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HomeMy WebLinkAbout03-27-08 (2) --.J 15056041147 REV-1500 EX (06-05) PA Department of Revenue Bureau of Individual Taxes PO BOX.280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONLY . County Code Year File Number INHERITANCE TAX RETURN RESIDENT DECEDENT 2 1 0 7 00953 Date of Birth 168 26 5545 09 17 2007 Decedent's Last Name Suffix Decedent's First Name MI REESER LOILLE S (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 FILL IN APPROPRIATE OVALS BELOW . X 1 Original Return 2. Supplemental Return n C-....-C 4. Limited Estate 4a. Future Interest Compromise (date of death after 12-12-82) o 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 9. Litigation Proceeds Received D o o 7 Decedent Maintained a Living Trust . (Attach Copy of Trust) 1 8. Total Number of Safe Deposit Boxe~; x 6. Decedent Died Testate (Attach Copy of Will) 10 Spousal Poverty Credit (date of death . between 12-31-91 and 1-1-95) o 11. Election to tax under Sec. 9113(A) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRI:::CTED TO: Name Daytime Telephone Number EDMUND G . MYERS ( 7 1 7 ) 7 6 1 4 5 40 Firm Name (If Applicable) JOHNSON DUFFIE REGISTER OF WILLS USE ONLY First line of address 301 MARKET STREET Second line of address POBOX 109 City or Post Office DATE FILED LEMOYNE State PA ZIP Code 17043 Correspondent's e-mail address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE ERSON~~SIB6I' FOR FILING RETURN . DAT,E . I /(;~~~ RUSSELL L. REESER .J 20 c8" ADDRESS 60 SARAH DRIVE, DOVER, PA 17315 EDMUND G. MYERS DATE ~(2(P/O~-- 301 MARKET STREET, LEMOYNE, PA 17043 Side 1 L 15056041147 15056041147 --.J % : ~. 0- ~-=;\ (, . J-. ~; c_' ]last 1Dill Club ffiestatneut OF LOILLE S. REESER I, LOILLE Pennsylvania, understanding, S. REESER, of Lower Allen Township, Cumberland County, being of sound and disposing mind, memory and do hereby make, publish and declare this as and for my Last Will and Testament, hereby i.-evoking and making void any Clnd all wills or codicils at any time heretofore made by me. ARTICLE I I direct the payment of all my legal debts, and the expenses of my last illness and funeral from my Estate as soon after my death as conveniently may be done. I direct that all taxes that may be assessed in consequence of my death, of whatever nature and whatever jurisdiction imposed, shall be paid from my Residuary Estate as part of the expense of the administration of my Estate. ARTICLE II I give and bequeath my shares of stock in CCNB Bank, N . A. ; Dauphin Deposit Bank and Trust Company; Greyhound Corporation; and Pennsylvania Power and Light Company, which I inherited from my mother, EMMA SHETTER, in equal shares unto those of my grandchildren, RUSSELL L. REESER, Baltimore, Maryland; JOANNE C. ESHELMAN, Ephrata, Pennsylvania; and BRENDA J. REESER, Grantham, Pennsylvania, who survive me. ARTICLE III I give and bequeath my automobiles, household and pE~rsonal effects and other tangible personalty of like nature (not including cash or securities), together with any existing insurance thereon, unto my husband, JAMES Q. REESER, if he survives me by thir1:y (30) days. Should my husband, JAMES Q. REESER, not be living on the thirty-first (31st) day after my death, I give and bequeath the same unto such of my grandchildren as are living on the thirty-first (31st) day after my death, to be divided among them by my Executrix or successor with due regard for their personal preferences in as nearly equal shares as practical. ARTICLE IV I give, devise and bequeath all the rest, residue, and remainder of my Estate, of whatsoever nature and wheresoever situate unto my husband, JAMES Q. REESER, provided he survives me by thirt:y (30) days. ARTICLE V Should