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HomeMy WebLinkAbout07-15-0815056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Coun Code Year File Number Bureau of Individual Taxes ty PO BOX 280601 INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT 2'1 08 0121 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 204-03-8784 01 /10/2008 11 /16/1921 Decedent's Last Name Suffix Decedent's First Name MI Henry Reed 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 ~:~ 1. Original Retum 2. Supplemental Retum 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate 4a. Future Interest Compromise (date of __ 5. Federal Estate Tax Retum Required death after 12-12-82) ~' 6. Decedent Died Testate _ _, 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Marvin Beshore, Esquire Firm Name (If Applicable) - ~ `a REGISTER ~V~LIL.LS USE t7~( _ ~) ( Law Offices of Marvin Beshore _ =~ - <_ First line of address .-_- ~ ~ I ` ~. ~ -~-' ~ _ f 130 State Street ~~ ~ c;~ __f i :~: . Second line of address ~-~' ~~' _ -r3 _t ~: -> P.O. Box 946 _ )~- _ - ~ : ~~ ~ -~ L i ~~ r City or Post Office ED State ZIP Code D~ FI _' , Harrisburg PA 17108-0946 N ' Correspondent's a-mail address; MBeshore@BeshorelaW.COm Under penalties of perjury, 1 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. TURE OF PER N RES SIBLE FOR FILING RETURN ~ ~Q ~ DATE ,Cep David Reed Henry, Co-Executor 07/14/08 3218 North Second reet, Harrl~urg, PA 17110 S E F IiEPAR THE THAN REPRESENTATIVE DATE Marvin Beshore, Esquire 07/14/08 130 State Street, P.O. Box 946, Harrisburg, PA 17108-0946 PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 15056052059 REV-1500 EX Decedent's Social Security Number Reed S Henry ' 204-03-8784 s Name: Decedent a ~ _ - __ _ - ~ _ ,. .._. ~ t ITULATION RECAP 1. Real estate (Schedule A) . .......................................... .. 1. 160,000.00 2. Stocks and Bonds (Schedule B) ..................................... .. 2. 1,623.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 0.00 4. 9 9 ) .......................... Mort a es & Notes Receivable (Schedule D 4. ... 0.00 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ..... ... 5. 100,247.21 6. Jointly Owned Property (Schedule F) Separate Billing Requested .... ... 6. 0.00 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property 00 0 (Schedule G) Separate Billing Requested..... ... 7. . 8. Total Gross Assets (total Lines 1-7) ................................ . ... 8. 261,870.21 9. Funeral Expenses & Administrative Costs (Schedule H) .................. ... 9. 35,701.18 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............. ... 10. 874.82 11. Total Deductions (total Lines 9 8~ 10) ................................ ... 11. 36,576.00 12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. 225,294.21 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ..................... ... 13. 0.00 14. Net Value Subject to Tax (Line 12 minus Line 13) ..................... ... 14. 225,294.21 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 0 00 (a)(1.2) X .0_ 15. . 16. Amount of Line 14 taxable 24 10 13$ at lineal rate X .0_ 16. . , 17. Amount of Line 14 taxable 0 00 at sibling rate X .12 17, . 18. Amount of Line 14 taxable 0 00 at collateral rate X .15 18. . 19. TAX DUE ...................................................... ... 19. 10,138.24 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 15056052059 REV-1500 EX Page 3 npr_adant'c Cemnlete Address: File Number 21 08 0121 DECEDENTS NAME DECEDI=NTS SOCIAL SECURITY NUMBER Reed S Henry 204-03-8784 STREET ADDRESS 207 North 19th Street CITY Camp Hill STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 10,138.24 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments 9,300.00 C. Discount 489.46 Total Credits (A + B + ~.) (2} 9,789.46 3. InterestlPenalty if applicable D. Interest E. Penalty Total InterestlPenalty (D + E } (3) 0.00 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) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 348.78 A. Enter the interest on the tax due. (5A) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 348.78 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THIE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No 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? ............................................................... ...... ^ did decedent transfer property within one year of death 2 2 D . ate consideratio 8 without receiving adequ ^ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ... ...... ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................................. ...... ^ 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)]. 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)]. 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)]. 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) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Reed S. Henry 21-08-0121 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. (if more space is needed, insert additional sheets of the same size) REV-1503 EX+ (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Reed S. Henry 21-08-0121 All property jointly-owned with right of survivorship must be disclosed on Schedule F. tir more space Is needed, insert additional sheets of the same size) • REV-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Reed S. Henry 21-08-0121 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 PSECU regular shares 31,750.32 2 PSECU accrued dividend, regular shares 9.71 3 PSECU 12 Month certificates (5 @ $10,803.39) 54,016.95 4 PSECU Accrued dividends -- certificates (5 @ $13.67) (PSECU letter attached) 68.35 5 Checking Account -- Sovereign Bank No. 2331028834 (letter attached) 7,537.97 6 Personalty taken in kind (appraisal value) 1,320.00 7 Net proceeds of auction of personalty (See statement of auction attached) 5,243.91 g Federal Stimulus Payment 300.00 TOTAL (Also enter on line 5, Recz~pitulation) 5 I 100,247.21 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE 4F FILE NUMBER Reed S. Henry 21-08-0121 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~~ Myers/Harner Funeral Home 2,847.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions 13,000.00 Name of Personal Representative(s) (1) David Reed Henry & (2) Deborah Dietz Cavallario Social Security Number(s)/EIN Number of Personal Representative(s) (1) 193364040 _ (2) 204281302 Street Address (1) 3218 North Second Street, Harrisburg, PA 17110 city (2) 259 Thompson Boulevard, Watertown .state NY Z;p 13601 Year(s) Commission Paid: 2008 2. Attorney Fees Marvin Beshore, Esquire 10,000.00 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 (Letters Testamentary $310; Short Certs. $24; 394.00 and other fees $60) 5. Accountant's Fees 6. Tax Retum Preparer's Fees Crystal Hackett, CPA 150.00 7. Patriot News Company -Publication of Estate 99.66 a. Cumberland Law Journal -Publication of Estate 75.00 s. Robert Ensminger Appraisers -Real Estate and Personal Property Appraisals 1,675.00 ~o. Total from page 2 attached 7,460.52 TOTAL (Also enter on line 9, Flecapitulation) $ 35,701.18 (If more space is needed, insert additional sheets of the same size) SCHEDULE "H" -PAGE 2 ESTATE OF REED S. HENRY File No.: 21-08-0121 UGI Utilities, Inc. (June, 2008) 59.13 UGI (March, 2008) 278.73 PP&L Electric (March, 2008} 32.18 PA American Water (March, 2008) 39.04 V erizon 30.94 UGI (April, 2008) 187.98 PP&L Electric (April, 2008) 24.74 PA American Water (April, 2008) 23.61 J.C. Elrich and Co. -Pest inspection and certificate 185.00 Camp Hill Sewer (May, 2008) 52.50 UGI (May, 2008) 76.00 Orkin Pest Control -termite inspection and repair 172.00 Orkin Pest Control -termite inspection and repair 972.80 Janet Miller, Tax Collector (2008 Real Estate Taxes) 888.08 Settlement expenses in sale of real estate -settlement sheet attached 3,225.00 PP&L (May, 2008) 17.19 Penn Waste (June, 2008) 48.75 Travelers Indemnity Insurance -homeowner's insurance (June, 2008) 40.67 Deborah Dietz Cavallario, (reimbursement for travel expenses in administration of