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Home My WebLink About07-18-08 (2)c 15056041125 REV-1500 EX (os-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BC1X 280601 INHERITANCE TAX RETURN 2 1 0 8 0 0 7 1 HarristUrg PA 17128A601 RESIDENT DECEDENT ENTER DECEDE~ 1T INFORMATION BELOW Social Security Number Date of Death Date of Birth 2 0 9 1 2 9 0 4 5 0 1 1 6 2 0 0 8 0 3 1 4 1 9 2 4 Decedent's Last Name B R Y M E S S E R Suffix Decedent's First Name P H Y L L I S (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number FILL 1N APPROPRIATE OVALS BELOW THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS MI M MI 0 1.Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ 4a. Future Interest Compromise (date of ^ 5. Federal Estate Tax Return Required death after 12-12-82) ^X 6. Decedent Died Testate ^ 7. Decedent Maintained a Living Trust 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 T0: Name Daytime Telephone Number H A R O L D S I R W I N I I I 7 1 7 2 4 3 0 9 0 Firm Name (If Applicable) I RW I N LA W O F F I C E First line of address 4 S O U T H P I T T S T R E E T Second line of address City or Post Office C A R L I S L E Correspondent's a-mail address: irwinlawotfce~gmail.com State ZIP Code .--~, REGIS WILLS U~ ONLY: ~~7 - - ~- ~""' - J }" ~. r., .___ -~~ ~ _._ Cfj ~;; ` j f ~ _~.j.~ ~. ~ - ~~ R, S -D .C~ DATE FILED .tp P A 1 7 0 1 3 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. SIGNA~UR~~FrP,E>RS RESPONSIBLE FOR FILING RETUR DATE (1 ~ 1 '1 ~ ') - (")'9 ADDRESS ~ , ( ~ ~+~ 188,SP,~tING D IVE ~.../ DILLSBURG PA 17019 Sims F PRFPARFR []L-16R TbFA~N REPRESENTATIVE DATE , 64 SOUTH PITT S~TREE'I 15056041125 CARLISLE PLEASE USE ORIGINAL FORM ONLY Side 1 PA 17013 15056041125 J 15056042126 REV-1500 EX Decedent's Social Security Number Decedent's Name: PHYLLIS M. BRYMESSER 2 0 9 1 2 9 0 4 5 RECAPITULATION 1. Real estate (Schedule A) ............ .......................... .. 1. 1 1 1 0 0 0 0 0 2. Stocks and Bonds Schedule B 2. 0 0 0 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 0 0 0 4. Mortgages & Notes Receivable (Schedule D) ........ .............. .. 4. 0 0 0 5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ..... .. 5. 3 2 9 5 6 5 2 6. Jointly Owned Property (Schedule F) ^ Separate Silting Requested ..... .. 6. 0 0 0 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ..... .. 7. 0 0 0 8. Total Gross Assets (total Lines 1-7) ......................... .. 8. 1 4 3 9 5 6 5 2 9. Funeral Expenses & Administrative Costs (Schedule H) .............. .. 9. 3 2 2 6 8 5 9 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .......... .. 10. 6 7 4 7 0 11. Total Deductions (total Lines 9& 10) ......................... .. 11. 3 2 9 4 3 2 9 12. Net Value of Estate (Line 8 minus Line 11) ....................... .. 12. 1 1 1 0 1 3 2 3 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ................ .. 13. 0 0 0 14. Net Value Subject to Tax (Line 12 minus Line 13) ................ .. 14. 1 1 1 0 1 3 2 3 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 _ 0 0 0 15. 0 0 0 16. Amount of Line 14 taxable at lineal rate X .045 1 1 1 0 1 3 2 3 16 4 9 9 5 6 0 17. Amount of Line 14 taxable 0 0 0 0 0 0 at sibling rate X .12 17 18. Amount of Line 14 taxable 0 0 0 0 0 0 at collateral rate X .15 18 19. Tax Due .............................................. ..19. 4 9 9 5 6 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT a Side 2 15056042126 15056042126 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 0071 DECEDENTS NAME PHYLLIS M. BRYMESSER STREET ADDRESS 714 GOBIN DRIVE CITY CARLISLE STATE PA ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. Interest/Penalty if applicable D. Interest E. Penalty 4. 5. 6,447.88 249.78 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. 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. 0.00 (4) 1,695.86 (5) 0.00 (5A) (5B) 0.00 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 : ...................................................................... ^ ^X 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? ....................................................... ^ ^X 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ^ ^X 3. Did decedent own an 'intrust for" or payable upon death bank account or security at his or her death? ......... ^ ^X 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................. ^ X^ 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(1.21 [72 P.S. §9116(a)(1)]. (1) 4,995.60 Total Credits (A + B + C) (2) 8,891.46 Total Interest/Penalty (D + E) (3) 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)]. Asibling 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 + (8-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER PHYLLIS M. BRYMESSER 0071 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. Reai roe which is ' int -owned with ri ht of survivorshi must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH HOUSE AND LOT AT 714 GOBIN DRIVE, CARLISLE, PA 17013 111,000.00 Value based on sale price -see HUD-1 attached as Exibit "B" TOTAL (Also enter on line 1, Recapitulation) ~ S 111,000.00 (If more space is needed, insert additional sheets of the same size) REV-1503 EX + (8-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER PHYLLIS M. BRYMESSER 0071 All properly jointty-owned with right of suninrorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. NONE 0.00 TOTAL (A1so enter on line 2, Recapitulation) ` 3 (Ifi more space is needed, insert additional sheets of the same size) REV-1504 EX + (6-98) SCHEDULE C CLOSELY-HELD CORPORATION, COMMONWEALTH OF PENNSYLVANIA PARTNERSHIP OR INHERITANCE TAX RETURN RESIDENT DECEDENT SOLE-PROPRIETORSHIP ESTATE OF FILE NUMBER PHYLLIS M. BRYMESSER 0071 Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH NONE 0.00 TOTAL (Also enter on line 3, Recapitulation) ~ 3 0.00 (If more space is needed, insert additional sheets of the same size) REV-1507 EX + (6-98) SCHEDULE D COMMONWEALTH OF PENNSYLVANIA MORTGAGES & NOTES IN RE8 DENTE ECEDENTRN RECEIVABLE ESTATE OF FILE NUMBER PHYLLIS M. BRYMESSER 0071 All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. NONE 0.00 TOTAL (Also enter on line 0.00 (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (6-98) SCHEDULE E CASH BANK DEPOSITS & MISC COMMONWEALTH OF PENNSYLVANIA , , . INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER PHYLLIS M. BRYMESSER 0071 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. 2006 Ford Taurus 10,725.00 Value based on Kelley Blue Book estimate attached as Exhibit "C" 2. F 8 M TRUST 12,770.69 Savings Account Value based on closing withdrawal -see Exhibit "D" 3. F 8 M TRUST 7,246.32 Checking Account Value based on statement attached as Exhibit "E" 4. MISCELLANEOUS PERSONAL PROPERTY AND HOUSEHOLD FURNISHINGS 1,325.00 Value based on auction prices bid and paid -see auctioneer's accounting as Exhibit "F" 5. WACHOVIA 436.70 Uncashed Retirement Checks 6. COMCAST FINANCIAL AGENCY CORPORATION 16.68 Refund 7. TAX PRO-RATION FROM REAL ESTATE SALE 436.13 See HUD-1 at Exhibit "B" TOTAL (Also enter on line 5, Recapitulation) ~ S (If more space is needed, insert additional sheets of the same size) REV-1509 EX + (6-98) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY•OWNED PROPERTY INHERITANCE TAX RETURN ESTATE OF FILE NUMBER PHYLLIS M. BRYMESSER 0071 Nan asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. A. SURVIVING JOINT TENANT(S) NAME JOINTLY-OWNED PROPERTY: NONE ADDRESS TO DECEDENT ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTERESI 1. A. NONE 0.00 0.00 TOTAL (Also enter on line 6, Recapitulation) I S 0.00 (If more space is needed, insert additional sheets of the same size) REV-1510 EX + (8-96) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER PHYLLIS M. BRYMESSER 0071 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIRREUTIONSHIPTOOECEDENTAND THEDAlEOFTRANSFER ATTACHACOPYOFTHEDEEDFORREALESTATE. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION QFAPPLICABLE) TAXABLE VALUE 1. NONE 0.00 0.00 SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY TOTAL (Also enter on line 7 Recapitulation) I ; 0.00 (If more space is needed, insert addRional sheets of the same size) EV-1511 EX + (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES ~ ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER PHYLLIS M. BRYMESSER 0071 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. HOFFMAN-ROTH FUNERAL HOME 8 CREMATORY, INC. 8,981.42 2. WESTMINSTER CEMETERY, LLC -Burial Plot 1,270.00 B. ADMINISTRATIVE COSTS: 1, Personal Representative's Commissions Name of Personal Representative (s) STEVEN BRYMESSER /NANCY HICKEY Social Security Number(s)IEIN Number of Personal / Street Address 188 SPRING DRIVE City DILLSBURG State PA Zip 17019 Year(s) Commission Paid: 2, Attorney Fees IRWIN LAW OFFICE 3. Family Exemption: (If decedent's address is not the same as claimants, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 6,758.26 7,500.00 4• Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS 314.00 5 Accountants Fees 6. Tax Return Preparers Fees 7. CUMBERLAND COUNTY REGISTER OF WILLS -File Inventory and Appraisement 30.00 8. CHAMBERSBURG WASTE PAPER CO., INC. - Dumpster Delivery, Rental and Pickup 408.40 9. COSTS OF SALE OF REAL ESTATE -see HUD-1 at Exhibit "B" 1,530.60 1 CARLISLE BOROUGH TAX ACCOUNT -Real Estate Taxes 588.85 11. CARLISLE BOROUGH -Water Bill 20.75 12. S.W. BARRETT REAL ESTATE 8 APPRAISAL SERVICE -Real Estate Appraisal 325.00 1. ELMER MURRAY AUCTIONS, INC. -Commission /Auction Expenses -Exhibit "G" 3,691.31 14. IRWIN LAW OFFICE -Terms of Sale /Public Sale /Deed /Real Estate Settlement 850.00 TOTAL (Also enter on line 9, Recapitulation) S 32,268.59 (If more space is needed, insert additional sheets of the same size) 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 PHYLLIS M. BRYMESSER 0071 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PPBL Utility Bills 2. BOROUGH OF CARLISLE Utility Bills 3. (SUBURBAN PROPANE Utility Bill 4. Embarq Utility Bill TOTAL (Also enter on line 10, Recapitulation) ~ ; (If more space is needed, insert additional sheets of the same size) 178.22 62.50 409.31 23.67 674.70 REV-1513 EX + (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER PHYLLIS M. BRYMESSER 0071 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outnghtspousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. STEVEN R. BRYMESSER Lineal 188 Spring Drive 50% Residue Dilisburg, PA 17109 2. NANCY S. MICKEY Lineal 110 Meadowbrook Road Jewelry 8 50% Residue Carlisle, PA 17013 3. SANDRA BRYMESSER Lineal Jewelry ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. NONE 0.00 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. NONE 0.00 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET E 0.00 (If more space Is needed, Insert atltlitlonal sheets of the same size) LAST W/LL AHD TESTAMEHT I, PHYLLIS M. BRYMESSER, of Carlisle, Cumberland County, Pennsylvania, do hereby make, publish and declare this to be my last will and testament, hereby revoking all wills previously made by me. 1. {direct my personal representative to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. i direct that all inheritance taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property, whether or not such property passes under this Will, shall be paid by my personal representative out of my estate. 2. I authorize and empower my personal representative to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at either public or private sale or sales and to give good and sufficient deeds andlor bills of sale therefor, in fee simple, as I could do if living. My representative is authorized and empowered to engage in any business in which 1 may be engaged at my death, for such period of time after my death as seems expedient to said representative. 3. All the rest, residue and remainder of my property, real and personal, 1 give, devise and bequeath to my spouse, Harold S. Brymesser. 4. 1f my spouse does not survive me by a period of sixty (60) days, then my estate I give, devise and bequeath as follows: A. All my jewelry to Nancy S. Hickey and Sandra Brymesser, share and share alike; and all the B. Rest, residue and remainder to my children, Nancy S. Hickey and Steven R. Brymesser, share and share alike. 5. I nominate and appoint my spouse to be the personal representative of my estate, to serve without bond. If for any reason my spouse cannot or does not serve then I appoint Nancy S. Hickey and Steven R. Brymesser as substitute co-personal representatives without the filing of any bond and with the same powers. 6. I suggest that my personal representative retain the services of Harold S. Irwin, III, Esquire, Carlisle, Pennsylvania in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 31St day of January, 2006. ~~ r,~ ~ ~ , ~ ~ ' ~,~'~ --~ .y~ ~ .. (SEAL) PH LIS M. BRYMES~'ER Signed, sealed, published and declared by the above-named person as and for a last will and testament, in our presence, who, at said person's request, in said person's presence and in the presence of each other have hereunto set our names as subscribing witnesses. i / r~ ~../`CJ~--/ ~~ ACKNOWLEDGMENT AND AFFIDAVIT WE, PHYLLIS M. BRYMESSER, SARAH A. HARDESTY and RHONDA S. IRWIN, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her last will and that she had signed willingly, and that she executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ~ ~ f 1 .~ ~ P LLIS M. BRYM SER f i '~v ~L~. ~ l C~-~ RHONDA S. IRWIN COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND :ss: Subscribed, sworn to and acknowledged before me by PHYLLIS M. BRYMESSER the testatrix herein, and subscribed and sworn to before me by SARAH A. HARDESTY and RHONDA S. IRWIN, witnesses, this 31ST day of„January, 2006. " ~" Notary Public A. Settlement Statement SELLER(S) SIGNATURE(S): 1. ^FHA 2. ^FmI•LA 3. ^Conv. Unins. 6. File Number 7. Loan Number 8. Mortgage Insurance Case Number This form la fumiahW to give you a statement of actual setaement costa, Amcunta paid to arM by the settlement agem aro snows. C. Note: hems marked'(p.o.c.)' ware paW eutafda tna doting; they are shown Here for inormeton purpoaas and are rat 4nduded in the totals. WARNING: 11 ie a crime to knowirpy make false atatemenla to me UnaeO States on mia or any Omer similar form. Panemes upon TitleExpress Settlement System D. NAME OF BORROWER: Eugene $. Keeney and Terri L. Keeney 1 e a o Carlisle PA 17 13 E. NAME OF SELLER: The Estate of Phyllis E. Brymesser 4 Dr v 1's 17 F. NAME OF LENDER: N/A G. PROPERTY ADDRESS: 714 Gobin Drive, Cazlisle, PA 17013 az i e orou h x. sETTLEMENT AGENT: PA Real Estate Settlement Services, LLC 4 1 x r .... ad t8 1 17 _. . S MMARY F B RROWER'$ TRANSACTION: K. UMMARY F SEL ER'S TRANSA TION: .....111 000:00 _ 111 000.00 1 970.88 r' 06 06 OB 12 31 08 336.25 06 06 08 12 31 08 336.25 06 06 08 06 30 OB 99.88 06 06 08 06 3008 99.88 113 407.01 _111 436.13 15 000.00 15 000.00 1 530.60 f i I r 15 000.00 16 530.60 113 407.01 111 436.13 15 000.00 16 530.60 98 