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HomeMy WebLinkAbout08-18-08 (2)REV-1500 Ex . (600) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) I- REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT IZ STONE CHARLES W. A/K/A C. WOODROW STONE W DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) U 03/18/2008 09/06/1917 Q (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) a ~ 1.Original Return ^ 2. Supplemental Return w n ~ ^ 4. Limited Estate ^ 4a. Future Interest Compromise (sate or death after iz-12-s ) 0 v a m ^ 6. Decedent Died Testate (Attach copy orwaq ^ 7. Decedent Maintained a Living Trust (Attach copy otTrusp a a ^ 9. Litigation Proceeds Received ^ l O. $pOUSaI POVerty Credlt (date of death between 12-31-91 and 1-1-95) 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) ~ Z ~~~~v VVV IIVI\ RIVJI C NAME o ROGER B. IRWIN E a , FIRM NAME (If Applicable) l ~ IRWIN & McKNIGHT p TELEPHONE NUMBER (717) 249-2353 Z O g I-- a Q U W Z O H a F- a O XU Q H vlrLe l eo. AlL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION S COMPLETE MAILING ADDRESS IRE 60 WEST POMFRET STREET RLISLE i 3. Closely Held Corporation, Partnership orSole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits 8 Miscellaneous personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) Separate Billing Requested 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) (1) 112, 500.00 (2) 26,695.88 (3) _ (5) 14,887.75 ',! ` (6) I ~ (7) - t 6,356.67 ~= PA 17013 OFFICIAL USE ONLY (8) 160 440.30 (9) 12,026.23 (10) 21,730.76 (11) 33 756.99 12. Net Value of Estate (Line 8 minus Line 11) (12) 126,683.31 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) ~~~ nv~ t IcuV f tuna un rctvtKJt 51Ut HOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 0.00 X OFFICIAL USE ONLY FILE NUMBER 2 1- 0 8 0 3 8 0 SOCIAL SECURITY NUMBER THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS (1a) 126 683.31 (15) SOCIAL SECURITY NUMBER ^ 3. Remainder Return (date of death poor to 12-13-821 ^ 5. Federal Estate Tax Retum Required _ 8. Total Number of Safe Deposit Boxes ^ 11. Election to tax under Sec. 9113(A) (Attacn scn o) 0.00 126 683.31 X .045 (16) 5 700 75 . 0.00 x 12 (17) 0 00 . 0.00 x 15 (18) 0 00 . 19. Tax Due (19) 5 700.75 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < Decedent's Com lete Address: STREET ADDRESS 210 BIG SPRING AVENUE CITY NEWVILLE Tax Payments and Credits: t. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount STATE PA I ZIP 17241 (1) 5,700.75 Total Credits (A + B + C) (2) 0.00 3. InteresUPenalty if applicable D. Interest E. Penalty Total InteresUPenalty (D + E ) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (3) 0.00 (4) 0.00 (5) 5,700.75 (5A) A. Enter the interest on the tax due. 5,700.75 (5B) B. Enter the total of Line 5 +5A. This is the BALANCE DUE. Make Check Payable fo: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS No 1. Did decedent make a transfer and: a. retain the use or income of the property iransferred : ........................................................................... ^ 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? ............................................................................................... ^ ^ 3, Did decedent own an "intrust 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 X 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. 