my husband, JAMES Q. REESER, not be living on the 1:hirty- first (31st) day following my death, I give, devise and bequeath all the rest, residue and remainder of my Estate, of whatsoever nature and wheresoever situate, unto my then-living issue, per stirpes by representation. ARTICLE VI In the event that any beneficiary of my will shall not have reached the age of twenty-one (21) years at the time for distribution of his or her share, I give, devise and bequeath such share unto CCNB, BANK, N.A., Pennsylvania, IN SEPARATE TRUST, to hold, manage, invest and reinvest the share so received, and the accumula1:ion of 1 income thereon, and to use and apply the income and principal, or so much thereof as, in Trustee I s discretion, may be necessary or appropriate for such beneficiary's support and education (including college education, both graduate and undergraduate, and vocational training) without regard to his or her ability to provide for such support or education or to make payment for these purposes, without further responsibility, to such beneficiary or to any person taking care of such beneficiary. When such beneficiary shall reach the age of twenty-one (21) years, Trustee shall distribute the then-remaining principal and any income accumulated thereon unto such beneficiary absolutely, and the Trust as to that beneficiary shall terminat:e. In the event any beneficiary dies before receiving his or her final distribution hereunder, such beneficiary's Trust shall terminate and the balance of principal and income shall be paid over to my then- living issue per stirpes by representation. ARTICLE VII During the time any portion of my Estate remains in Trust, the same shall not be subj ect to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt thereof. The Trustee shall pay over income and principal as hereinbefore determined to the parties designated, as their interest may appear, without regard to any attempted anticipation, pledge or assignment by any beneficiary, and without regard to any claims thereto or attempted levy, attachment, seizure or other process, providE~d that if any such levy or seizure, or other process, shall be authorized by law or specific order of any Court having jurisdiction, Trustee shall not be liable to any beneficiary for violation hereof by reason of the same. --., I ARTICLE VIII If at any time during the continuance of any Trust created hereunder, the Trustee in its sole and absolute discretion determines that the size of any individual Trust account has become so small as to be impractical to continue to hold in Trust and uneconomical to continue to administer as a Trust, then in such circumstancE~s, the Trustee may without further authorization distribute the balance of the principal and income in such Trust account to the beneficiary then-entitled to the income therefrom, and upon such distribution the Trustee shall be released from further obligation with respect to that account and shall not be subject to any claim from any person who may have had a future interest in such Trust account had it been continued in Trust. ARTICLE IX I name, constitute and appoint my husband, JAMES Q. REESER, Executor of this my Last will and Testament. In the event my husband, JAMES Q. REESER, fails to qualify or ceases to so act, I name, constitute and appoint RUSSELL L. REESER, alternate Executor to complete the administration of my Estate. I direct that no fiduciary appointed herein shall be required to post bond for the faithful administration of his or her duties in any jurisdiction. .... IN WITNESS WHEREOF, I have hereunto set my hand and seal, this j'? IX, day of (Y)r.A:vf/J:,\ 1991. ../"1J.~ r ~ /Y". {~-:(/? [f~.'