HomeMy WebLinkAbout06-06-07 (2)
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15056041125
REV-1500 EX (06-05)
PA Department of Revenue '*
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO BOX 280601
Hanisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Year
21 07
File Number
0104
Date of Birth
197220059
01222 0 0 7
112 4 192 6
I R V I N
RUT H
MI
J
Decedent's last Name
Suffix
Decedent's First Name
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's last Name Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
2. Supplemental Return
o
o
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
o
o
o
4a. Future Inlerest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a living Trust
(Attach Copy of Trust)
8. Total Number of Safe Deposit Boxes
R .
MAR K
THOMAS,
E S QUI R E
717 796 2 100
Firm Name (If Applicable)
REGISTER Of-WILLS USE ONLY
(~== ~
1 0 1
SOU T H
MARKET
S T R E E T
I
C.I
First line of address
Second line of address
City or Post Office
State
ZIP Code
DA TE "FIlED
r_.,,)
(.....-)
MECHANICSBURG
P A
1 7 0 5 5
4",'--
Correspondent's e-mail address:rmtesQ@2deiazzd.com
Under penalties of pe~ury, I dedare that I have examined this retum, including accompanying schedules and statemenls. 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 all Information of which preparer has any knowledge.
S'GNATU~ 0 ~p 19 fOR FILING RETURN ~/ D~
ADDRESS ~3J /
~
Market street Mech~nicsburg
PLEASE USE ORIGINAL FORM ONLY
PA 17055
Side 1
L
15056041125
15056041125
....J
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15056042126
REV-1500 EX
Decedent's Name: RUTH J. IRVIN
RECAPITULATION
1. Real estate (Schedule A)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 1.
2. Stocks and Bonds (Schedule B)
.................................. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages & Notes Receivable (Schedule D)
........................ 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5.
6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) D Separate Billing Requested. . . . . .. 7.
8. Total Gross Assets (total Lines 1-7)
........................... 8.
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)
. . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . 13.
14. Net Value Subject to Tax (Line 12 minus Line 13)
. . . . . . . . . . . . . . . .,. 14.
1 8 2 3 0 9.9 8
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate. or
transfers under Sec. 9116
(a)(1.2) X.O _
16. Amount of Line 14 taxable
at lineal rate X .O~
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Une 14 taxable
at collateral rate X .15
15.
16.
17.
18.
19. Tax Due
. . . . . . . . . . . . . . . . . " . . . . ... . . .. . . . . .. . . . . . . . . . . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L
15056042126
Decedent's Social Security Number
197220059
188000.00
1108.80
2 0 6 9 1.9 5
2 0 9 8 0 O. 7 5
2 7 4 2 1. 0 6
6 9. 7 1
2 7 4 9 O. 7 7
1 8 2 3 0 9. 9 8
8 2 0 3.9 5
8 2 0 3.9 5
o
15056042126
.-.J
REV-1900 EX Page 9
Decedent's Complete Address:
File Number
DECEDENTS NAME
RUTH J. IRVIN
STREET ADDRESS
19 ANDES DRIVE
CITY I STATE I ZIP
MECHANICSBURG PA 17055
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
8,203.95
5,000.00
250.00
Total Credits (A + B + C) (2)
5,250.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
T otallnterestlPenalty ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill In oval on Page 2, Line 20 to request a refund. (4)
0.00
0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
2,953.95
8. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(5A)
(58)
A. Enter the interest on the tax due.
2.953.95
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; ...................................................................... 0 00
b. retain the right to designate who shall use the property transferred or its income; ............................... D 00
c. retain a reversionary interest; or ................................................................................................ D 00
d. receive the promise for life of either payments, benefits or care? ....................................................... D 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? ......... D 00,
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ... ................ ................. ..................................... ............... .......... D 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.
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 three (3) percent [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 zero (0) percent
[72 P.S. ~9116 (a) (1.1) (ii)l. 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 zero (0) percent [72 P.S. ~9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)l.