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. DATE SIGN~ATUR OF PER~JSON RESPONSIBLE FIL~ETURN (~/yY ADDRESS 417 MT.'ZtON KUAU CARLISLE SIGNATURE OF PREPARER OTHER THAN REPRE NTATIVE ADDRESS 60 WES MFRET STREET PA 17015 DATE 3 ~., vV PA 17013 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger a1: death to or for the use of a natural parent, an adoptive paren , or a stepparent of the child is 0% [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 4.5°/~, 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 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has ai 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 -STONE CHARLES W / /A C WOODROW STONE 21 08 0 80 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 roe which is 'ointl -owned with ri ht of survivorshi must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 35 OLD MILL ROAD, WEST PENNSBORO TOWNSHIP, CARLISLE=, 112,500.00 CUMBERLAND COUNTY, PENNSYLVANIA SOLD -SETTLEMENT SHEET ATTACHED TOTAL (Also enter on line 1, Recapitulation) ~ $ 112,500.00 (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 STONE CHARLES W A/ /A C WOODROW STONE 21 08 O9R All property jointlyowned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. SERIES E SAVINGS BONDS -INVENTORY ATTACHED 26,665.88 2. 3 SHARES CUMBERLAND FARM BUREAU CO-OPERATIVE ASSOCIATION I 30.00 $10.00 PER SHARE TOTAL (Also enter on line 2, Recapitulation) I $ 26,695.88 (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER NONE CHARLES W. A/K/A C. WOODROW STONE 21 08 0380 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PERSONAL PROPERTY -APPRAISAL ATTACHED 4,831.00 2. IM&T BANK -CHECKING ACCOUNT #729361 TOTAL (Also enter on line 5, Recapitulation) ~ $ (If more space is needed, insert additional sheets of the same size) 10,056.75 14,887.75 REV-1510 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER STONE CHARLES W. A/K/A C. WOODROW STONE 21 08 0380 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 iNC~uoErHEVnMeoFrHEranNSFEaEe,rHEiaReurioNSHiProoECECENrano rHEOnrEOFraaNSrER nrracHacoavorrHeoEEOFORREn~esrnrE DATE OF DEATH VALUE OFP,SSET %OFDECD'S INTEREST EXCLUSION praPaucae~E) TAXABLE VALUE 1. BANKERS LIFE AND CASUALTY COMPANY 6,356.67 100. 6,356.67 ANNUITY CONTRACT #7780233 TOTAL (Also enter on line 7 Recapitulation) $ 6,356.67 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER STONE CHARLES W / /A C WOODROW TONE 21 08 0`1R Debts of decedent must be reported on Schedule 1. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B 2. 3. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)/EIN Number of Personal Representative(s) _ Street Address City State Year(s) Commission Paid: Attorney Fees IRWIN & McKNIGHT Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Relationship of Claimant to Decedent __ Zip Zip 4. ~ Probate Fees REGISTER OF WILLS 5 I Accountant's Fees 6. I Tax Return Preparer's Fees PATRICIA A. ROSENDALE, CPA 315.00 350.00 7. REGISTER OF WILLS -FILING FEE 30 00 8. NOTARY FEES . 9. CUMBERLAND LAW JOURNAL -ESTATE NOTICE 55.00 10. THE SENTINEL -ESTATE NOTICE 75.00 166 60 11. GROFF'S SEPTIC & PORTABLE TOILET -PUMP SEPTIC TANFC . 12. ROY D. GOTTSHALL -APPRAISAL ON PERSONAL PROPERTY 155.00 65 00 13. STEVEN W. BARRETT -APPRAISAL ON REAL ESTATE . 325 00 14. CLOSING COSTS ON SALE OF REAL ESTATE . 