~. . ~~~/' // L<--,-~~~-'~"1~_.t { LOILLE S. REESER ( SEAL) Signed, sealed, published and declared by the above-named Testatrix, 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 hereunto subscribed our names as witnesses. / '/K:::b4~~--~~;b?/ ..- / /--- -7 ;;;:4/!/rJ . i I' J ,~ ' ':;;;1 , \ ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA :ss: COUNTY OF CUMBERLAND We, LOILLE S. REESER, ('\ ~\')--),' <;~" \r'.1 :'...,~>,(\:::\':_ and -t\~J.j'Y'';.,J,-...Qi~~. "'{v'--'C\......J , the Tes~~rix and the witnesses, respectively, whose ~ames are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare 1:0 the undersigned authority that the Testatrix signed and executed the instrument as her Last will and that she had signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. j / /\"t'."(,.,.{.,',L,r;.2__ ../.<J / C~~:'_.i:, -(/ _~k?_~,'/~:"-'< LOILLE S. REESER -,-~/ ~ /' .,./ "'./---<./~ /k::""_z/,"~' /1/ /;;~__-;:.",..:- : ___ ~ witness .-- />-- P in \~!L{jf!"Y~ . Witness ' Subscribed, sworn to and acknowledged before me by LOILLE S. REESER, Testatrix, and subscribed and sworn to before me by .1'1 .~\ ',,~_ \.. '~~~.' ~ .~.. :,.kJ.... )C*".' . -\i?\,\ C\,~ - -., , , ~ "'-'q"-'{ ~ "-..; '''''_ ')- U ,and \".:o.;'\Y"-"_',",'Y-. ........", 'f,; <----6~j ,wi tnesses, this 1'0')(\ 'day of ""C'I"jv\',J"l , 1991. C--' " " '--::-... '> >-."j./lvY...JL. Notary Public )~..,~~ ".' '~, .....,J '" NOTARIAL SEAL DIANNE LENIG. NOTARY PU8L:~ LEMOYNE BORO. CUM8ERLAN~.', MY COMMISSION EXPIRES DEC. , ~ 15056042148 REV-1500 EX Decedent's Name L 0 ILL E S. R E ESE R Decedent's Social Security Numbe" 168 26 5545 RECAPITULATION 1. Real Estate (Schedule A).. 2. Stocks and Bonds (Schedule B).. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C).......... 3. 4. Mortgages & Notes Receivable (Schedule D).. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E).. 6. Jointly Owned Property (Schedule F) C Separate Billing Requested.. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) [J Separate Billing Requested.. 8. Total Gross Assets (total Lines 1-7)....... 9. Funeral Expenses & Administrative Costs (Schedule H) 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 ).............. ................ 13 Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J)............ .............. 12. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13)........... 14. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, of transfers under Sec. 9116 (a)(1.2) X .00 16. Amount of Line 14 taxable at lineal rate X .045 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 0.00 15. 474,974.70 16. 0.00 17. 0.00 18. 19. 19. Tax Due.. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 L 15056042148 1. 149,000.00 341,699.66 2. 4. 5 7,664.75 9,091.53 6. 7. 8. 507,455.94 ------. -.-..-..- - ---- 18,975.61 13,505.63 32,481.,24 474,974.70 9. 474,974.70 0.00 21,373.86 0.00 0.00 21,373.86 D 15056042148 ~ REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME LOILLE S. REESER STREET ADDRESS MESSIAH VILLAGE - 100 MT. ALLEN DRIVE File Number 21-07 -00953 CITY STATE ZIP MECHANICSBURG PA 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) 21,3J3.86 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + B + C) (2) 0.00 Total Interest/Penalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) (5A) (5B) 21,3J3.86 21,373.86 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 a. retain the use or income of the property transferred;.. .......................................... b retain the right to designate who shall use the property transferred or its income; ................ c. retain a reversionary interest; or ......................... ..................... ................ .................... d. receive the promise for life of either payments, benefits or care?..... ........................ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................ .............................. ...................... . ............................ No c, ; x' :~ 'x 'x: I x; 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?. [J [~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which ,__~ contains a beneficiary designation? .................. ...................... .............................. .......................... ............. 0 ~~ 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 PS 99116 (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. 99116 (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 zero (0) percent [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 four and one-half (4.5) percent, except as noted in 72 PS 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 twelve (12) percent [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-1602 EX+ (6-98) *' SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERIT ANCE TAX RETURN RESIDENT DECEDENT ESTATE OF REESER, LOILLE S. FILE NUMBER 21-07 -00953 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 property which is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Real Estate - House and Lot- No. 804 Lisburn Road, Lower Allen Township, - Sale Price - Copy of Settlement Statement attached. 149.000.00 TOTAL (Also enter on Line 1, Recapitulation) 149.000.00 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev 6-98) ~ cQ) ~ '~jl B <;1' OMB No. 2502-0265 LOAN 3. 0 CONY. VNfNS. A U.S. DHARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT TYPE OF o FHA 2. 0 FHMA 4 0 VA 5 [] CONY. INS. 6. FILE NUMBER: 7. LOAN NUMBER 08-00033-ALT EM07112,019 8. MORTGAGE INS. CASE NO.: C. NOTE: This fonn is fumishcd to give you a statement of actual sculement costs Amounts paid to and by the settlement agent arc shown. Items marked "(p.o.c.)" were paid outside the closing; they arc shown here for informational pUfTloses and are 110t included in the lotals. D. NAME & ADDRESS Russell L. Reeser and Suzanne L. Reeser OF BORROWER: 60 Sarah Drive, Dover, PA 17315 E. NAME & ADDRESS Estate ofLoille S. Reeser OF SELLER: 804 Lisburn Road, Camp Hill, PA 17011 F. NAME & ADDRESS E*Trade Mortgage Corporation OF LENDER: P.O. Box 4025, Coraopolis, PA 15108 G. PROPERTY LOCA nON: 804 Lisburn Road, Camp Hill, PA 17011 H. SETTLEMENT AGENT: Assured Land Transfers, Inc. PLACE OF SETTLEMENT: 30] Market Street, Lemoyne, PA 17043 (717) 761-4720 SE1TLEMENT DATE' 3/07/2008 DISBURSEMENT DATE: 3107/2008 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 14900000 401. Contract sales price 14900000 102. Personal property 402. Personal property 103. Settlement charges to bOlTower: (line 1400) 8 005.59 403. 104. 404 105. 405. Ad'ustments For Items Paid Bv Seller In Advance: Adiustments For Items Paid By Sellcr In Advance: 106. City/town taxes to 406. City/town taxes to 107. County taxes 03/07/08 to 12/31/08 517.96 407. County taxes 03/07108 to 12/31/08 5] 7.96 108. Assessments to 408. Assessments to 109. School Taxes 3/07/2008 to 6/30/2008 424.82 409 School Taxes 3/07/2008 to 6/30/2008 424.82 110. Trash Charge 3/07/2008 to 3/31/2008 14.60 410. Trash Charge 3/07/2008 to 3/31/2008 14.60 lit 411. 112. 412 113. 413. 114. 414. 115. 415. 116 416. 120. Gross Amount Due From Borrower: 157,962.97 420, Gross Amount Due To Seller: 149,95738 200, Amounts Pain Rv or In Be lalf Of Borrowpr: 500, Reductions [n Amount Due To Seller: 201. Deposit or earnest money 501. Excess deposit (see instructions) 202. Prlllcipal amount of new loan(s) 119 200.00 502 Settlement charges to seller (line 1400) 2 132.29 203. Exisling loan(s) taken subject to 503. Existing loan(s) taken subject to 204. 504. Payoff 1 5t Mtg. Lo. 205. 