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. ~9116(a)(1.3)J. 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 "" (6-9'8)
*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF
FILE NUMBER
RUTH J.IRVIN 21 07 0104
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 DroDertv which is Iointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
188,000.00
9 Andes Drive
Mechanicsburg, PA 17055
see attached Settlement Sheet)
\
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
188.000.00
REV-1S03 EX + (6-90)
*
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
RUTH J. IRVIN
FILE NUMBER
21 07 0104
All property jolntly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
l.1etLife clo Mellon Investor Services (18 shares at $61.60/share on 1/22/07)
:). O. Box 4412
:)outh Hackensack, NJ 07606-2012
VALUE AT DATE
OF DEATH
1,108.80
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
1 108.80
REV-15G8 EX t (6-98)
*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
RUTH J. IRVIN
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
21 07 0104
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Personal Property 1,180.00
2. Mazda 626 LX 7,000.00
3. M & T Bank, Account No. 98127446 8,350.59
99 Mitchell Street
\t1i11sboro, DE 19966
4. \A & T Bank, Account No. 48210129 1,437.82
99 Mitchell Street
\Aillsboro, DE 19966
5. ~omcast (refund) 14.61
6. :JEBTF (refund) 24.08
7. Cumberland County taxes from 5/21/2007 to 1/1/2008 315.42
8. pumberland County school taxes from 5/21/2007 to 7/1/2007 193.95
9. 3ewer from 5/21/2007 to 7/1/2007 45.05
10. rie Insurance (insurance claim to replace carpeting in home) 1,149.88
11. Refund Patriot News 39.60
12. nterest on checking account 0.43
13. - ederal tax refund for 2006 30.00
14. Verizon refund 1.55
15. nterest on checking account 0.23
16. Montour refund (home heating oil) 908.74
TOTAL (Also enter on line 5, Recapitulatio~) $
(If more space is needed, insert additional sheets of the same size)
20691.95
REV:1511 EX +,(12-99)
*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
RUTH J. IRVIN
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
21 07 0104
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Musselman Funeral Home and Cremation Services, Inc. 2,779.22
2. Gul/ifty's Restaurant - funeral dinner 552.52
3. Pastor Kris Eckenroth - funeral services 100.00
8. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees R. Mark Thomas, Esquire 8,355.61
3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees 375.00
5. Accountanfs Fees
6. Tax Return Prepare(s Fees
7. State Inspections on Mazda 626 LX 44.41
8. Appraisal of personal property 90.00
9. Publication fee - The Patriot News 134.46
10. Publication fee - Cumberland Law Journal 75.00
11. PP&L (electric bill) 40.55
12. United Water (water bill) 17.00
13. M & T Bank (charge for estate checks) 18.25
14. Lawnscapes, Inc. (snowllce removal) 115.00
15. Upper Allen Township (sewer) 100.00
16. Commission paid at settlement 10,340.00
17. Transaction fee to ReMax Realty Associates 250.00
18. Notary fee at settlement 10.00
TOTAL (Also enter on line 9, Recapitulation) $ 27 421.06
(If more space is needed, insert additional sheets of the same size)
RUTH J.IRVIN
Decedent's Name
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Page 1
21 07 0104
File Number
Schedule H - Funeral Expenses & Administrative Costs - 87.
ITEM
NUMBER
DESCRIPTION
AMOUNT
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
ProcessinglTax Cert. to Secured Land Transfers - Mechanicsburg
State Deed Tax
Deed copy to TrI-Cpunty Abstract
Sewer (penalty and interest) to Upper Allen Township Authority
Sewer (April/May/June) to Upper Allen Township Authority
Marlin A. Yohn, Tax Collector (2007 statement of real estate taxes)
Lowes (new carpet)
Ollies (new floor tile)
PP&L (electric bill)
United Water (water bill)
Lawnscapes, Inc. (lawn maintenance)
PP&L (electric bill)
United Water (water bill)
PP&L (electric bill)
Bonnie J. Trusch (reimbursement for car ad, gas and floor items)
10.00
1,880.00
15.00
5.00
100.00
501.46
1,187.00
38.12
15.53
8.51
139.92
14.94
13.67
4.22
90.67
SUBTOT AL SCHEDULE H-B7
4,024.04
REV-1512 EX + (12-03)
*'
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
RUTH J. IRVIN
FILE NUMBER
21 07 0104
Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, including unrelmbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. United Water 13.64
2. PP&L 23.78
3. Janzon 17.79
4. ~ ork Waste Disposal 14.50
"
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
69.71
LAST WILL AND TESTAMENT
OF
RUTH JEAN IRVIN
I; RUTH JEAN. IRVIN, presently, residing at 19 Andes
Drive; Mechancisburg, County of Cumberland, State of Pennsylvania;
being of sound mind, memory and understanding, do make, plub1ish
and declare this to be my Last Will and Testament and hereby re-
voke all Wills and Codicils at anytime heretofore made by me.
t. ,__,.,.~
I .
~efer~hce in this will to rimy children" means my two
children. BONNIE JEAN TRUSCH and CHRISTINE ANN THOMAS.
Reference in this Will to "my grandchildrenh means
my presently living grandchildren, JOHN R. THOMAS, JR., ADAM L.
THOMAS; MICHELLE L. THOMAS, and MATTHEW C. TRUSCH, and any other
grandchildren of~ mine born hereafter, but prior to my death.
survivorship is hereby defined to be thirty (30) days
after my date of death.
If, under the terms of this Will, any bequest or devise
is to be made to a beneficiary under the age of eighteen (18) years;
then said bequest or devise is to be made pursuant. to the terms and
conditions set forth hereinafter in Clause V.
(]- /) - ~
~-?ZI~ ~-1t/ ~
II.
