I 151,010.02 302. Less Amount Paid By/For Borrower (Line 220) I( 135,000.00) 602. Less Reductions Due Seller (Line 520) I( 140,728.14 303. CASH ( X FROM) ( TO) BOmOWER I 22,166.97 603. CASH ( X TO) ( FRJM) SELLER I 10,281.88 i OMS NO. 2502-0265 ~, $ L. SETTLEMENT CHARGES @ % 700. TOTAL COMMISSION Based on Price Division of Commission (line 700) as Follows: 701.$ to 702. $ to 703. Commission Paid at Settlement 704. to aOO.ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Origination Fee % to 802 Loan Discount % to 803. Appraisal Fee to 80LL Credit Report to 805. Broker's Procesing Fee to 806. Underwritinq Fee _ to Decision One Mortgage Company, LLC 807. Processing Fee to American Advantag.e Mortgage Services, LLC ?08=Document Prep 809. Broker Fee 810. 811. Yield Spread Prem Pd by Lender American Advantage Mortgage Services, LLC 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From 12/12/06 to 01/01/07 @ $ 23.300000/day ( 20 days ~.Mortgage Insurance Premium for 12 months to 903. Hazard Insurance Premium for 1.0 years to 904. 905. 1000, RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance 1002. Mortqaoe Insurance 100.1. Cityrrown Taxes ~!. County Taxes 1005. School 1006. 1007. 1008. Aooreoate Adjustment 1100. TITLE OiARGES 1101. Settlement or Closing Fee 1102. Abstract or Title Search 1103. Wire Fee 1 ! 04. Express Mail Fee 1105. Document P!~lration 1106. Tax Cert/lien Letters j.1 OZ_Attorney's Fees (includes above item numbers: 1108. Title Insurance (includes above item numbers: 1109. Lender's Coverage 1110. Owner's Coverage 1111. END. 100,300,900,710 1112.. Closing Protection Letter 1113. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 50.00; Mortgage $ 89.00; 1202. City/County Tax/Stamps: Deed ; Mortgage 1203. State Tax/Stamps: Deed ; Mortoa[Je 1204. 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Survev 1302. Pest Inspection 1303. Property Taxes 1304. 2006 School Taxes 1305. See addi!,1 disb. exhibit 1400. TOTAL SETTLEMENT CHARGES to American AdvantageMortgage Services, LLC 6:9900%) . 3.000 months @ $ months (Q} $ months @ $ months @ $ months @ $ months @ $ months @ $ months @ $ 41.67 per month Der month 25.15 per month 24.78 Der month 144.72 per month per month per month ~'er month 11 .000 11 .000 7.000 to Victory Settlen:ent, LLC to to to to to to Victory Settlement, LLC Victory Settlement. LLC Victory Settlement, LLC to United General Title Insurance Company 958.75 120,000.00 $ $ to Victory Settlement, LLC to United General Title Insurance Company Releases $ TPP Recordings TPP Recordings to to to Mechanicsburq Borouqh r ~ I (Enter on Lines 103, Section J and 502, SectionK) I PAID FROM BORROWER'S FUNDS AT SETTLEMENT 89!J.00 650.00 1,200.00 POC L $1200.00 466.00 125.01 276.65 27:2 .58 1,013.04 -533.08 295.00 20.00 65.00 7:5.00 ) 958.75 ) 200.00 3:5.00 139.00 18-22-0519-224 6,156.95 I ~ \;;lctOry Settlement, LLC Settlement Agent Pa; PAID FROM SELLER'S FUNDS AT SETTLEMENT 1,949.2S 4,560.00 6,509.2S l ~ I HUD-1, Page 3 Borrower (s): Joseph J. Lego and Christinia L. Lego, husband and wife 3 Edgewood Dr. Mechanicsburg, PA 17055 Seller(s): Estate of Philip S. Lego and Nancy A. Lego Lender: Decision One Mortgage Company, LLC Settlement Agent: Victory Settlement, LLC (877)443-0833 Place of Settlerrent: 341 Science Park Road, Suite 205\ State College, PA 16803 Settlement Date: December 12, 2006 Property Location: 3 Edgewood Dr. Mechanicsburg, PA 17055 Cumberland County, Pennsylvania Additional Disbursements Payee/Description _' .Elmer Murray Auctions, Inc. Auctioneer Commission Note/Ref No. Borrower Seller 4,560.00 Total Additional Disbursements shown on Line 1305 $ 0.00 $ 4,560.00 Seller l.oan Payoff Details Payoff First Mortgage Loan Payoff Total Additional Interest to Members 1 st FeU 118,451.01 767.84 As of 12/15/06 39 days @ 19.688100 Per Diem Total Loan Payoff 119,218.85 \ have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement. -' -- ~v~ d JecVF JO~Ph. fL!31' . / I ,~ (;1 C nstinia L. Lego ~JU Estate of Philip S. Lego and Nancy A. Le~~o . ~.e "I-. 0<s- t co .~t-<\tk\'S=~ '<OQ. TltE- ~:r"-..~ 6>= B~IDS..LEl':-o "-"'D ,,,e ESTA:<C of ~::y A.LE{-Q David A. Lego, Co-Administrator for the Estate of Philip S. Lego and the Estate of Nancy A. Lego yyl f j~J {c -AcI^.".5fIQ-I~~ lo, fi,e [Jh/r cf tl/j S Le; 0 ('."j f/,f. Ed'ale 0/ /l!q/1(j A. L:Jo . "" .,:.~