Estate, 937.20 gas, food, fuel and lodging) Law Offices of Marvin Beshore -Long distance telephone calls, photocopies, fax, 200.00 Postage, express mail TOTAL $7,46p.52 REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Reed S. Henry 21-08-0121 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. (If more space is needed, insert additional sheets of the same size) REV-1513 EX~ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Reed S. Henry 21-08-0121 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE t TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)j 1 • David Reed Henry, 3218 North 2nd St., Harrisburg, PA 17110 son 1/6 of residue 2• Daniel Martin Henry, 3 S. 16th St., Camp Hill, PA 17011 son 1i6 of residue 3• Marianna Frances Heeter, 112 Kim Acres Dr., Mechanicsburg, PA 17055 daughter 1 /6 of residue 4• Deborah Dietr Cavallario, 259 Thompson Blvd., Watertown, NY 13601 step-daughter 1/6 of residue 5• Susanne Dietz Irwin, 100 Brinkerhoff St., Plattsburg, NY 12901 step-daughter 1/6 of residue 6• Eleanor Dietr Foley, 16096 Co. R.R. 76, Adams Center, NY 13606 step-daughter 1i6 of residue rTJ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING M,4DE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 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) PSEC~ February 26, 2008 Account # 0204XXXXXX MARVIN BESHORE 130 STATE STREET PO BOX 946 HARRISBURG, PA 17108-0946 Dear MR BESHORE: The following is the status of REED S. HENRY's account with PSECU as of the date of death. Joint Owner's Name NONE Date of Death 11.16.1921 Date of Birth 01.10.2008 Share Description Open date Balance Accrued Dividend S O1 Regular Shares 10.05.1982 $31,750.32 $ 9.71 S 04 Checking 05.31.1998 $ 0.00 $ .00 C 50 12 Month Certificate-1 06.12.2007 $10,803.39 $13.67 C 51 12 Month Certificate-1 06.12.2007 $10,803.39 $13.67 C 52 12 Month Certificate-1 06.12.2007 $10,803.39 $13.67 C 53 12 Month Certificate-1 06.12.2007 $10,803.39 $13.67 C 54 12 Month Certificate-1 06.12.2007 $10,803.39 $13.67 The dividend earned from January 1, 2008 through the date of death was $78.06. The decedent had no loans with us. We do not have safe deposit boxes for our members. If you have any questions, please ca11234-8484 in Harrisburg or our toll-free number, (800) 237-7328. At the menu prompt, enter 6 and then extension 2227. Sincerely, L I n^ ~ Meade Fairfax ! r~' Member Service Representative Finance Support Unit Pennsylvania State Employees Credit Union Main Address: 1 Credit Union Place, Harrisburg, PA 171 10-2990 71 7.234.8484 800.237.7328 Mailing Address: PO. Box 67013, Harrisburg, PA 17106-7013 717.777.2100 (TDD) 800.472.1967 (TDD) This credit union is fed<~rally insured by the National Credit Union Administration. Equal Opportunity Lender WWw. pSeCU.tOm Sovereign Bank ESTATE OF Reed S Henry SOCIAL SECURITY #: 204-03-8784 DATE OF DEATH: January 10, 2008 Account #: 2331028834 Type: Checking I~pen date: 5/5/1997 In the name of: Reed S Henry, David R Henry POA Date of Death Balance: $7,537.97 Int.(YTD) from 1/1/2008 to 1/6/2008 Accrued interest to date of death: $0.07 Other Info: $0.66 Page 1 of 1 PF4,TXT 28-Jun-2008 22:57 Date: 06-28-2008 22:57:50 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTON AVENUE HARRIs;BURG, PA 17109 717-052-4111 robert@ENSMINGERS.net Settlement - Seller: 2 Page: 1 Item Descziption Price Qty Total 1 Sox lot '1 '1.00 I9:03:29 2 TRUNK 1 S.DO 14:03:99 3 BGX LUT 1 1.00 k4:04:24 4 BOX LOT '1 7.00 14:05:00 5 STEEL TOOL BOX 1 3.00 19:05:23 6 WOOD TOUL BUX 1 5.00 19:05:39 7 SANDER 1 1.00 14:05:54 0 2 BO4JLS '1 6.0D '19:06:27 9 BUX LUT 1 1.00 19:06:43 '10 TOOL BOX 1 1.00 19:09::1Ei 11 GLASSWARE 1 7.00 19:09:28 '1L SATrIHC)RSE:~ "1 1.00 19:09:94 13 ISHING TACKE BUX 1 1.G0 19:10:06 19 BOX LOT 1 1.00 19:10:20 15 PLANT 1 1.00 I4:10:39 1o i~UN CASE 1 5.00 I4:"11:01 17 STEP LADDER 1 5.00 19:11.43 i.8 3 PLANTERS CLOTHES I "1.00 14:12:28 1.9 BUX LO'P 1 12.00 19:12:50 20 BUX L,OT 1 1.00 14:13:06 21 BOX LOT :[ 1.00 19:13:22 L2 BUX LOT 1 1.00 14:13:47 23 BOX LOT 1 5.00 19:13:59 29 BUXLUT 1 5.00 T9:14:51 25 BOX LOT 1 1.00 19:15:17 26 BUX LOT 1 '1.D0 19:15:29 27 LAWN MOidER 1 17.50 19:15:99 29 BOX '1 3.00 19:17:09 3U S~7AGON 1 1.00 19:17:21 32 BOX LUT 1 22.00 19:19:02 33 BUX LUT l 1.00 19:19:15 39 BCX LOT ~ 1.00 14:19:94 35 BOX :LOT 1 3.00 14:19:55 36 2 PICTURES GRIDDLE "1 9.00 19:2D:17 38 SAW 1 7.50 19:?