I hereby direct that the expenses of my last illness
and funeral be paid ftom my estate as soon as practicable after
my death and that my fUneral be simple and in keeping with my
station in lifel
III.
I givet devise and bequeath all of my propertYt both real
and personal, wherever situate, nqt heretofore bequeathed, to my
husband, CLARENCE LYNN IRVIN, JR., provided that he shall survive me
by thirty (.30) days.
In the event that my husband, Clarencet shall
predecease me or fail to survive me for thirty (30) days; then I
9i ve t devi se and bequea th all of my property, both re.all and personal I
wherever situate~ to my children, BONNIE JEAN TRUSCH and CHRISTINE
ANN THOMAS, provided they each survive me for a period.of thirty (30)
days. My children shall share equally in this bequest.
IV.
In the -event that any of my children shall not survive me ~
the share of such child shall pass to his or her issue~ per stirpes.
If such deceased child dies leaving no surviving issue~ then such
share shall pass to my surviving children in equal shares.
v.
In the event that any beneficiary under this Will is
entitled to inherit property pursuant to this Willt and such
beneficiary is under the age of eighteen (18) years, then I direct
t hat the i r s h are be he 1 dIN T R US T, wit h T I.. ~ 0 T H, ~~". B", ~N~, E R , '" d . c./
,/1- ~ ~~L-. ~ '- L~~C-/
as Trustee..
These trust funds ~hall be held, administere~ and dis-
tributed in accordance with the following provisions:
A. Any trust estate established by this will shall be
administered uhtil the beneficiary thereof shall attain the age
of twenty-one (21)t at which time the trust shall terminate and all
monies which have accumulated in the trust estate shall be administered
to the beneficiary thereof.
Until that time, the Trustee shall apply the net income
and principal of the trust estate for the benefit of the parties
designated in this Will at such times and in such amounts as the
Trustee shall, in his discretion, deem necessary for the
support, welfare, education, and maintenance of any beneficiary of
a Trust established by this will.
B. No beneficiary of any Trust established by this Will
shall have any right to alienate, incumber or hypothecate his or
her interest in any Trust in any manner, nor shall any interest of
any beneficiary be subject to claims of his or her creditors or be
liable to attachment, execution or other process of law.
c. In order to carry out the purpose of any Trust
established by This Will, the Trustee, in addition to all other powers
grahted by this wili or by law, sh~ll have the following powers over
the TrUst estate!
i. To retain any property received by the tru~t
estate for as long as the Trustee considers it
advisable, but no longer than the termination
date specified herein;
2, To invest and reinvest in every kind of property
and investment which people of prudent discretion
and intelligence acquire for their own accounts;
3~ To manage, control, repair and improve any
Trust property;
4. To sell for cash; or on terms, or to exchange any
Trust property.
-3-
/07~ jJ--
If) " "
~~
VI.
I appoint my husband, CLARENCE LYNN IRVIN, JR., as the
Executor of my Estate.
In the event of -his death, resignation, re-
nunciation, or inability to act in that capacity, then I appoint my
childrent BONNIE JEAN TRUSCH ~nd CHRISTINE ANN THOMAS, to act in his
place and stead as Co-Executrices.
My Executor, whether original or
successorl shall have all the same rights and powers conferred by
this insttument to the Trustee in addition to any powers given by law
or by other provisions of this Will with regard to the settlement
and administration of my estate.
VII.
No bortd or security shall be required of any Executor
appointed in this will, nor shall such bond or security be required
for any ~rustee -appointed in this Will.
VIII.
I direct that all estate, inheritance and succession
taxes; interest and penalties on property passing under this Willj
or any Codicil hereto, shall be paid out of the prin~ipal of my
general Estate to the same effect as if such taxes and expenses were
expenses of administrationt and legacies, devises, and other gifts_
of principal and income made by this, my Will, or by any 60dicil
hereto, shall be free and clear thereof.
It is specifically directed
that any estate tax or nontestamentary property shall be paid out of
my testamentary estate.
tl~~~~
-4-
IX.
My husband and I are executing Wills at approximately the
same time in which each of us is the primary beneficiary of the will
of the other. These Wills are not executed because of any agreement
between my husbahd and 'myself. Either Will may be revoked at any time
at the sole discretion of the maker thereof.
X~
If any provision of this Will, or any Codicil thereto, is
held to be inoperativet invalid or illegal, it is my intention that
all the remaining provisions thereof shall continue to be fully
operative and effective. so far as is possible and reasonable.
/'1 i1:.. WITNESS OTH~J I have hereunto set. my hand and seal
Ol day of ~ ' 1988.
this
-(jiJ .LL7L~ Od!!~_~
~~TH JEAN~ .
-5-
:.
SIGNED;.SEALEDt PUBLISHED and DECLARED, by the above
Testatrix as and for her LAST WILL, in the presence of us, who
thereupon at her requestt in her presence and in the presence of
each othert have hereu~to subscribed our names and addresses.