505. Payoff 2nd Mtg. Ln 206. 506. 207. 507. 208. 508. 209. 509. Adjustments For Items Unpaid By Seller: Adjustments For Items Unpaid By Seller: 21 Q. City/town taxes to 510. City/town taxes to 211. County taxes to 511. County laxes to 212. Assessments to 512. Assessments to 21J 513 214 5t4 215 515. 216. 516. ~l7 517. 218. 518. 219 519. i 220, Total Paid BylFor 1]9,200.00 520, Total Reductions 2,132.29 Borrower: [n Amount Due Sellu: 100, Cash At Settlpment Vrom/To Dorrower: 600, Cash At Spttlement Fromrro Seller: 301. Gross amount due from borrower (line 120) 157962.97 601. Gross amount due to seller (line 420) 149957.38 302. Less amount paid by/for borrower (line 220) 119200.00 602. Less reductions in amount due seller (line 520) 2 132.29 303, Cash (iX]FROM) ,OTO) Borrower: 38,762.97 603, Cash dXlrO) (DFROM) Seller: 147,825.09 PrevlOUs Ed III on Is Obsolete F01l11 No. 1581 3186 SlJ-4-3538-000-1 HUD-I (3-86) RESPA, fiB 4305.2 x X Page 1 of 3 X X L. 700. Total Sales/Broker's ConUllission: Based On Price $ SETTLEMENT CHARGES OJ's fC 0/0 :::. Escrow: 08-00033-AL T Paid From Borrower's Fund~; At Settlemeut Paid From Seller's Fuuds At Settlement 702. $ to 703. Commission aid at settlement 704. 80 I. Loan Ori ination fee 802 Loan Discount % E*Trade Mort a e Cor oration % 803. Annraisal fee to: ETSS Annraisal -1~==1 I 804. Credit reoort to: Credco POC ~12.00 bv Lender 80"i Lender's insnection fee I I 806. Mortvao-e insurance an....lication fee to 807. Assumntion fee =l= 808. Flood Certification Fee To: First American Flood Data Services POC $8.75 bv Lender 809 Rate Loc DenOSlt To: E*Trade Mortoa"e Cornoration pac ~325.00 bv Borrower 810. Rate Lock Refund To: E*Trade Mortnane Corooration =!=-Ci25.00) 811. Discount Points To' E*Tradc MOrtl!311C Corporation 3 129.00 812. 813. 814. 8\5. -~ '------- 816. -- I--- 817. I 818. 819. 820. 821. onn Ttom. n D..' ~ n. D_'. ,. A.'. 901. Interest from 3/07/21108 to 4/01/2008 @~ 19.1536/dav 125 davs) 478.84 902. Mortllal!c insurance premium for mo. to 903. Hazard insurance nremium for I "rs. to Erie Insurance Exchange 409.00 904. Flood insurance oremium for vrs. to 905. -~ '------- 906. 1111111 R .'P~.' . , ....-. 100 I. Hazard insurance months rnI . ner month I l1..QQ2. Mortllalle insurance I 1003. CltV oropertv taxes I 1004. County property taxes I 1005. Annual assessments l1..QQ6. Flood insurance I 1007 months (a) $ months (a) $ months (a) $ months (a) $ months (a) $ months (a) $ per month per month per monlh per month ocr month ocr month I I ~ I ~ ~ I I I ~ I I 1008. Ap-p-rcD"ate Ad'ustment 1 "1 1009. I -r 111111 IIO!. Scttlement or closin" fee to I 1102. Abstract or title search to ~ 1103. Title examination to 1104. Title insurance binder to 1105. Document nrenaration to I 1106. Notarv fees to 1109. 1110 J=~I-- =f=--=i== 1 1107. Attorney's fecs to (includes above item Numbers: 1108. Title insurance to Assured Land Transfers, Inc. III!. Endorsements 100 3110 and GOO to Assured' Land Tr~nsfers Inc. 1<0.00 1112. Closinp- Service Letter to First American Title Insurance Comnanv I 35.00 1113. T 1114. Nota", Fee to Cash 10.00 10.00 121111. 120!. RecordinQ fees: Deed' 38.50 . Mort"a"e · 66.50 :Releases' 05.00 1202. Cir./countv tax/stamns: Deed' 'Mort"a"e ~ =$ 1203. Sate tax/Stamns: Deed' 2980.00 'Mortoaoe .. I 490.00 I 490.00 1204. 1205 nnn . . 130l. Su",cv to 1302. Pest insnection to 1303. Ovemioht Courier/Handlino to Ass11red Land Transfers Inc. -- i------- 25.00 1304. Wire Fee to Assured Land Transfers Inc. 20.00 1305. Electronic Doc:ument Fee to Assured Land Transfers Inc. ;j 632.291 1306. 2008 Countvrrownshin RE Taxes to Bonnie K. Miller 1307. 1308. I I 1400 Tn,"1 , tEllter 011 Ii/Ie 103 Sectioll J alld - /ille 502 Seelioll KI 8 c05.591 2 132.291 Form :-<0. 