2,489.63 TOTAL (Also enter on line 9, Recapitulation) I $ (If more space is needed, insert additional sheets of the same size) 8,000.00 12.026.23 REV-1512 EX + (6-98) SCHEDULE I COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, IN REST DAENTED ~ DENT N MORTGAGE LIABILITIES & LIENS ESTATE OF FILE NUMBER STONE CHARLES W. A/K/A C. WOODROW STONE 21 08 0380 Include unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. GREEN RIDGE VILLAGE -NURSING 20,687.52 2. (CUMBERLAND-GOODWILL FIRE RESCUE -AMBULANCE ~ 126.19 3. (SPECIAL EVENT EMERGENCY -AMBULANCE I 76.00 4. IPP&L -ELECTRIC I 47.94 5. ~NEWVILLE COMM. AMBULANCE -AMBULANCE ~ 261.17 6. CONTINUING CARE RX -MEDICAL ~ 526.81 7. HEALTH NETWORK LABORATORIES -MEDICAL ~ 5.13 TOTAL (Also enter on line 10, Recapitulation) I $ 21, 730.76 (If more space is needed, insert additional sheets of the same size) REV-7513 EX + (o_nm COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER T HARLE W. A. W R W T NE 21 3 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 outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)j 1. WILLIAM R. STONE Lineal 126 683.31 417 MT. ZION ROAD , CARLISLE, PA 17015 2. EARL L. STONE Lineal 129 WALNUT BOTTOM ROAD SHIPPENSBURG, PA 17257 3. GARY E. STONE Lineal 2536 RITNER HIGHWAY LOT 107 CARLISLE PA 17015 4. JOYCE M. SNYDER Lineal 1087 OLD LIMEKILN LANE NEWPORT PA 17074 5. SHARON L. RHOADS Lineal 225 FARM ROAD NEWVILLE PA 17241 6 II. 1 HEIRS OF MARJORIE STONE SANDRA NASTELLI Lineal 400 MOUNT ROCK ROAD NEWVILLE PA 17241 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 MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I $ (It more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent STONE CHARLES W. A/K/A C. WOODROW STONE 21 08 0380 Decedent's Name Page 1 File Number Schedule J -Beneficiaries - 1 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS (include outright spousal distributions) 7. PAMELA LAUBACH Lineal 5 WHITE BIRCH LANE MECHANICSBURG PA 17055 8. DIXIE REILY Lineal 129 "A" LANE HARRISBURG PA 1 71 1 1-3949 k ;:. FHA Set~lement Statement - U. 5. Department of Nousing and Uraan CAVelepm_,en[ Form US HUG - 1 Page No. 1rl K ~2. Fm H,4 66, F1~ Ie Number ', 7. Loan Number i8. Mortgage Insurance ~( ,', 3. Conv. Unins. Case Number ~a.vA RE3095 '( , 5. Conv. Ins. _ _ __ _ ABST=6488_ I _ _ _ _ __ _ _ _ C. This form is furnished to give You a statement of a^ual settlement costs. Amounts paid to and by the settlement agent are shown. Items market "(p.o.c. !" were Caid outs [he closing; they are shown hero for_mformaticnal purposes and are nc[ indudeC in the totals. _ __ D. Name and Address of Bcrrower- i E. Name and Address of Seller: JOHN A. DYARMAN ESTATE OF C. WOODROW STONE MELANIE M. DYARMAN WILLIAM R. STONE, EXE+CUTOR 25 OLD MILL ROAD C/O IRWIN & MCKNIGHT CARLISLE, PA 17013 60 WEST POMFRET STREET, CARLISLE, PA 17013 rtN F. Name and Address of Lender G. Property Location ~ 35 OLD MILL ROAD, CARLISLE, PA 17015 WEST PENNSBORO TOWNSHIP CUMBERLAND COUNTY PARCEL NO. 46-07-0477'-003 H. Buyer's Settlement Agent: Frey & Tlley LaW OfflCe i I. Settlement Date: Place of Settlement: 5 South Hanover St. i August 1, 2008 15 South Hanover Street I~TIN 25-1730538 Carlisle, PA 17013 9:00 a.m. Carlisle, PA 17013 ]. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLEIR'S TRANSACTION loo Gross Amount Due From Borrower aoo Gross AmounC Due To Seller lol Contract sales price 112,500.00 aol Contract Sales price 112,500.00 102 Personal property a02 Personal property 103 Settlement charges from (line 1x00) 1,948.50 ao3 loo aoo 105 405 Adjustments for items paid by seller in advance: Adjustments for items paid by seller in advance: 106 City/town taxes 8/1/08 to 12/31/GB 113.54 aa6 City/town taxes 8/1/08 to 12/31/08 113.54 107 County taxes ao7 County taxes 108 Assessments 