(~LL~.i:t_~~.-/P?'
ADDRESS r ~
(7 '71J-L~________ ~i f~At~d:g~~~-4P/l
~~ AD~RESS
-6-
t.
STATE OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
WE, RUTH JEAN IRVIN. ___~_~~~_~~_~____ and
__~1U1~_L21~_~~Jfe~___-, the Testatrix and Witnesses,
respectively, whose names are signed to the attached instrument;
being first duly sworn, do hereby declare to the undersigned
authority that the Testatrix signed and executed it as her free
and. voluntary act for the purposes therein expressed, and that
each of the witn~se~ in the presence and hearing of the
TestatrixJ signed the Will as witnesses and that to the best of
their knowledge the Testatrix was at that time eighteen (18)
years of age ot oiderJ of sound mind and under no constraint or
tindUe infitience~
..-, /} ~
,/"./ .' ..' I l'"
k~ .... . .(,~
._---------~-- -------
TESTATRIX ~/ .
/7 . ./J~
~_2Z2~_~__________
SUBSCRIBED. $worn to and acknowledged, before me, a NOtary pUblicI
by RUTH JEAN IRVIN, the Testatrix and subscribed and sworn to before
me by K_~.z;t,.-~---- and ~_?22~'
-77J '. />:') ~.
witnesses, on the __c'~_~_ day of _Lj/~L~________' 1988
. Notarial Seal
An!la M. Bowker. No:aty P bl"
'echar1lcsburn 8 U Ie
M ' ,... ~ .~! oro, Cumborland Counl
} ,-,c mmlSSlon Expi:03 Sept. 7, f 992 \
~.' . -/
/':'/ --~. ~~~
~-PUBLIC----------~-
Settlement Statement
U.S. Department of Housing
and Urban Development
OMB Approval No. 2502-0265
. Type of Loan
) FHA 2. ( ] FmHA 3. ( X ) Conv. Unins. 6. File Number:
) VA 5. ( ] Cony. Ins. 400700798-CB .
7. Loan Number:
8. Mortgage Insurance Case Number:
0044371219
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 "(p.o.c.)" were paid outside of the closing: they are shown here for informational purposes and are not included in the totals.
. Name and Address of Borrower E. Name and Address of Seller F. Name and Address of lender
OBERT l. HAINES "'AND LISA A. CHRISTINE ANN ALBRIGHT. ERA HOME LOANS
AINES CO-EXECUTRIX AND BONNIE JEAN 3000 LEADENHALL ROAD,
TRUSCH, CO-EXECUTRIX OF RUTH MOUNT LAUREL, NJ 08054
C68, BOX 127 JEAN IRVIN ESTATE
OWOEN. WV
24 CONWAY DRIVE
MECHANICSBURG. PA 17055
;. Property Location
~ ANDES DRIVE.
ECHANICSBURG. PA 17055
OUNTY:CUMBERLAND
l\RCEL 10: 42-29-2454-026
JWNSHIP: UPPER ALLEN TOWNSHIP
Place of Settlement
19 NORTH BALTIMORE ST
DILLS BURG, PA 17019-1354
H. Settlement Agent
ECURED LAND TRANSFERS - MECHANICSBURG
I. Settlement Date 05/21/2007
Disbursement Date 05/21/2007
. SUMMARY OF BORROWER'S TRANSACTIONS K. SUMMARY OF SEllER'S TRANSACTIONS
00. Gross Amount Due From Borrower 400. Gross Amount Due To Seller
01. Contract Sales Price $188,000.00 401. Contract Sales Price $188,000.00
02. Personal Property 402. Personal Property
03. Settlement Charges to Borrower $7,088.94 403.
.djustments For Items Paid By Seller In Advance Adjustments For Items Paid By Seller In Advance
13. CityfTown Taxes 413. CltyfTown Taxes
14. County Taxes 511.68/yr 5/21/2007 to 1/1/2006 $315.42 414. County Taxes 511.66/yr 5/21/2007 to 1/1/2008 $315.42
15. School Taxes 1,726.66/yr 5/21/2007 to 7/112007 $193.95 415. School Taxes l,726.66/yr 5/21/2007 to 7/1/2007 $193;95
18. Assessments 418. Assessments
19. 419.
21. Sewer (April/ May / June) 100.00/qtr for 5/21/2007 to $45.05 421. Sewer (April/ May I June) 100.00/qtr for 5/21/2007 to $45.05
/1/2007 7/1/2007
---
20. Gross Amount Due From Borrower I $195,643.36 420. Gross Amount Due To Seller I $188,554.42
00. Amounts Paid By Or In Behalf Of Borrower 500. Reductions In Amount Due To Seller
01. Deposit or Earnest Money $2,000.00 501. Excess Deposits
02. Principal Loan Amount from ERA Home Loans $140,000.00 502. Settlement Charges to Seller $12,610.00
03. Existing Loan(s) Taken Subject to 503. Existing Loan(s) Taken Subject to
.djustments For Items Unpaid By Seller Adjustments For Items Unpaid By Seller
10. 510.