1582 Page 2 of3 5B-4-3538-000-1 x x x ~- .." SELLER'S AND/OR BORROWER'S STATEMENT Escrow: 08-00033-AL T I !-.ave carefully reviewed the HVD-I Settlement Statement and to the best afmy knowledge and belief, it is a true and accurate sta':cment 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-I Settlement Statement. Sellers Estate of Loille S. Reeser BY~~ The HUD-I Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused or will cause the funds to be disbursed in accordance with this statement. Settlement Agent: ~) h It-;:r--- FA TIC Support, Assured Land Transfers, Inc. WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar [ann. fine or imprisonment. For details see: Title 18 U.S. Code Section 100 I and Section 1010. Date: ---Y"--242k_- Penalties upon conviction can include a Page J of3 Rov.1503 EX+ (6-S8) *' SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF REESER, LOILLE S. FILE NUMBER 21-07 -00953 All proporty Jolntly-ownod with right of survivorship must bo disclosod on Schodulo F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 1,419 Shares - PNC Financial Services Group Inc - 97.604.58 Common - (CUSIP 693475105) @ $68.9250 per/share. (Formerly CCNB Bank, N.A.) 2 1,876 Shares Pennsylvania Power & Light Company - 90.607.78 Common - (CUSIP 69351T1 06) @ $48.4050 per/share 3 317928109 218 shares of 218 Shares - The Finova Group Inc - 0.00 Common - No Value 4 3,348 Shares - Allied Irish Banks, p.l.c. - (CUSIP 153.087.30 019228402) - @ $45.7250 per/share. (Formerly Dauphin Deposit Bank and Trust Company). TOTAL (Also enter on Line 2, Recapitulation) 341.1599.66 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-160S EX+ (6-9S) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF REESER, LOILLE S. FILE NUMBER 21-07 -00953 Include the proceeds of lJtigatlon and the date the proceeds were received by the estate. All property jointly-owned with the right 0' survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEP,TH 1 Cash in decedent's possession. 2.90 2 Cash in Safe Deposit Box. 625.00 3 School Tax and Trash charges adjusted at settlement. 439.42 4 United States Treasury (IRS) refund - decedent's 2007 Form 1040. 1.392.00 5 Jewelry - Elgin Pocket Watch - $150.00; Lady's 14K yellow gold ring with - one 1.220.00 brilliant cut diamond - $300.00; 14K yellow gold wedding band - $235.00; 14K yelow gold onyx cameo ring - $250.00; Lady's 10K yellow gold class ring - $125.00; 10K yellow gold 25 year service pin - $35.00; 14K yellow gold fraternal pin - $125.00. (Copy of appraisal attached). 6 Various Coins in decedent's possession - appraised value - (See copy of appraisal 3.575.63 attached). 7 Various Coins in Safe Deposit Box - appraised value - (See copy of appraisal 409.80 attached). TOTAL (Also enter on Line 5, Recapitulation) 7.664.75 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule E (Fev. 6.98) C G BUSER & SON 875 Market Street, Second Floor Lemoyne, PA 17043 (717) 972-1230 .~\ ...!.",~.. .\ f1--<) II ,'~' . . / J--'-" Diamond Mounting A Specialty Prompt Attention To Mail' Orders November 16,2007 Appraisal For: Estate of Loille Reeser C/O Russell Reeser Elgin Pocket watch in 25-year white gold filled case. Serial number 27224901 circa 1887. The watch is 16 size, open face and pendent set. The watch is attached to a gold- filled watch chain. Total fair market value, approximately $150 Lady's 14K yellow gold filigree style ring containing one brilliant cut diamond. The diamond weighs approximately 22 pts and is ofVVS2 clarity and J-I color. The ring weighs approximately 1 dwt 9 gr. Total fair market value, approximately $300 14K yellow gold 7 mm wide wedding band that weighs approximately 5 dwt 17 gr. Total fair market value, approximately $235 14K yellow gold onyx cameo