409 Assessments 109 a09 110 School taxes 8/1/08 to 6/30/09 1,244.99 alo School taxes 8/1/09 to 6/30/09 1,244.99 111 all 112 412 12a Gross Amount Due From Borrower 115,807.03 azo Gross Amount Due to Seller 113,858.53 ---------- 2oo Amounts Paid By Or In Behalf Dt Borrower 500 Reductions In Amountbue To Seiler zol Deposit or earnest money 1,000.00 sal Excess Ceposit (see instructions) 202 Principal amount of new loan(s)"' 502 Settlement charges to seller (line 14J0) 2 489.63 203 Existing loan(s) taken subject to 503 Existing loan(s) taken subject to 20a SOa Payoff of first mortgage loan 205 505 Payoff of second mortgage loan 206 506 207 507 208 508 209 509 Adjustments for items upaid by seller Adjustments for items upaid by seller 210 City/[own Lazes 1/1/08 to 9/:/08 slo City/town taxes 1/1/OB to 8/:/08 211 County taxes 511 County taxes 212 Assessments 512 Assessments 213 513 21a School taxes 7/1/08 to 8/1/08 51a School taxes 7/1/G8 to 8/1/G8 ', 215 1 515 216 516 I 217 517 218 519 ~ 219 519 22o Total Paid By/For Borrower 1,000.00 ___ 52o Total Reductions to Amt Due Seller 2,489.63 aoo Cash At Settlement From/To Borrower. 60o Cash At Settlement To/From Seilere" sal Gross amount due from borrower (line 120) ~ 115,807.03 sal Gross amount to seller from (line ago) 113,858.53 302 Less amounts paid by/for borrower (from line 2Z0) ~ (1,000.0! 602 Less reductions in amount due seller (from line 520): (2,489.63) 303 Cash (X) From ( ) To Borrower 114,$07.03 __________ 603 Cash ( )From (X) To Seller 111,368.90 __________ ,HUD-: L. SETTLEMENT CHARGES 7G0 total Sales/6rOKer S Comm. based on price: 112,500.00 @ "/o = 0.00 Division of Commission (pine 700) as follows: 701 tc 702 to 703 704 COmmissiOn paid aC Settlem 2nt 705 Boo Items Payable In Connection With Loan: (Mortgage Amt: 0.00) Total charges, Lines 801 through 0.00 801 Loan Origination Fee .000 % t0 soz Loan Discount .000 % to 803 Appraisal Fee to Boa Credit Report to 805 Lender's Inspection Fee to 806 Mortgage Insurance Applicaticn Fee to 807 Assumption Fee to 808 809 810 811 906 Items Required By Lender To, Be Paid. In Advance: 901 Interest From 1-Aug-08 to @ 0.000 per day = 902 Mortgage Insurance Premium fer months to 903 Hazard Insurance Premium for 1 years to 90a years [o 905 1000 Reserves Deposited With Lender: Toaf Reserves, Linesiooi inol•ugn x006: o,oo 1001 Hazard insurance mos. @ per month 1002 Mortgage insurance mos. @ per month 1003 Ci[y property taxes mos. @ per month 100a County property taxes mos. @ per month loos Annual assessments -mos. @ per month 1006 mos. @ per month 1007 School taxes mos. @ per month 1006 Aggregate Settlement Adjustment iloa Title Charges: 1101 Settlement or closing fee to 1102 Abstract or title search to 1103 Title examination [o il0a Title insurance binder to 1105 Document preparation to 1106 Notary fees to Lic7 Attorney's fees to FREY &TILEY/IRWIN & MCKNIGHT (includes above items numbers: ~ ~ 110& Title Insurance to FREY &TILEY (COMMONWEALTH LAND TITLE INS. CO.) (includes above items numbers: ~ 1109 Lender's Coverage $ Endorsements: 1110 0 wners Coverage g 1111 CLOSING SERVICE LETTER TO COMMONWEALTH LAND TITLE INSURANCE CO. iilz 1113 OVERNIGHT DELIVERY FEES TO FREY 8c TILEY 1200 Government Recording and Transfer Charges: :Deed Pages:.0 Mtq pages.: 1201 Recording fees: Deed $38.SO Mortgage Releases $ 1202 City/county/stamp Deed $1,125.00 Mortgage $ 1203 Sta[etax/stamps: Deed $1,125.00 Mortgage $ lzca izos f300 Additional Settlement Charges: 1301 