11. 511.
12. 512.
13. CityfTown Taxes 513. CltyfTown Taxes
14. County Taxes 514. County Taxes
18. Assessments 518. Assessments
19. 519.
$142,000.001520. Seller's Total Charges
GOO. Cash At Settlement ToIFrom Seller
$195,643.36 601. Gross Amount Due To Seller (line 420)
$142,000.00 602. Less Deductions In AmI. Due To Seller (line 520)
$12,610.00
~20. Buyer's Total Credits
lOa. Cash At Settlement FromlTo Borrower
'01. Gross Amount Due From Borrower (line 120)
i02. Less Amounts Paid By/For Borrower (line 220)
I
r
I
I
$188,554.42
$12.610.00
103. Cash [ X ] From [ ] To Borrower
$53,643.36 603. Cash [X] To [ ] From Seller
$175,944.42
00700798 - CB
. Settlement Statement
Page 2
00. Total Sale Commission 188000.00 @ 5.5 % = 10340.00
ivision of Commission (line 700) As Follows: Paid From Borrower's Paid From Seller's
01. $5195.00 10 ReMax Realty Associates Funds At Selllement Funds At Settlement
02. $5145.00 to ERA-NRT, Inc.
03. Commission paid at settlement $10,340.00
~~. Transaction Fee to ReMax Realty Associates $250.00
09. Broker Administrative Fee to ERA-NRT, Inc. 5165.00
;00. Items Payable In Connection With Loan
01. loan Origination Fee 1.00000% to ERA Home loans 51.400.00
02. loan Discount
03. Appraisal Fee
04. Credit Report to FNMA cac (POC 19.95 by lender)
05. lender Inspection Fee
--
10. Document Preparation to ERA Home loans (POC 85.00 by lender)
12. Flood Cert. Fee to Stars (POC 19.50 by lender)
15. Application Fee to ERA Home loans (POC 500.00 by lender)
--
~oo. Items Required By Lender To Be Paid In Advance
lO
lO
1 . Interest from 5/21/2007 to 6/1/2007 @23.6500/day $260.15
2 . Mortgage Insurance Premium
3 . Hazard Ins. Premium Erie Insurance Company (POC 407.00 by Buyer)
4. Flood Ins. Premium
---~
lO
lO
:000. Reserves Deposited With Lender
o
o
o
o
o
o
100. Title Charges
01. Hazard Ins. Reserve 3 mo @ 23.501 mo ERA Home loans $70.50
02. Mortgage Ins. Reserve
03. City Property Taxes
04. County Property Taxes 4 mo @ 42.67/ mo ERA Home loans $170.68
05. School Taxes 12 mo @ 143.921 mo ERA Home loans $1,727.04
10. Aggregate Accounting Adjustment from ERA Home loans -5241. 18
101. SettlemenUCloslng Fee
102. Abstract or Title Search
103. Title examination
104. TiOe .Insurance Binder
105. Document preparation Deed Preparation
106. Notary fee to Cash $20.00 $10.00
107. Attorney Fee
108. Title Ins. Total to Secured land Transfers - Mechanicsburg $1,298.75
109. lender's Coverage $140000.00 ($)
110. Owner's Coverage $188000.00 ($1298.75)
111. Endorsements-100,300,900 ($150.00) to Secured land Transfers - Mechanicsburg $150.00
119. Wire Transfer Fee to Secured land Transfers - Mechanlcsburg $35.00
-- ---
127. Electronic Delivery & Handling Fee to Secured land Transfers - Mechanlcsburg $50.00
138. ProcessinglTax Cert. to Secured land Transfers - Mechanicsburg $10.00
200. Government Recording And Transfer Charges
201. Recording Fees for Deed 38.50; Recording Fees for Mortgage 64.50 $103.00
202. City/County Tax/Stamps 1880.00 $1.880.00
203. State Deed Tax 1880.00 $1,880.00
300. Additional Settlement Charges
3
3
3
4
'lave carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and behef It is true and accurate statement of all receipts and disbursements
jade on my account or by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement.
05. Deed Copy to Tri-County Abstract $15.00
06. Sewer (Penalty and Interest) to Upper Allen Township Authority $5.00
07. Sewer (April 1 May 1 June) to Upper Allen Township Authority $100.00
00. Total Settlement Charges $7,088.94 $12,610.00
SELLERS
~cordance with this statement.
(J' --,
}ttlement Agent '. ' .~ )
_ kIlt? ~t2A ~i'r:;lI('';
-CCURED LAND TRANSFERS - MECHANICSBURG
Date
OS/21/2007
;. " .