407.01 94 905.53 SUBSTITUTE FORM 1089 SELLER STATEMENT: The information tonteined herein is important tax Information end.is Doing fumishad b the Internal Revenue Servirs. tt you are required to Bla a return, a negligence panaay or atl»r aancDOn wig ba imposed on you d mia item is requiretl to be reported and me IRS determines mat it has not been eoported. The Contra Sales Pdce desatbed on line 401 above conedWtes me Grose Proceada of this freneaoaon. You are required by law b provide me aaltlemam agent (Fad. Tax ID No: ) wim your Correa taxpayer identi8ration number. tt you do rwl provide your Correa taxpayer itlentficaaon number, you may be wDjed to dv8 w r7iminal penal9es imposed by law. Dyer paned pana~perjury, f certiry that ma rrumbar shown on mia statement a my canes ta~ayer idemificeaon number. TIN: / SELLER(S) NEW MAILING ADDRESS: _ U.S. Department of Housing and Urban Development (1AAR Anunvml iJn ~rm_mas re,rniree ~ s nnnnnot SELLER(S)PHONE NUMBERS: _ U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT File Number: KEENEYE06-O8 PAGE 2 HUD CERTIFICATION OF BUYER AND SELLER I h reviewed the HUD-1 ettlemeM Statement and b the beat o! my knowledge and belief, a Is a true and axurete atatemant of ell receipt and diabursemants made on my account or Dy me this LruM r oeNty N I have the HUD-1 Settlement Statement . 4..~~ eeney Tern L. Keeney Tha E 's E. Brym r WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE The HUD-t Setlement Statement whkh I have preDeretl is a true and accurate exount of this transaction. UNITED STATES ON THIS OR ANV SIMILAR FORM. PENALTIES UPON CONVICTION 1 have Cause 'I saI cause [he~tla to be disbursed In accordance wito be disbunied In accordance with Ws statement CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE 18: U.S. CODE SECTION 1001 AND SECTION 1010. ~ ~ ~~ ey A wacxovra FROG SWITCH 8 I~G PROD Wachovia Bank, National Association Retirement Services Charlotte, North Carolina 28286-1155 ID: 000289 SSN: XXX-XX-9045 PAYA~NT DATE: 06/01/2007 CHECK #: 0005434514 NET AItOlJ1JT : S 218.35 000289 G00308 PHYLLIS E BRYt~SSER 714 GOBIN DRIVE CARLISLE PA 17013 FOR INQUIRIES, CALL OR WRITE 1-877-877-1207 WACHOVIA BANK, N. A. WACHOVIA RETIREMENT SERVICES 401 MARKET STREET PA-4296 PHILADELPHIA, PA 19106 Payment Amounts Deduction Amounts Current Year-To-Date Current Year-To-Date ~iuSS i 2113.35 Y 655.05 TOTAL DEDUCTIONS ~ TAXABLE i 218.35 S 655.05 FEDTX NONTAXABLE PENSION S 218.35 THIS IS A STATEMENT OF YOUR BENEFIT PAYMENTS AND DEDUCTIONS PLEASE DETACH AND RETAIN FOR YUUR PERSONAL RECORDS. I ,W'ACHOVYA FROG SWITCH & MFG PROD Wachovia Bank, National Association Retirement Services Charlotte, North Carolina 28288-1155 ID: 000289 SSN: XXX-XX-9045 PAYMENT DATE: 11/01/2007 CHECK #: 0005842332 NET AMOUNT: S 218.35 000289 001520 PHYLLIS E BRYMESSER 714 GOBIN DRIVE CARLISLE PA 17013 FOR INQUIRIES, CALL OR WRITE 1-877-877-1207 WACHOVIA BANK, N. A. WACHOVIA RETIREMENT SERVICES 401 MARKET 51'REET PA-4296 PHILADELPHIA, PA 19108 Pay me nt Amounts _ , Deduction Amounts _ _ _ _ _ ___ _ _ '~ Current Year-To-Date _ Current Year-To-U~te GRUSS S 218.35 S 1,746.80 TOTAL DEDUCTIONS ~ _ TAXABLE S 218.35 S 1,748.80 FEDTX NONTAXABLE PENSION S 218.35 THIS IS A STATEMENT OF YOUR BENEFIT PAYMENTS AND DEDUCTIONS. PLEASE DETACH AND RETAIN FOR YOUR PERSONAL RECORDS. COMCAST CABLE COMMUNICATIONS O40CBDT-0000049339'78 4008 N. DUPONT HIGHWAY ATTN: SUPPORT SERVICES NEW CASTLE, DE 19720 03720 PHYLLIS BRYMESSER 714 GOBIN ST CARLISLE, PA 17013-1511 I~~IIII~I~III...,~~II~~II~~~~II~I~I~~~III,~~II~~~II~I~~I~I~I~I Comcast Dear PhyAis Brymesser, The attached check represents a subscriber refund for account number 09547-361606 in the amount of $16.68. If you have any questions or concerns regarding the refund check you can write us at the address above or call Comcast's toll free customer service number at 1-888-COMCAST. Check Date: 02/19/2008 __ Check Number: 159283184 __ DETACH AND RETAIN THIS STATEMENT THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED ABOVE. tF' NOT CORRECT, PLEASE NOTSFY US PROMPTLY. NO RECEIPT DESIRED. Kelley Blue Book -Private Parry Pricing Report -Ford, Taurus 2006 Ford Taurus SE Sedan 4D SLUE ~~'=' PRIVATE PARTY ~:~.11E ~u QMglll~ Condition Value ~ y~' Excellent $10,725 e (Selected) - Good $10,025 Fair $9,150 Average Consumer Rating {287 Reviews) Read Reviews ,,,, _ _ aZ out of 5 Review This Vehicle Vehicle Highlights Mileage: 4,000 's Engine: 6-Cy1. 3.0 liter Transmission: Automatic Drivetrain: FWD Selected Equipment Standard Air Condikioning Power Door Locks AMJFM Stereo 4. Power Steering Tilt Wheel Cassekte Power Windows Cruise Control Dual Front Air Bags Biue Book Private Party Yaiue Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "AS Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. Vehicle Condition Ratings _ __ .#/ Excellent (selected) _ $10,725 • Looks new, is in excellent mechanical condition and needs no reconditioning. • Never had any paint or body work and is free of rust. • Clean title history and will pass a smog and safety inspection. • Engine compartment is clean, with no Fluid leaks and is free of any wear or visible defects. • Complete and verifiable service records. Less than 5% of all used vehicles fall into this category. Cwt30fj $20,€?25 Page 1 of 2 ~~~i~nnQ THE TRttSTED RESOURCE ,_~. Send to Printer _. adv.. t same^t. Close Window :THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK. THE FRONT OF THE DOCUMENT HAS A MICR0.PRINT SIGNATURE LINE. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. 20 South Main Street ~~~ Chambersburg, PA 17201... 1 ~ 1 p p /~ ReMirreA - - ~,'~ February 1,2008 22s'so6 ' DATE PAYORDEREOF Estate of Phyllis" Brymesser ~ 12 , 770 .69 ~~ ' c''~ ~ ~'~ ~ DOLLARS O ~~' V ~ ` ~ ^ ~ ~~ ~ DRAWER: F&M TRUST ISSUED BY: TRgVEfLVE-RSHXPRESS(CVO_MPANY, INC. P.O. BOX 9476, MINNEAPOLIS, MN 55480 DRAWEE: US BANK, ST. PAUL, MN - M' - AUTRORIZED SIGNATURE ~~' L8 ~884~i' `' x:0960 L6 76 5~:0 1600 L0446900i~' s ' ~ RETAIN FOR YOUR RECORDS 20 South Main Street ~~- Chamtiersburg, PA 17201 Q REMITTER ~ ~ ~ V ~ ~ fJ R MAS ~ ~ ~ ~~ds sso M ~ T A PAYABLE TO ~~~ ~SC~ ~.~.E~~'VI~ 1 I S #~~~d'1 _ v A B L E 72bb.~2 R ~,t, v, OFFICfAL CHECK ~ FOR E P T I ? .. ~~ ~ ,...i, - ... ~. is '~.: ¢:. ~::°i:! ii ::~ t`.. ~a ~tl.;S A:#'f'"y iff E• =a 6:r i~ Y` ~ 1..• c:~t'f' .i. 7. E' .!, k? ~.t._tTit:43{ 1.1113°;i'~Y Hi al..• i .tt.ii'~i'tir. 11'•fL~„ 1. # 3'*3 „ i+d er. 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COti1 t~a_tc~tac~r,eer~z ~ti~n~r`<~ ~tv ~7~~i~_~_V l..ic.~,~t^:~-~. ,~yett.teiifl3r,'~ --~~~1.:.~.~].c. 1:~~-~mes=e~^ ~-~aqe: ti s~~ a .~. ~. ~" 1__ ~ .~. ~:'.:. ~^ T t't L, i" / .! "F is ± s? S31 rf i.11~` 1 ~J e 3. 'CeAi 11e~C''f'"1C}~ZGr~ ~-'3'`'i~'e ~;!tV iGta.t } : i` a e~ ? ~ :' .L i ~L~ . k~l~t } e T y'' i £! E 5" ~'~ C}'r' 1 ter. 4Ci~.~ ~ , S •~ e m s ~ i::~ `j hl ii! Q Li rs t : :~ , .5i ~~. 1t~~ ~~t~y~r~ ~~~~~tFeY auc r lLli~1 lr~~ tr'iC{"3~'r~ti i~ix_iY" 3-.v .-. i-~~_i~t~ io~reer- Elmer Murry Auctions, Inc. Richard P. Murry, Auctioneer Lic# 649--L FINAL ACCOUNTING SUMMARY Seller rymesser Estate 14 Gobin Drive :arlisle, PA Selling price of Estate Commission: 3% AMOUNT DUE TO AUCTIONEER Date of Sale: Tues, May 13, 2008 Location of Sale: Carlisle - on site $111,000.00 $3,330.00 $3,330.00 Amount due at close of estate payable to: Elmer Murry Auctions, Inc. 14. N. Walnut J 2nd Floor East Mechanicsburg, PA 17055 www.richardmurryauctioneer.com 5222 E. Trindle Road Mechanicsburg, PA 17050 717-790-2240