Survey is 1302 Pest inspection Co 1303 Current Taxes due from Borrower/Seller to DEBORAH W. PIPER, TAX COLLECTOR 1304 1305 1306 1307 iaoo Totat Settlement Charges (enter o~lines 103, Section ]and 502, Section K) Page !vo. 2 Paid From i 700 Seller's Funds at 701 Settlement 702 ~- ---- 703 704 705 f 800 Paid From Borrower's Funds at 0.00 0.00 785.001 P.O.C. 38.50 1,125.00 I 1,125.00 ~ 8C ac BC 80 a0 80 88 80 80 81 81 90 9a 90 90 90 90 iac lOC 100 100 100 100 1007 loos 1100 1101 1102 1103 1104 1105 1106 uos 1109 110 .111 liz .113 .200 .201 zoz 203 zoo I i3ac 1301 1302 I 1,364.63 1303 1304 1305 11 1306 ___ 1,948.50 _ 1 2,489.63 ~ 1307 laoo HUD-1 CERTIFICATION I direct and authonze :he Cempany to make disvibutions indicated for my account on the attached HUD-1 Settlement Statement, approving the tax pro rations indicated therein, and understand chat pro raticns were based on figures for the preceding year, or estimates for [tie current year, and in the event of any change fcr the current year, all necessary adjes[ments must be made be[sveen Seller and 6crrower direct; likewise any DEFIC[T in delinquent [axes will be reimbursed to Attarney/Title dy Seller. I have carefully reviewed Che HUC-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my acmun[ or by me in this transaction. I further certify that I have recewed a copy of the HUD-1 Settlement Statement. ~ ~ ~~~~ OHN A. DYAR -? ESTATE OF C. WOODROW STONE - ~ -;~ ~2 - r C r ~ ~~~~~-n-L.~ M E M. DYARMAN WILLIAM R. STONE, EXECUTOR To the best of my knowledge, the HUD-1 Settlement Statement which I have prepared is a true and accurate account of [he funds which were received and have been or will be disbursed by the undersigned as part of the settlement of this transaction. August 1, 200EI Sett ment gent - WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include fine and imprisonment. For details see: Title 18 U.S. Code Section 1001 and Section 1010. INFORMATION REPORTING ON REAL ESTATE TRANSACTIONS THIS HUD SETTLEMENT STATEMENT CONTAINS IMPORTANT TAX INFORMATION (BOXES E, G, H, [, M AND LINE 401) AND IS BEING FURNISHED TO THE INTERNAL REVENUE SERVICE. IF VOU ARE REQUIRED TO FILE A RETURN, A NEGLIGENCE PENALTY OR OTHER SANCTION WILL BE IMPOSED ON YOU IF THIS ITEM IS REQUIREC TO BE REPORTED AND THE INTERNAL REVENUE SERVICE DETERMINES THAT IT HAS NCT BEEN REPORTED. Solicitation of TIN Seller is required by law to provide [he Attorney/Company with his/her correct taxpayer identification number. If ccmect taxpayer identification number is not provided, he/she may be subject td civil or criminal penalties imposed by law. Certification of TIN Under penalties of perjury, I certify that [he taxpayer identification number shown in this statement is my correct taxpayer identification number. Seller Date of Pro-Ration: August 1, 2008 ASSESSMENT: $103,860.00 Seller Date Parcel No.: See Settlement Sheet Lines 106 & 406, 110 & 410, 210&510, 214&514, and 1303 for Results of this Addendum TAX PRO-RATION ADDENDUM from July 1, 2008 [o June 30, 2009 School Real Estate Tax- Face 81,392.48 School Real Estate Tax- Per Day $3.81501 COUNTY & MUNICIPAL TAX Owes: _ from January 1, 2008 [o Decemher 3., 2008 _____ ~~ i Co. & Mur.ic. Real Estate Tax- Face ¢278 20 Co. &Munic. Real Estate Tax- Per Dav $0.76219 School [axes P.O.C. or charg etl [o Seller School taxes P.O.C, or charged to Borrower Co. &Munic. P.O.C. or cha coed [o Seller Co &Munic. 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V~ Lam... ~..r' yr, / C `_ ~ .