APPRAISAL
I (1 -4 ,A./t.( E S DfZ, f-I EC'H13.5 fJA I
Date ::L - :2. - 0 '7
ITEM VALUE
AU094-L
VALUE
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Ct~t:~
BILL OF SALE - USED AUTOMOBILE
BUYER
AI t', '/ \.,.oV.. ~4f>, Sc. L,e" ,/
SELLER
- Estate of Ruth J. Irvin
DATE OF SALE - 47~7
VEHICLE SOLD - 2001 Mazda 626 LX 4 Door Sedan
VIN
- 1YVGF22C715239737
PRICE PAID
- $7000.00
VEHICLE SOLD AS IS.
SIGNATURE OF BUYER ~ /e:n ~/
i f
SIGNATURE OF SELLER Executrix
(l~
~~~
_S .~ 7-t>";:f .
~U-\n..-\-::P_;)h kL-
COMMONWEALTH OF PENN5YLVANIA
Notarial Seal
Joseph L Grove, Notary Public
Silver Spring Twp., Cumberland County
My Commission expires June 18, 2009
Member, Pennsylvania Association of Notaries
Executrix
Mussellnan
.- ---
Funeral Home
& Crenlation
Services, Inc.
Established 1895
Brian C. Musselman, ED.
Supervisor
William G. Pegan, ED.
P.O. Box 137
324 Hummel Avenue
lemoyne, PA 17043-0137
(717) 763-7440
Fax: 717-730-9798
www.musselmanfuneral.com
To Funeral Expenses of RUT H J E A.N I R V I N
Bonnie Trusch
24 Conway Dr.
Mechanicsburg, PA 17055
2007
January 27
PROF. SERVICES FOR CREMATION & MEMORIAL
Cash Advance Items:
Certified death certificates
Newspaper notices
Cremation authorization fee
TOTAL
FOR APPOINTMENT PHONE 717-763-7440
- /\
'.)' i\ \J
'\.j I
/V-) \
\ '
1\, (\ \1.,
.f ~ '\
Jan.31,2007
$2,550.00 $2,550.00
$90.00
114.22
25.00 $229.22
$2,779.22
GULl.IFTY'S RESTAURANT
&
GlJlLIFTY'S UNDERGROUND
*..*.~ttt*.t.t*lttttttttt..**
15 Juanll C
Chk 4764 PAlny 1 Gst n
Jan27' 07 12: 15PH
10 PEPSI 17.50
4 DIET PEPSI 7.00
7 HOUSE ICF T 12.25
1 ROOT SEEk 1.75
1 lRG POT .mT TEA 1.59
1 PHILY CHEESTK REGULAR 7.99
1 GRLD cmx BRST DIN mXED 10.99
I GRLD CUlX BRST DIN MIXED 10.99
6 BAKED ZITI fl.94
3 DIN MIXED 0.00
4 DIN CEASER 0.00
1 GRlD CHIX BRST DIN HI~[O 10.99
1 GRLD CJ~IX BRST DIN MIXED 10.99
1 GRLD CHIX BRST DIN MIXED 10.99
5 VEGGIE WEDGIE 39.75
J Italian Boll 23.97
1 MAC & CHZ 2 . 99
11 1 Scoop Choc. 21.89
19 1 Scoop Van. 37.81
1 HOUSE COFFEE 1 .39
1 PHIL Y CHEESTK REGULAR 7.99
MUSHROOMS
1 PHIlY CHEESTK REGULAR 7.99
1 PlHlY CHfESTK REGULAR 7.99
1 PHlt I CHEESTK MEAT & 7.99
CHEESE
1 PHllY CHrrr;TIi REGULAR 7.99
1 PHIl.V CHELdl, REGULAH 7.99
1 PHILY CHHSIV. REGULAR 7.99
1 PHil. Y CHFl I h HEl1lJl.AR "7.99
1 PHILY CHEL_fK REGULAR 7.99
1 GRLD CHIX BRST DIN CEASER 10.99
1 GRLD CHIX BRST DIN CEASER 10.99
1 GRLD CHIX BRST DIN CEASER 10.99
1 GRlD CHIX BRSl DIN CEASER 10.99
1 PHIL Y CHEfSTK ~IEA T & 7.99
CHEESE
1 PHI L Y CHUS 1 K I~EGUL" 7 . 99
1 PHI LV CHEEST K REGULAR 7. 99
1 GRLD ClHX BRST DIN CEASER 10.99
1 PHILY CHEESTK REGULAR 7.99
1 PHILY CHEESTK REGULAR 7.99
18 "
" GRA r 80 . 20
Food
Tax
Service Chrg
Amount Due
445.58
26.74
80.20
552.52
THANK YOU FOR Dl N I NG A 1
GULLIFTY'S RESTAURANT
A CASUAL UPSCAl E AMERICAN E/\THN
AND
ROCK'N OUT AT
GULLIFTY'S UNDERGROUND
HOME TO THE BEST ORIGINAl MUS ll:
AND lIVE ENTERTAINMENT
WE HOPE YOUR VISIT WAS
FULL - FILLING !!!