ring containing one 13 x 18 mm oval cameo. The ring weighs approximately 6 dwt 10 gr. Total fair market value, approximately $250 Lady's 10K yellow gold class ring that weighs approximately 2 dwt 21 gr. Total fair market value, approximately $125 10K yellow gold 25 year service Lemoyne, Pa pin that weighs approximately 1 dwt 3 gr. Total fair market value, approximately $35 14K yellow gold fraternal pin containing 20 'Iz pearls. The pin weighs approximately 2 dwt 7 gr. Total fair market value, approximately $125 e~1 }; 13~~~~j Charles G Buser III G.G., LS.A Manufaduring Jewelers & Diamond Setters \,JVI...Jvl II leA "I-W<'I __II I .....-...,,-. ,_, ':::J,- 110 East Main 5t. Hummelstown PA 17036 (717)566-9227 S' ,..s,. . -r./E- INVOICE NO, 612602 -'. :.....''\'/1 ._>) U,~J 'l{ / 0/0 INVOICE SOLD TO Lc/;:'/E. RE~ VIA ADDRESS CITY, STATE, ZIP ,',3) S CUSTOMER'S ORDER ,..-$, '-, -.:" / r.//" ,-/..~ / t, <<' ...., L f .... , /~ i ./ ;' madams 8740 /!? /'~ ." {:'J/": . '. rt ..- /~L~~Lbe>-, ~50 ~ <<~~~~~~ APPRAISAL ORDER NUMBER MUST APPEAR ON ALL INVOICES, PACKING SLIPS & PACKAGES. "ALL PURCHASES AND APPRAISALS STRICTLY CONFIDENTIAL." TERMS: ($25.00 MINIMUM) $50.00 PER HOUR IN STORE $75.00 PER HOUR OUTSIDE CONFIRMING ORDER II FEE CHARGED FOR THIS APPRAISAL: b\[P[P~b\u~b\[L ~(Q)~[M] CRONE COINS & COLLECTIBLES 4200 West Market Street York, PA 17408 Phone: (717) 792-3996 APPRAISAL FOR: /0 It.- L G /:? E r:3S.~E7"--- NUMBER: AP PAGE: DATE: REQUIRED DATE: Es//?-T""C , \ \ ,-;) \\;/ 'U- U N~ 30003 ITEM DESCRIPTION QTY UNIT PRICE AMOUNT / jff;;L ~ ( or ?2Af, .'0 ;;2' r , ..b . v"O z /1' d ,I i/L ~ I e--A 8 ~3o. 0, e'"V L '"'J 3 /rc;?o h ~9 c~;- / L=-rt c:;2 0 . <..,~ f...>l~O.~ 4 ,,2 ~ ;C~ ,~cS ) I Lor /~rJ, ,-0 /-1 ~_ 0 . ~"'\:) 5 V2.- '1' f / r/ f:7 ~ , I E-4 4.;)..-0 ~o.v~ ~"J ... f") r;, ~ J) /o-E-:5 (2/?.:; ) ~ ~4 c?i;. e"O 7"'0 . .ro 7 v- S - fR- (/2-,;-'Jt: ) / /-&.j 3,~rQ .3 . J-D ~ 34- 7J I r'-4 G-- '- I I C71. ;2\'....,o c>1S-..<J'Q i F- <"-,.::1.. Cj 3cf ,A../IC:.. k c'-..5 5" ~4 /~ .-.,:) /'5-. '--0 /'0 rL. / ,,-v tt: CS1t;t.E C~/J Z L.... ~ 2.- s--':- ,-0 S"'Zl<"U "II .- (0 fht.I.L " I r;?-~/N4 L~/LE c c;--.. ;- (3--7'l '7, )"\:) '7 .~-\) /L-. ;:j:", 1-I"C..~u- - 5 E-4 /'50 .~~ ..)2? /!:> ~.e.,--Q c::;; ...........<: L/-j?c .s ~ ./ ' t/; ~(./E - ~ E,..J 0 - ", ~ ./ ./'7/1 / ~~ r~L/ //r [:/' v v~ FACE L II AUTHORIZED SIGNATURE: ~ ~ / TOTAL APPRAISED VALUE = II ro 9~((-o II II Thank You William H. Crone, Owner Rev-1609 EX+ 16-98) *' SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DEe EDENT ESTATE OF REESER, LOILLE S. FILE NUMBER 21-07-00953 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT Daughter-in-Law A. ROMAYNE E. REESER P. O. BOX 65 GRANTHAM, PA 17027 B. C. JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DA TE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECD'S VALU:: OF NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET INTEREST DECEDENT'S INTEREST JOINTLY-HELD REAL ESTATE 1 A 12/31/1992 PNC Bank - Checking Account No. 18,183.05 50.000% 9,091.53 5140051814 - Decedent and Romayne E. Reeser, Daughter-in-Law TOTAL (Also enter on Line 6, Recapitulation) 9,091.53 (If more space is needed, additional pages of the same size) COPYright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) REV-1151 EX+ (12-99) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF REESER, LOILLE S. FILE NUMBER 21-07 -00953 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 7,'185.86 B. ADMINISTRA TlVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State Zip - Year(s) Commission paid 2. Attorney's Fees 7,SOO.00 See continuation schedule(s) attached 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees :106.00 See continuation schedule(s) attached 5. Accountant's Fees 6 Tax Return Preparer's Fees 7. Other Administrative Costs 3,H83.75 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 18,H75.61 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (R.ev. 6-98) Rev-1602 EX+ (6-98) *' SCHEDULE H-A FUNERAL EXPENSES conti n ued COMMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF REESER, LOILLE S. FILE NUMBER 21-07 -00953 ITEM NUMBER DESCRIPTION AMOUNT 1 Musselman Funeral Home - funeral expenses 7.185.86 Subtotal 7.185.86 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) Rev-1602 EX+ (6-98) *,.'" . . ~, SCHEDULE H-B2 ATTORNEY'S FEES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF REESER, LOILLE S. FILE NUMBER 21-07 -00953 ITEM NUMBER DESCRIPTION AMOU NT 1 Johnson, Duffie, Stewart & Weidner 7.500.00 Subtotal 7.500.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B2 (Rev 6-98) Rov-1602 EX+ (6-98) . SCHEDULE H.B4 PROBATE FEES continued COMMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF REESER, LOILLE S. FILE NUMBER 21-07 -00953 ITEM NUMBER DESCRIPTION AMOUNT 1 Register of Wills - Cumberland County :306.00 Subtotal 306.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B4 (Rev 6-98) Rev-1602 EX+ (6-98) ... . . , SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued ESTATE OF COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT REESER, LOILLE S. FILE NUMBER 21-07 -00953 ITEM NUMBER AMOUNT DESCRIPTION 1 Bonnie K. Miller, Tax Collector - County taxes due at settlement - 804 Lisburn Rd. '114.33 2 C. G. Buser & Son - jewelry appraisal :200.00 3 Copenhaver Coin Exchange - appraisal of coins, etc. 50.00 4 Crone's Coins - appraisal of coins in safe deposit box. 25.00 5 Cumberland Law Journal - legal advertisement 75.00 6 Erie Insurance - insurance coverage for 804 Lisburn Road. 498.00 7 Fulton Bank - Medallion Signature Stamp for stock transfers. 5.00 8 Jack Gaughen - balance - Property Management Fee - 804 Lisburn 35.87 9 Leffler Energy - fuel oil - 804 Lisburn Rd. 2.162.34 10 Lower Allen Township - trash 10/1-12/31 & 1/1/08 - 3/31/08- 804 Lisburn Rd 116.55 11 Notary charges at settlement - 804 Lisburn Rd. 10.00 12 PA American Water Co. - water service - 804 Lisburn Road. 73.29 13 PP&L - electric service - 804 Lisburn Road 95.91 14 Register of Wills - 2 Short Certificates 8.00 15 Register of Wills - file Inventory and Inheritance Tax Return 30.00 16 RSR Appraisers - appraisal of 804 Lisburn Road 350.00 17 The Patriot-News - legal advertisement 134.46 Copyright (c) 2002 form software only The Lackner Group. Inc Form PA-1500 Schedule H-B7 (Rev 6-98) Rev-1612 EX+ (6-98) ,~ ~ SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT REESER, LOILLE S. FILE NUMBER 21-07-00953 ESTATE OF Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEP,TH 1 Alert Pharmacy - decedent's prescription account. '196.91 2 Messiah Village - decedent's account balance 12.408.72 3 PA Department of Revenue - Tax due on decedent's 2007 tax return. 900.00 TOTAL (Also enter on Line 10, Recapitulation) 13,505.63 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev 6-98) . . REV 1613 EX+ (900) *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT 1 REESER, LOILLE S. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] Joanne C. Eshelman 20 Lauren Lane Ephrata, PA 17522 FILE NUMBER 21-07 -00953 ESTATE OF NUMBER RELATIONSHIP TO DECEDENT Do Not List Trustoo(s) SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$S) I. 3 Russell L. Reeser 60 Sarah Drive Dover, PA 17315 Grandson 1/3 Stock; 1/3 coins & jewelry; 1/3 residue 1/3 stock; 1/3 coins & jewelry; 1/3 residue 1/3 stock; 1/3 cash & jewelry; 1/3 residue Granddaughter 2 Brenda J. Reeser 232 Hickory Corner Road Milford, NJ 08840 Granddaughter Total 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev 6-98)