~~~ ~ /~ ` ~ ~ ~' ~- ~" `' f'~"-°-_ / /~ - ~~/~t"~'~r~~ ~ ~}^.~-~l~a..°~`s,, ~({ILL ~ ~ ~"~ °~ 1 w f -.. _- :. ~~'~ ~~" s ,~, s i ~ --~,4 ~,/, ", r4 ~ -Y.~ ! ~ ~ i // ~ Cw~~ F.. .' c._ F.::-~''~i* `:tom ~~„~- ... MAY 'Get-~.-`~~~r f ~ . ~.- :. T%~:-;% </ ~:1 / /~ ~ ~~- C~ L--:~'~'7f ;./"1d~"~s~G~ Wit'- '"`".:~-~~,~- ~ --'x~~>r ~ -`'+~~j I s ~ ~,,.- ~ ~_ - _~-~- ~'~--~ ~-tom; ~. 1 ~~: -.. '. ~': ~~~,,~-'.~`~ _..~ % ~' f f ~:f ~ ' C` ~ ~~ ref ; , ~ / ~---- r ~ ~ ~ v Lam! -• - ''`%' ~~~ °~ ~ ~~ .i~~~ i,~~~ _ ~'f/ ~' ~ ` /, .~~~ ~~~ .::5~ :-` :;%~-`. --r.~`f}~=''~~_, ice" !~ ~~;~ ~a~ ~. ~~ ~ ~~ r J ~ ~ =/~ `,, ~' / , /~,_~ f ~~~~~ ~ , ~~ -~.. ~ ,~ I . l /' ~_ ~ ~C% {~// illy ~~ {, 1 f~ Z~ti~~~'Z""~.r'' Gii.. '~"''Xi'C_>-~'6 l ~,t!`~'s ,,,~^' „~:,L,~,•/ ~--~=~""?...~... '... ~~t%~% :~~L;~Z~T ~~,_ ~' I f -~~~~ h G ,nr• ~~~~ ~~ `~°~ '~ P ~~: . i ,~,~3~~~c~ ~ ~ 7 ~ ~ v e4`~~ ~ W ~~~ ~d~~_ a,* 917•+ 3865•+ 49• + 4~831•* 0• © MsT F~~nk 499 Mitchell Street, Millsboro, DE 19966 April 2, 2008 ~~~ Law Offices of Irwin 8v McKnight , ~~~ +` ,~ l West Pomfret Professional Building 60 West Pomfret Street ~t?~JVifd ,~ ~;1~rtil',.~ Carlisle, PA 17013-3222 ~q~p,~ t~F>-,~.`F~ RE: Fstate of Charles Stone Date of Death: March 18, 2008 Social Security Numlaer: 204-03-1476 Dear Mr. Irwin: In response to your request, please be advised that at the time of death, the above- named decedent had on deposit with this bank the following accounts. 1. Account Type ........................... Checking Account Account Number ....................... 729361 Ownership (Names oj~ .............. C. Woodrow Stone Opening Date ...........................09; 01/67 Balance on Date of Death ......... $10, 056.75 Accrued Interest $ 0 00 Total ....................................... $10, 056.75 The above named decedent did not have a safe deposit box. * If upon reviewing the information above, you believe there are additional accounts not referenced, please provide us with an account number and/or the name of any possible joint account holder. For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, please contact our High Street Carlisle Branch at 1 West High Street, Carlisle, PA 17013, or # 717- 240-4536. Sincerely, ~ ~ t ; w~ _ ~ .. Charlene Warrington, Records Management 1-888-502-4349 BANKERS ~TFE; AND CASUALTY COMPAN~.r ANNliITY SERVICES P.O. Box 1938 Carmel, rN 46032-1938 ("~72) 396-6006 July 2, 2009 C Stone 35 Old Mi11 Rd Carliolc, P1~ 17015 hE: Contract Number: 77130233 Annuitant: Ctone Deaf C Stull Thank you LUr~ Lkte c~~:~~YLutt.iLy l.u sclvice your insurance an,d retirement i needs, This letter is in xespense to your recE:nt inquiry regarding ! the values oxr Lrie above refererice~, cc.~it~tac;L . 't'his letter is Lo provide you witri your aru_ui~y c:c~ttLLd.~L valucb a5 of March 1131},7,, 1 U Uti A.CCUmulation Value: $ 6,35b.67 i We want to assure you of our continued commitment to provide you with the best possible insurance service. If you ha~.ve.any questions or.~ iP we may be of any additional assistance, you may contact customer service directly by calling the above number. Sincerely, Customer Sexvice Department BLCC307 GGG Fox local service, contact: Branch Sales Office 1051 1215 MANOR DR 8TE 300 MECHANICSBURG, PA 17055 Phone: (717) 791-2100 Agent: NONE D n ~_ Z D m m v m Z z D rn /~~~ i~v;~~~~ O D r D Z n m v c m 0 a> w 0 0 0 rn w 0 0 4 n~ -., 0 m 2 ~~ ~ ~ m v a 0 0 w 0 S (D C7 v A W N EA v A A O O dl EA 69 N N ~ O O CD ~ ~ CD 00 ~ A V V W Gt ~ G1 N N N