RECEIPT FOR PAYMENT
* DUPLICATE *
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Receipt Date:
Rece+pt Time:
Recelpt No. :
2/02/2007
11:08:29
1047196
IRVIN RUTH JEAN
Estate File No. :
Paid By Remarks:
2007-00104
R MARK THOMAS ATTORNEY AT LAW
AJW
------------------------ Receipt Distribution ------------------------
Fee/Tax Description
PETITION LTRS TEST
WILL
SHORT CERTIFICATE
JCP FEE
AUTOMATION FEE
Check# 1229
Total Received.........
Payment Amount
260.00
15.00
20.00
10.00
5.00
----------------
$310.00
$310.00
Payee Name
CUMBERLAND COUNTY GENERAL FU
CUMBERLAND COUNTY GENERAL FU
CUMBERLAND COUNTY GENERAL FU
BUREAU OF RECEIPTS & CNTR M.
CUMBERLAND COUNTY GENERAL FU
,-J. \,V\,lJ
jJJrffI ;))
\ \ l-\ \ D 1
(~
/
THE PArrl~lorr NEWS
l'I-IE ,SUNDAY PArrRIO'f NEWS
Proof of Publication
Under Act No. 587, Approved May 16, 1929
Commonwea Ith 0 f Pennsyl vania, Coullt y of lJauphi n I ss
Joseph A. Dennison, being duly sworn according to law, deposes and says:
That he is the Assistant Controller or The Patriot News Co., a corporation organized and existing under the
laws of the Commonwealth of Pennsylvania, with its principnl office and place of business at 812 to 818 Market
Street, in the City of Harrisburg, County or Dauphin, State or Pennsylvania, O\vner amI publisher or The Patriot-
News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market
Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were
established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever
since;
That the printed notice or publication which is securely attached hereto is exactly as printed and published
in their regular daily and/or Sunday/ Metro editions which appeared in the J 4th, 21 st and 28th day(s) of February
2007. That neither he nor said Company is interested in the subject maller of said printed notice or advertising, and
that all of the allegations of this statement as to the time, place and character of publication are true; and
That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this
statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed
and adopted severally by the stockholders and board of directors or the said Company and subsequently duly
recorded in the office for the Recording of Deeds in and for said COllnty of Dauphin in Miscellaneolls Book "M",
Volume 14, Page 317.
PUBLICATION
COPY
ESTATE NOTICE
Le<<er-s of AdmInIstration on the Es -
tat. of Ruth Jean Irvin. lat. of Upper AI -
len TOwnship, Cumberloncl County,
PennsylvanIa. deceased, have been
granted to the undersIgned.
All persons knowing themselves to be
Indebted to sold estate will make poy -
ment ImmedIately and those havIng
claims will Pt'esent them for settlement
to:
BonnIe Jean Trusch
24 Conway Drive
Mechanlcsburg, PA 17055
R. Mark Thomas
Attorney at Law
101 South Market Street
MechanlcsburD. PA 17055
s;~;;;,;~,~;,@rl2:,:;~;~;;'~;~~~' ~~~~~;~~;; '~'~~;'~.'~:' ...
. ._\~q~~.'Y!9N~v..~.'~LJ!L~tf.~NNSYl VANIA
J Notmial Seal -----..
ferry L. f-lussell, No -ry Public
City Of ,- rrisburg, Da hin County
/i.-. My Corr lission Expi s June 6, 2010
../li)t;Z ~ .-~X~~.S
, NO?AR Y PUBLIC
R. MARK '1'1 lOMAS
ATTN: JOETTE L. MCGOWEN
101 SOUTH MARKET STREET
MECIIANICSBURG, I' A. 17055-3851
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEALTH OF PENNSYLVANIA
SSe
COUNTY OF CUMBERLAND
Lisa Marie Coyne, Esquire, Editor of the CUlnberland Law Journal, of the County and
State aforesaid, being duly SWOln, according to law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cunlberland Law
Jounlal on the following dates,
VIZ:
February 16, and February 23, and March 2, 2007
Affiant further deposes that he is authorized to verify this stateJnellt by the CUlllberland
Law Jounlal, a legal periodical of general circulation, and that he is not interested in the subject
Inatter of the aforesaid notice or advertisetnent, and that all allegations in the foregoing
stateluents as to time, place and character of publication are true.
S WORN TO AND SUBSCRIBED before lTIe this
2 day of March. 2007
Irvin. Ruth Jean. dec'd.
Late of Upper Allen Township.
Administratrix: Bonnie Jean
Trusch. 24 Conway Drive. Me-
chanicsburg. PA 17055.