_1:20 39 SHUE SHIPIE; KIT 1 1.00 14:21:53 4D POLAROID CAMERA 1 7.00 19:22:17 91 BAS SET 1 1.D0 19:22:30 43 BOX LOT 1 '1.00 19:23:20 44 GRILL 1 1.00 19:23:45 91 BOX OI' TOOLS 1 2 . 00 14 ; 2 0:5:1 42 BELT SUCKLE 1 1.OD 14:27:17 9~ LADDER :I. 1.U0 19:28:22 4n BUX LOT 1 1.D0 19:28:39 Page 1 (2) PF4.TXT 2B-Jun-2008 22:57 Date: Oii-28-2008 '[2:57:50 ENSMINGER AUCTIONEERS SINCE 183'a 3557 ELMERTON AVENUE HARRF:;BURG, PA 17109 717-b52-4111 robert@E7dSMINGERS.net SeL-tlement - Se11er: 2 Page: 2 Item Descril~tion Price Qty Total 47 TOOL STOOL '1 1.DG 14:29:00 49 TUOLSANDTABLE 1 2.00 '14:29: 4!i 50 TUUI., BUX 1 1.00 14:3D:fi5 5'1 FISHING PULES 1 28.00 14:30:27 ~i2 ELECTRIC TOOLS 1 1.00 14:30:49 53 GAS CAN 1 1.00 14:31:0?_ 59 SHOVELS 1 7.OD 14:31:'12 55 HAND CART 1 1.OD 19:31:3'[ '139 TV '1 3.00 15:38:21 157 ATUMIC CLUCK 1 3.G0 15:50:0' 189 FISHING LURES 1 70.00 Io:11:28 193 FISHING I'TALL HANGER '1 100.00 10:15:09 215 HEALTIIOMETER SEAT CUSION 1 1.00 16:30:90 2c•3 BAROMETER 1 5.00 17:07:50 270 DAISY BB GUN 1 1.00 17:19:55 271 D7iI5Y BB GUN 1 5.00 17:15:25 272 SPIEGAL MODEL 55 1 110.00 17:IS:22 273 SAVAGE 270 US/SCOPE 1 '190.00 17:17:32 279 MAP.I,IN SHOTGUN 1 120.00 17:18:14 31! RT.DIU 1 5.00 17:52:41 318 VCR AND TV 1 b. DO 17:53:53 3E7 MICRUFIAVE 1 1.00 16:32:25 487 MATTRESS/BOX SPRING 1 50.00 19:17:18 Item:+: b7 Amou nt: 816.00 ~~}R~L1FD ~roi2 wq-RO ~ !-~Si ~'~~nE TtiA3QK YOU FOR SELECTIIdG ENSMINGEP. AUCTIUIJEERS! Page 2 i2) PF3,TXT 28-Jun-2008 22:55 Page 1{9y Date: 06-28-2008 22:So:29 ENSMINGER AUCTIUNEF,RS SINCE 1$30 3557 ELMERTON AVENUE HARRISBURG, PA 17109 717-052-4111 rohert@ENSMINGERS.r_et Settlement - Sell er: I Page: 1 Item Description Price Qty Total 28 SLED 1 2.00 I9:16:5'u 31 CHRISTIRAS BOX 2 1.00 19:7.6:13 37 HALLOWEEN BUX 1 1.OD 14:20:96 92 BRID CAGE '1 5.00 14:22:4$ 90 FRYING PANS 1 1.90 19:26:15 45 DROP LEAF TABLE T 30.00 19:27;D9 93 PIE SAFE 1 1.00 19:27:96 4'a 2 WICKER CHAIRS 1 17.50 19:27:58 94 FLOkIER POT 1 $. GO 19:28:05 4; SM TABLF 1 22.00 19:28:27 48 TABLE Sd/ BASKET 1 4.00 14:28:96 98 PANS AND WREATHS 1 1.00 19:29:20 49 DEACONS BEIQCH I 25.00 7.9:29:30 50 WICI{ER TABLE 1 18.00 19:30:17 51 STRAIGHT CHAIR 1 5.00 19:30:51 52 2 GlRUUGHT IRON CHAIRS l 30.00 19:31:37 56 IRGN CHAIRS 1 n.DO 14:31:99 57 WICKER BAS{{ET 1 1. DO 19;32:07 53 WHICI'ER ::HAIR 1 1.00 19:32:08 54 CHAIR 1 16.00 19:32:33 58 CHEST/CONTENTS 1 3.00 19:32:43 55 UPHULSTERD CHAIR 1 5.00 19:32:90 59 CARD TABLE 1 2.00 19:33:13 So CHAIR 1 5.00 14:33:18 'oD SPITOON 1 1.00 19:33:38 57 6JHIGKER HAMPER 1 5.00 19:3'3:39 0'1 LADDER 1 1.00 19:3.3:SG 02 SPINNING ti•7HEEL 1 '1.00 19:34:29 63 LUNGE WICKER 1 35.00 19:39:97 04 CHAIR/SOFA 1 10.00 14:35:04 c$ BBQ 1 1.00 '14:35:29 '06 54UIRREL IN BUCKET 1 2.00 19:35:53 $6 CHINA PO'T AND PITCHER 1 8.00 '19:50:2 87 BGX LOT 1 1.00 14:57:14 88 BOX LOT 1 3.00 14:57:53 89 EUX LUT 7. 7.00 14:58:So 9D BUX LOT 1 12.SG 15:00:16 91 BOX LOT 1 7.OD '15:01:25 92 BOX LOT 1 1.00 15:02:18 93 EUX LUT 7. 1.00 15:03:12 99 SILVERkIARE 1 1.00 15:03:38 9S EUX LU'I' RND MIRROR 1 2.00 15:05:L1 y6 IVORY LETTER GPEIJERS 1 I.00 15:06:3'0 97 SGRPSTGNE STATUE 1 2.00 15:07:OG PF3.TXT 26-Sun-2008 22:56 Pate: Oo-7.A-20U8 22:56:29 ENSMINGER AUCTIONEERS SINCE 1830 3557 ELMERTON AVENUE HARRISBURG, PA 17109 ill-c,52-9111 robert@EIISMINGERS.net Settlement - Se11er: 1 Page: 2 Item Description Price Qty Total -~-' N 98 BUX LUT 1 1.DD 7.5:U8:G1 95 BOX LOT 1 32.50 15:09:21 100 BOX LUT 1 5.OD 15:10:24 101 ICE BUC],ET "1 5.00 15:11:34 lU2 3 VASE:, 1 8.00 15:12:2'1 I03 BUX LUT 1 3.00 15:13:60 :104 CHEESE GRATER 1 3.OG 15:13:94 105 MIXER 1 5.00 15:19:06 106 AVON BOTTLES 1 9.00 15:19:47 10`i BOX LOT 1 1.00 15:15:14 208 HUiJTING KNIFE 1 2D.00 15:15:92 109 BGX LUT '1 22.50 15:10:31 11D TOOLS 1 3.00 15:1b:56 111 PEGJTER FIGURES &OLU PTN 1 20.00 15:18:13 CUSIGN 212 3 WALL HANGINGS 1 1.D0 15:].9:00 113 HANP.CARVED CAWING PICTURE 1 2.00 15:"19:50 119 BGX LUT T 1.D0 15:20:53 :E75 BUX LCiT 1 1.OU 15;21:2-1 116 GZASS UVENITARE 1 1.00 15:21:93 117 BOX LOT 1 1.00 15;22:27 118 CUFFEB CONTAINER 1 3.00 15:23:16 119 2 PIPES 1 9.00 15:23:94 120 UIL LAMP 1 15.00 15:29:35 121 BUX LUT 1 1.00 25:25:02 122 BOX LOT 1 1.00 15:25:26 123 GARDEN WORICSI•IOP 1 10.00 15:20:.17 124 BATT.OPERATED MONKEY 1 15.00 15:27:17 125 BOX LUT 2 3.00 :15:28:15 12'c MAGNIFIER LIGI•IT 1 9.00 15:28:99 127 SOX LOT 1 5.00 T5:29:39 '128 PLATE 1 1.00 15:29:57 129 BUX LOT 1 1.00 15:30:25 130 BOOK BOX I 1.00 15;30:52 :131 BUX L{?T 1 9 . OD -15:3?_ : 09 132 BOX LOT 1 9.00 15:32:42 133 BUX LOT 1 15.00 15:33:45 1'39 BUX OF BUOICS 1 B _ OD 25::39:33 135 NEEDLE POINT PILLUGIS 1 5,00 15:35:10 136 THERMOMETER 1 9.00 15:35:53 137 ROX LOT 1 1.00 15:3c:5o 133 BUX LUT 1 o'.OD 15:37:52 140 BRASS BOX LOT 1 32.50 15:39:30 ].41 COPPER TRAY 1 7.5.00 1.5:40:18 Page 2i9? PF3.TXT 28-Jun-2008 22:56 Date: 06-2B-2006 22:50:29 EN5MINu^ER AUCTIONEERS SINCE 1$36 3557 ELMERTON AVENUE I•IARRISBURG, PA 17109 7'17-'a52-9111 xobert@EtdSMINGERS.net Settlement - Seller: 1 Page: 3 Item Description Price Qty Total -------------------- 192 --------------------------- BOX LOT .1 7.D0 1Ci:91:04 193 BUX LOT 1 9.00 15:92:06 199 DOG STATUE 1 lO.OD 15:92:38 146 LAMP '1 17.50 15:93:54 I97 HEALTH BUUKS 1 1.00 15:94:24 196 IRON 1 2_GO 15:99:94 195 3 IRONS 1 7.00 15:45:20 150 P04JDER HORN 1 2D.00 15:95:54 15'1 3 PITCHERS 1 7.00 15:46:22 152 SIGNED FLASK 1 1_DO 15:40:92 153 Box i.OT 1 19.D0 15:47:33 154 BOX LOT 1 3D.D0 15:98:30 1:15 3 MUGS :I 1.00 15:48:46 ISO BUX LOT 1 3_00 15:49:19 158 BOX LOT 1 E.00 15:51:35 159 HOOK RUG 1 47.50 15:53:'15 160 RUG 1 5.00 15:53:45 10'1 BOX 1 1.OD 15:59:00 102 BOX LOT 1 1.D0 15:54:56 163 WOOD CARVING 1 4.00 15:55:23 109 SEYIINv MACHINE 1 14_00 15:50:17 105 LAMP &HUMIDIFYER 1 1_00 "15:56:91 1fi6 RUG 1 5.00 15:57:D7 '167 SOX LUT 1 5.00 '15:57:30 158 BOX LOT 1 S.OG 15:58:0-? 169 o BIRD PLATES 1 B.00 15:52:99 1.70 5 P3..F.TES 1 0_00 :15:59:24 171 BOX LUT 1 1.00 15:59:53 172 GRAVY BOAT 1 b.00 16:OU:17 173 DISH 1 '15.00 16:01:05 174 SELLS 1 3.OD '16:01:2$ 175 3 CUPS 1 1.00 1'0:01:51 17'a DISH 1 9.00 '10:02:23 177 2 CUP5 1 2.00 1'e:02:90 ].78 DISH HOLDER 1 S.OD 16:03:13 179 SALT AND PEPPER SHAKER 1 1.D0 10:03:2± la0 Box LOT i 1.00 16:44:21 161 8UX LUT 1 3.00 10:04:5° 1B2 QUILT 1 1.50 16:05:43 '163 PHONE LAt4P 1 o0.D0 16:06:94 1B9 L"LOCK CASE i 5.00 '10:07:29 "185 GLASS PIECES 1 9.00 1c:G6:22 lab BUx LOT 1 7.00 1c:G9:7.0 107 CONDIMENT SET 1 2D.00 10:09:59 Page 3 (9} Pfi3.TXT 26-Jun-2008 22:56 Date: 06-28-2006 22:56:29 ENSMINGER AUCTIONEERS SINCE 183b 3557 ELMERTUN AVEIJUE HARRISBURG, PA 17109 717-052-4111 roUert@EN:iMINGERS.net Settlement - Seller: 1 Page: 9 Item Description Price Qty Total -------------------- 188 ---------------------------------- U7ALL POCI(ET - 1 50.OG 1o:1D:3o 190 BUX LUT 1 7.00 15:11:59 191 COPPER LUT 1 14.00 1'0:13:09 192 HAND SELd1J QUILT 1 1?_.50 16:14:04 194 BROOM 1 3.DD '1'0:15:27 195 BOX LOT 1 10.00 16:'16:13 19o BOX LOT 1 5.00 10:17:01 197 DINNER SET 1 7.7.56 16:17:55 198 WINE BoX 1 3.00 15:18:90 199 B0034S 1 1.00 16:19:03 200 BUX LOT 1 1.00 '1`0:19:32 201 MIRRUR 1 1.00 16::L9:51 202 SERVING TRAY 1 3.00 1'0:26:16 2G3 PICTURE 1 4.00 16:20:99 209 PICTURE 1 12.50 1'0:21:22 205 2 L1ALL HANGINGS 1 10.00 16:23:G0 2D'o UIILLIAM RUGERS SILVER PLATE 1 4.00 16:23:30 207 BOX LOT 1 1.00 16:24:49 208 PLANTER 1 12.00 16:25:29 209 QUILT RAC1( 1 1.00 10:25:40 210 BLA?dI{ET 1 1.00 16:27:19 211 BOX LOT 1 2.00 16:26:01 212 Box LOT :l 6.00 10:28:55 213 POCKET KNIVES '1 6.00 16:29:4': 214 BUX LUT 1 9.00 1i;:3D:11 21 'c COOK BOOKS 3 1.00 16:31:01 217 BEDDI21i~ 1 1.00 16:3'1:43 21 B CUP 1 2.00 1:32:0'1 219 AELFT COUI 1 0.00 10:32:38 220 BUX LOT 1 B.00 1b:33:15 221 DRESSER SET 1 20.00 16:33:55 222 MIRROR POWDER COIJTAINER 1 2.00 10:34:26 223 MIRRUR 1 2.00 10:34:58 229 I4IRROR '1 '10.00 16:35:3n 225 BOX LOT 1 2.OD :l'o:3ci:15 226 JEtJLERY BUX 1 3.00 "16:30:37 2L7 BOX LOT 1 1.00 16:38:41 228 CHINA L()T 1 65.00 16:40:09 229 SHADON BOX 1 1.00 10:90:'1! 230 OI.,D SHOES 1 10.00 10:91:06 231 PLATER 1 2.00 '16:4'1:91 232. BUX I~UT 1 7.OD "16:92:3'2 233 BUX LUT 1 28.00 16:43:18 234 $OX LOT "1 10.00 :16;43:50 page 4 (9l PF3.TXT 2B-,Sun-2006 22:56 Date: 05-28-2008 22:56:2_9 ENSMINGER AUCTI03QEER5 SINCF. 1836 3557 ELMERTON AVENUE HARRISBURG, PA '17109 717-052-4111 rOUert@ENSMINGERS.net Settlement -- Seller: 1 Page: 6 Item Description Price - -- ---- - Qty --- - Total ----------- -- ------------------ 263 ----- - - ---------------------------- BOX LOT -- 1 5.00 17:25:90 289 BOX LOT 1 55.00 17:20':40 2$S BOX LOT 1 1.00 17:27:07 2$6 BRASJ HAT6MAGAZINE RACK 1 7..00 17:27:54 287 PUT 1 35. D0 17:29:05 288 MAGAZINE RACK 1 5.60 '17:29:39 289 AMBER LAMP 1 1.00 17:30:'13 25U WALKING STICKS 1 130.00 17:31:1$ ?_91 CHINESE UMBERELLA STAND 1 50.00 17:32:22 292 BOX LOT 1 1.00 17 :2:52 2.93 CAI{E PLATE X2 1 2.OD 17:33:92 299 SILVEP. PLATES 1 12.00 17:39:32 295 SILVER PLATES 1 2.00 17;35:G2 290 3 MEAT PLATERS 1 1.OD 17:35:44 297 PICTURES 1 1.OD '17:30:09 298 STERLING SALT AND PEPPER 1 5.00 17:3v:52 "299 CANDLE STICKS 1 30.00 17:37:19 300 STERLING BASKET 1 15.00 17:37:50 301 o STERLING RING COASTERS 1 '10.00 1/:3$:20 302 SALT AND PEPPER SHAKER 1 5.OU 17:38:47 303 STERLING 7. 18.00 17:39:15 3U4 DAI~TON PITCHER '1 '1"30.00 17:40:07 305 VASE 1 SS.OD 17:40:99 306 CARVING SFT 1 5.00 17:41:52 307 CIGERETTE BOX 1 7.50 17:93:09 3D$ CANDLE °~TICKS 1 100.00 17:44:0'1 309 COOCOO CLOCK 1 35.00 17:45:Oo 310 3 PURSES 1 S.DO 17:45:31 311 TABLECLOTHS 1 7.00 17:90:53 312 PICTURE;, 1 1.00 17:47:41 313 PICTURES 1 9.G0 17:48:25 319 BOOI{S 1 1.00 17:50:29 315 :SLEEPING BAG 1 '1.00 17:50:58 319 PLATERS 1 1.00 17:55:30 3%G CANDLE STICKS 1 15.00 17:5c:31 32:L GPERA GLASSES 1 I.UO 17:57:57 .322 CAiJDLE STICK 1 1.OD 17:5$:19 323 BUX LOT 1 2.OD 17:59:62 324 BRA55 BOX LOT 1 9.00 17:59:45 325 BOX LOT 1 1.00 18:OU:15 326 CRYSTALS '1 '12.00 18:00:95 327 CAfO; PLATE 1 3.06 1$:01:01 :328 BGX LOT 1 5.00 1E:01:54 329 BOX LO't "1 '3.00 18:02:46 Page bt9) PF3.TXT 26-3un-2008 22:56 Page 7(9) Date: Ob-26-2008 22:So:29 ENSMiNGER AUCTIONEERS SINCE 183b 3557 ELMERTUiQ AVENUE HARRISBURG, PA 17109 717-552-4111 robert~EIQSMINGERS.net ~Iet-tlercient - Seller: 1 Item Description 330 331 332 333 334 335 330 337 338 339 34D 341 342 393 349 345 396 397 348 349 350 351 352 353 354 3S5 35f~ 3.57 358 3`i5 3b0 3bi 302 363 :304 3.5 305 ]o° :309 370 371 372 37 :~ 3 : `1 PICTURES REED AND BARYON ALBANY COVERED DISH GORHAM SERVERS SALAD SET TEA POT & ICE BUCKET S I LVERl~`ARE LAMP $RASS SMOKING STAND .LAMP LAMP M I RRiiR 2 PICTURES PICTURES PICTURES L'LUL"Ii TRASH CAN DULL 3ELT~'LP.Y BOX CHIIJA DOLL ?ICTURE UIL PAINTI1dG MIRROR BED BUDDY MIRROR CHINESE DOLL HAMPER .AIQD CONTENTS BUCKETS TOOLS AIQD BUCKET PICTURES PICTURE BOX LOT BOX LUT ':.HP,ISTMAS TREE PLANT STAND TRASHCAN AND BRODMS 2 CHAIRS STEP STUUL SHELF VACUUM CORNER SHELF TABLE 3 TABLE: Page: 7 Price Qty Total 1 12.00 18:03:40 1 5.00 18:D4:43 1 1.00 1B:D5:52 1 2.00 '18:0'0:19 I 3.DO la:os:sb I ls.oo Ix:D7:46 1 3.00 13:08:23 1 50.00 18:10:03 1 1.DO la:lD:zx 1 10.00 18:11:06 I 45.D0 18:12:49 l 50.00 18:13:26 1 10.00 18:19:13 1 5D.00 18:15:37 1 12.50 13:17:3?_ I 1.00 18:18:0'1 1 9.00 18:'18:43 1 1.OD '18:19:10 1 1.00 :18:20:19 1 1.00 16:20:55 1 1.00 1E:21:19 1 s.oo 1a:zz:o6 I 30.OD 1x:22:47 1 7.50 18:?_3:7._9 1 1.OD '18:23:39 1 30.00 aE:29:97 1 1.00 18:25:29 '1 1.OD 18:25:50 "1 1.OD 18:2x':23 1 2.00 I6:2b:52 1 8.00 18:28:15 1 3.00 '18:28:50 1 2.00 18:29:3'0 1 1.D0 18:30:20 1 19.00 18:31:02 1 1.D0 T8:3I:2'o I 1.00 18:31:48 20.00 2 40.D0 16:34:51 1 3.00 18:35:29 I 2.00 16:3'0:15 I 3.00 18:36:38 1 1.00 18;36:50 1 5.00 18:37:28 1 20.D0 18:38:17. PF3.TXT 28-Jun-2008 22:55 Date: Oo••2.3•~2003 22:So:7_9 ENSMINvER AUCTIONEERS SINCE 1636 3557 ELMERTON AVENUE HARRISBURG, PA 17109 717-052-4111 robert@ENSMINGERS.net settlement - Selle r: 1 Page: 6 Item Description Pxice Qty Total 375 TABLE AND 4 CHAIRS 1 12.06 16:39: D5 376 LAMP I 1.00 18:39:29 377 CI.IAIP. 1 5.00 18:39:59 376 CHAIR 1 60,00 .18:90:46 3'79 CHAIR 1 65.00 16:41:40 3.40 TTiBLE 1 li.SU 18:92:26 361 TABLE 1 95.00 18:43:90 362 ROCKING CHAIR 1 5.00 18:44:95 363 2 CHAIRS 12.50 2 25.00 18:45:39 364 CHAIR 1 5.00 16:96:10 3¢5 Linens 1 1.00 18:46:90 :366 Chair "1 5.00 13:4/:20 367 Chair 1 9.00 16:97:44 388 Gradel coffee table 1 30.00 16:99:09 369 Tablo 1 S.OD 1E:49:53 390 LINEIQ 1 1.00 18:50:27 391 STONE JUG 1 :i.00 18:50:40 392 PILE 1 5.00 18:5'2:07 460 CARD TABLE :( 60.00 16:57:25 401 COUCI3 1 10.00 13:58:66 502 TABLE 1 70.00 16:59:02 903 EMPIRE SOFA 1 10.00 18:59:43 904 CABINET 1 550.00 19:02:10 405 v CHAIRS 1"L.00 b 72.00 19:03:00 905 TABLE 1 7.5.60 19:03:95 907 DROPLEAF TABLE 1 45.00 19:04:53 408 DESK 1 75.00 19:66:17. X09 CUPBOARD. 1 160.00 19:07:10 416 HANGING CHA?dDELEER 1 400.00 19:09:40 469 DRESSER T,ND MIRROR 1 140.00 19:'18:00 900 BED 1 15.00 19:30:53 501 DRESSER 1 65.00 19:31:10 902 DESK 1 5.00 19:1:37 403 DESK 1 7..0.00 19:3].:58 909 BEDRGOM SET 1 3D. 00 19:32:19 905 BOOK SHELF 1 1_DO 19:32:30 400" CEDAR CABINET 1 1.06 19:32:46 407 '['ABLE 1 20.00 19:32:53 406 BED 1 5.00 19:33:10 47o DROP LEAF TABLE 1 10.00 19:36:42 Items: 347 Amotu~t: '7, 067.50 Page 8 (9) PF3.TKT Pate: 06-28-200° 22:56:29 28-Jun-2008 22:55 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTUN AVENUE HARRSSBURG, PFD 17109 717-052-4111 robert@ENSNINGERS.net settlement - Seller: 1 fixom Reed Herxy sheet Commission $5,000 @ 15R Cortunission $2,865.50 @ 12.5% Advertising The Guile Aclvertisinq :Internet r_3verti:iny - sign Advertising - Gxochures getup Lzbor 3B.5 Hours @ $25 Furniture Sterilization Paye: 9 -els.oo ei42~1~ '~~ri/~lZrl 750.00 360.69 200.90 200.00 N~~ 962.50 43.00 1,623.59 Less adjustments: Net due to seller: -1,823.59 5,243.91 Page 9 (9) THANK YOU FOR SELECTING ENST4INGER AUCTIONEERS! • } ~ ~~ r MYERS-HARNER FUNERAL HOME, INC. 1903 MARKET STREET CAMP HILL, PENNSYLVANIA 17011 717-737-9961 L,Ot:'AL,1.:Y" O~V1F.D :1ND (.)PE.KA'fEt) January 26, 2008 Mr. David R. Henry 3218 North Second Street Harrisburg PA 17110 Services for Reed S. Henry January 16, 2008 Cremation with Service Cremation Container Cash Advanced Newspaper Notice/Local Clergy Certified Copies Coroner Fee Total: Less Credit for Veterans Benefits: Total due within thirty days, please: ROBERT H. H_4R1`ER SUPERVISORII DUSTLY R KER FCJNERAL DIRECTOR $ 2,350.00 $ 140.00 $ 457.00 $ 2,947.00 - 100.00 $ 2,847.00 2~ ~~ ~~ ~~ C~C~'~" ~ ~ ~ z,ig ~1 . W~~ ~~ku''~` t ©~ ~~ ~~ 210.00 150.00 72.00 25.00 ROBERT ENSMINGER APPRAISERS 3557 ELMERTON AVENUE HARRISBURG, PA 17 ] 09- 1132 PHONE 7U-652-4111 FAX 717-541-9444 CELL 717-877-7350 E-MAIL: tbreeCOmpS(C7COIC1Cast.Ilet or Robert(c~Ensmingers. net WEB SITE: wwtiv.Ensmineers.net REAL ESTATE and PERSONAL PROPERTY FEDERAL TAX ID #23 -249203 8 iNVni~F. March 20, 2008 Marvin Beshore, Esquire 130 State Street P. O. Box 946 Harrisburg, PA 17108 Professional Appraisal Service: Estate of Reed S. Henry 207 N. 19th St. Camp Hill, PA 17011 Real Estate Appraisal Personal Property $ 300.00 1,375.00 Total $ 1.675.00 \~l ~~ OMB NU. 2502-0265 'Ir A„ B. TYPE OF LOAN DEPARTMENT OF HOUSING 8 URB N DEVELOPMENT U S 1.QFHA 2.QFmHA 3.QX CONY, UNINS. 4. ~VA ti.QCONV. INS. . . A • SETTLEMENT STATEMENT 6. FILE NUMBER: 20060681.PFD 7. LOAN NUMBER: 18093 8. MORTGAGE INS CASE NUMBER: C. NOTE: This form is famished 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 forinformational purposes and are not included in the it~tals. 1.0 3!98 (20080801.p(d29009001.PFDr.29) D. NAME AND ADDRESS OF BORROWER: Robyn Arva 45 Eisenhart Mill Road East Berlin, PA 17316 E. NAME AND ADDRESS OF SELLER: The Estate of Reed S. Henry 207 North 19th Street Camp Hill, PA 1701{1 ~t F. NAME AND ADDRESS OF LENDER: Credit Union Mortgage Association 9693-A Main Street Fairfax, VA 22031 G. PROPERTY LOCATION: 207 North 19th Street Camp Hill PA 17011 H. SETTLEMENT AGENT: 20-56(15713 Infinity Abstract 8 Settlements LLC I. SEfiLEMENT DATE: June 2'!, 2008 , Cumberland County, Pennsylvania 01-21-0269-064 PLACE OF SETTLEMENT Marvin Baeshore Attorney Harrisburg, PA 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 160,000.00 401. Contract Sales Price 160,000.00 102. Personal Pro a 402. Personal Pro e 103. Settlement Char es to Borrower Line 1400 4,653.04 403. 104, 404. 105. 405. Ad'ustments Forltems Paid 8 Seller in advance Ad'ustments Forltems Paid 8 Sellerin advance 106. Ci !Town Taxes to 406. Ci !town Taxes to 107. Coun Taxes ro 407. Coun Taxes to 108. Assessments to 408. Assessments to 109. 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 164,653.04 420. GROSS AMOUNT DUE TO SELLER 160,000.00 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. De osit or earnest mone 1,000.00 501. Excess De osit See Instructions 202. Princi al Amount of New Loans 160,000.00 502. Settlement Cha es to Seller Line 1400 3,225.00 203. Existin loans taken sub'ect to 503. Existin Icon s taken sub'ect to 204. 504. Payoff of first Mortgage 205. 505. Pa off of second Mort a e 206. 506. 207. 507. De osit disb, as roceeds 208 • 508. 209. 509. Ad'ustments Forltems Un aid 8 Seler Ad'ustments Forltems Un aid 8 Seller 210. Ci /Town Taxes to 510. Ci !Town Taxes to 211. Coun Taxes to 511. Coun Taxes to 212. Assessments to :r. 512. Assessments to 213. 513. 214. 514. 215. 515. 216- 516. 217. 517. 218• 518. 219• 519. 220. TOTAL PAID BY/FOR BORROWER 161,000.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 3,225.00 300. CASH AT SETTLEMENT FROMITO BORROWER: 600. CASH AT SETTLEMENT TOlFROM SELLER: 301. Gross Amount Due From Borrower Line 120 164,653.04 601. Gross Amount Due To Seller Line 420 160,000.00 302. Less Amount Paid By1For Borrower (Line 220 ( 161,000.00) 602. Less Reductions Due Seller (Line 520) ( 3,225.00 303. CASH (X FROM) ( TO) BORROWER 3,653.04 603. CASH (X TO) ( FROM) SELLER 156,775.00 The undersigned hereby acknowledge receipt of a completed copy of pages 1 &2 of this statement & any attachments referred to herein. Borrower R byn Arva ' Seller ~~ -~ . - David R. Henry Co-Executor 1~ Debo2h Dietr Cavalarrio Co-Executor _ p~j ~1GY' ~-} ~fnv~c~ ~. ~-knr'~ 1201. Recording Fees: Deed $ 38.50; Mortgage $ 64.50; Releases $ 103.00 1202. Ci /Court Tax/Stam s: Deed 1,600.00 Mort a e 1,600.00 1203. StateTax/Stam s: Deed 1,600.00; Mort a e 1,600.00 1204. 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Surve to 1302. Pestlns ection to 1303. Additional Settlement Fees to Document Delive Fee 35.00 1304. Termite Ins ection to POC:S972.00 1305. 1400. TOTAL SETTLEMENT CHARGES (Enter on_Lines 103, Section J and 502, Section K) / 4,653.04 3,225.00 ey signing page ~ of this statement, ifie slgnutories acknoxAetlge receipt N e completetl copy of page 2 of this two page state~ent In i Abstract & Settlem nts LL Settlement Agent l (20080681.PFD /2008~681.PFtJ 125 MARVIN BESHORE Attorney at Law 130 State Street, P.O. Box 946 Harrisburg, PA 17108-0946 Email: MBeshore(a~beshorelaw.com Telephone: (717) 236-0781 Facsimile: (717) 236-0791 July 14, 2008 Glenda Farner Strasbaugh Cumberland County Register of Wills Cumberland County Courthouse One Courthouse Square Admitted in Pennsylvania and New York EIN: 03-0386542 Carlisle, PA 17013-3387 n ;~~ ~:-' o ,~ Re: Estate of Reed S. Henry ;~c~ ~ .=~ . ,- r-- -.:; File No.: 21-08-0121 ''T' - _..1 7 ~ f ,',~~ ,l Dear Ms. Strasbaugh: _, ~. , Enclosed for filing in this estate is the Inheritance Tax Return, REV-1500. We have also,~= -~?~~ enclosed a check in the amount of $15.00 for the filing fee for the return. ~ Kindly time-stamp the additional front page copy of the return and return it to my office in the enclosed self-addressed stamped envelope. Thank you for your assistance. MB/tlm Enclosures cc: David Reed Henry, Co-Executor, (w/o encl.) Deborah Dietz Cavalarrio, Co-Executrix, (w/o encl.) ~ ~+ ~- ~ ~ " ~ ~; CJ (-. , ~, O h W 4 Z Q w cD J ~ {n r ~ ~ N W 4 N X z z m ZQma Z ~ a p ~ I ~ O O 0. m Q ~ N I ~ ~ Q S O H Ll+ ~ Q O Q7 ~ Q `~' oro M ~ O Q ~ O W~ p~ ~~~~°" Q,QQxw Q~W~~ Q~~U ~ ~ ~ U ~'-- :~. ...~- ..--- :~. . ,.. r- "' :'r ..." ..~" ./ :~ ..+'. /~,,.,.. a~ Y .r^^w