Attomey: R. Mark Thomas. At-
torney at Law, 101 South Mar-
ket Street. Mechanlcsburg. PA
17055.
d~L. k_dvu
~ " .-.' Notary, -.' '''~~-'~l
J I' l il-
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Invoice it: 10026
02/01/2007 - 02/28/2007
LAWNSCAPES, Inc
1125 EAST LISBURN ROAD
MECHANICSBURG, PA 17055-5932
Page No.: 1
717-697-1833
Total Due: 50.00
Mrs. C. L Irvin
19 Andes Drive
Mechanicsburg, PA 17055-5515
1.50% per month 18% annual charged on past due invoice --DUE UPON RECEIPT
=------------------------------------------------------------------------------
~Description
Date
Charges
Credits
~~------------------------------------------------------------------------------
SNOW/ICE REMOVAL
02/16/200
50.00
, -,./
n 1\ .,,\.., 0
\'" \ '- 1
(\/ ()O"f
~J r
-----------------------------------------------------------------------------
Listed Charges --------------------->>
50.00
0.00
Prior Balances ........................... $
Total Charges ............................ $
Taxes .................................... $
Total Crecti ts ............................ $
0.00
50.00
0.00
0.00
-------------
-------------
TOTAL DUE ========>>
50.00
17-697-1833
THANK YOU
Wes Morret
<Description
lJate
t..;llClr.yes
L.ledits
-------------------------------------------------------------------------------
.." ....
LAWN MAINTENANCE
STICK AND DEBRIS CLEANUP(2 Men x .40)
LAWN MAINTENANCE
LAWN MAINTENANCE
04/17/200
04/17/200
04/23/200
04/30/200
30.00
42.00
30.00
30.00
Lawnscapes, Inc.
1125 E. Lisbnm Road
Mechanicsburg, P A 17055
Listed Charges --------------------->>
132.00
0.00
Prior Balances ........................... $
Total Charges ............................ $
T axe s .................................... $
To ta 1 Credi t s ............................ $
0.00
132.00
7.92
0.00
-------------
-------------
TOTAL DUE ========>>
139.92
717-697-1833
THANK YOU
Wes Morret
u
STr.. EE.T A'JP. .R.E. S.. b . .
19 tin eS l)Vf
.---- '.." .....--~....-.
Lowe's to InstaU Carpet as specified on sheet and drawing
9S shown. Lowe's will furnish transition molding and clean
:,pel n: mot Quanlity: Sot <t .5t M-
Color: br ,'111' Style: /36 rbt r
Mfg.: SvtAc€S Pad: t/,fle ( 1=7<I'S!t'''J-L
Type Installation .
Tack Strip: 'X Glue down:
Take up old carpet: Yes W
Haul away old carpeVpad. Yes ~
Carpet Steps: Ves 0
Cutting down exterior doors: Ves 0
## of doors:
Cutting down interior doors:
" of doors:
Haul away old door.
Moving Appliances:
~ of Appliances:
~oving Refrigerator:
:with ice maker)
lAoving Furniture:
, moved:
rake lip toilet: (& reinstall) Yes D NO~
Any work or material not specified Is not Included In this contract. Any
flanges or additions will be at an additional charge lor the material and
lbor.
ddltlonsl Specifications: The Environmental Protection Agency (EPA) has requested that
)we's notify Installation cu.tomers that a lead based paint hazard may exist In dwellings built
'lor to 1978. See pamphlet EPA 747-K-99-001 for details. ~ \
\oa 1\\ fe \/5 q ~ ~~
we:. V t" ; S "Q r
~l.
~~
Ves 0'
Yes 0
Yes 0
Yes 0
Ves 0
Ves 0
, ';' >" . ::1::': :.i, ":', ,\': .... i,l: ,; "":'.1
2 9 7 9 ~j 15 .~
No D
No 0
No ~
No f2t
J -'
fa) i 2- '/x' 2-"'~ I /
(~~
I 2-/x~leij-/
I L ~,
,-.--
No lOl
No rn
No~
NO~
No rA
NO~
· Show size of room(s) where carpet Is to be Installed.
)rk Is to commence upon reasonable availability of Contractor which Is anticipated to be
[flli in date].
.,
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2801301
HARRISBURG. PA 17128-0601
REV-1162 EX! 11-961
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
:~ECEIVED FROM:
THOMAS R MARl<
101 S MARKET STREET
MECHANICSBURG, PA 17055-3851
------- !oId
EST ATE INFORMATION: SSN: 197-22-0059
FilE NUMBER: 2107-0104
DECEDENT NAME: IRVIN RUTH JEAN
DATE OF PAYMENT: 04/13/2007
POSTMARK DATE: 04/13/2007
COUNTY: CUMBERLAND
DA TE OF DEATH: 01/22/2007
NO. CD 008025
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $5,000.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$5,000.00
REMARKS: R MARK THOMAS
ATTORNEY AT LAW
CHECK# 2804
SEAL
INITIALS: AJW
RECEIVED BY:
TAXPAYER
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS