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Home My WebLink About10-10-08 J 15056051058 REV-15 0 0 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes '~ County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT ' 21 08 0203 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 185-26-3472 02/13/2008 04/09!1935 Decedent's Last Name Suffix Decedent's First Name MI Kitner Angeline M (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 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) ;~! 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 ice".'>> 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - 7HIS SECTION MUST 8E COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD 8E DIRECTED TO: Name Daytime Telephone Number Tricia D Naylor (717) 243-7437 Firm Name (If Applicable) _ REGIS'T'ER OF WILLS USE ONLY Law Office of Tricia D r-ti: First line of address .'--= _ ,-~ ~..~ ~ -~ _ 104 S Hanover St ,~ ,., r~ ti "~ ._. ~~ _ _ , ` _ _.; Second line of address ;--r,i C; City or Post Office State ZIP Code _ ^'3 DATE Fat;='D ' y.,. _ PA ' 17013.. Carlisle ~~ I`J , ~' y.. .~ Correspondent's a-mail address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNAT RS ESPONSIBLE FOR F LING RE DATE ~ -__-- ---- --- J ~ t~~ f ~ ._~~ Bo 123, 3 S WatcF St , wburg, PA 17240 -- - - SIG T~J~EOF P R H THAN REPRESENTATIVE 1041S Hanover St. 17013 P 15056051058 -__ - _. l o T ~_U v 5~ -- -~ ORIGINAL FORM ONLY Side 1 15056051058 15056052059 REV-1500 EX Decedent's Social Security Number Angeline M Kitner 185-26-3472 oeoeaenrS Name: ~..m _. ._... __ _ _ _. __,.,._.._,_ .~...__ ._~...__ . _.._~.. ._. , -.__. _._ _..~.. ~.. ~__.... ~ . __ ..... ....~ _ . _ _ RECAPITULATION 1. Real estate (ScheduleA) .......................................... ... i.', 135,500.00 2. Stocks and Bonds (Schedule B) .................................... ... 2. ,' 3 Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. ... 3. '' 4. Mortgages & Notes Receivable (Schedule D) .......................... ... 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ..... ... 5. I 64,141.05 6. Jointly Owned Property (Schedule F) r~:~~ 5eparate Billing Requested .... ... 6. ' 9,069.57 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) >::.~ Separate Billing Requested..... ... 7. 8. Total Gross Assets (total Lines 1-7} ................................. ... 8. 208,710.62 9, Funeral Expenses & Administrative Costs (Schedule H) .................. ... 9. ! 14,804.38 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............. ... 10, 1,145.08 11. Total Deductions (total Lines 9 & 10) ................................ ... 11. 15,949.46 12. Net Value of Estate (Line 8 minus Line 11} . . ......................... ... 12. 192,761.16 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ..................... ... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ..................... ... 14. ' 192,761.16 _.. o .. --. _ ..~_. ~ ...,e~,,..-..ew,, r_.. ~....,w.m_~.~..._~.~..-......vm~....m.._._~...- .~_ TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES .._..~ .._. e.,-. ..a.. ,~.._.. ~. _..__ ..w__ _ _ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 _ _ (a)(L2) X .0^ 15. 16. Amount of Line 14 taxable at lineal rate X .0 45 192,761.16 16, 8,674.25 17 Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE ...................................................... ... 19. 8,672.25 20. FILL IN THE OVAL lF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~' 15056052059 Side 2 15056052059 , REV-1500 EX Page 3 Decedent's Complete Address: _An_geline_ _ STREET ADDRESS 3174 Spring Road CITY Carlisle Tax Payments and Credits: STATE ZIP PA 17013 1 Tax Due (Page 2 Line 19) (1) 8,672.25 2. Credits/Payments A. Spousal Poverty Credit __- ___-___ e. Prior Payments 10,400.00 C. Discount 433.61 -f - Total Credits (A+ B + C) (2) 10,833.61 3. InteresUPenalty if applicable D, Interest E. Penalty Total Interest/Penalty (D + E) (3) 4. !f Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fiil in oval on Page 2, Line 20 to request a refund. (4) 2,161.36 5. If Line 1 + Llne 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A, Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 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 :...................................................................................... .... ^ b. retain the right to designate who shall use the property transferred or its income : ........................................ .... ^ c. retain a reversionary interest; or ...................................................................................................................... .... ^ d. receive the promise for life of either payments, benefits or care? .................................................................. .... ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .......................................................................................................... .... ^ 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 (O) 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 fax 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 nel value of transfers io 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)]. 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. M Kitner 21 ~ ~ 08 ;0203 DECEDENT'S SOCIAL SECURITY NUMBER 185-26-3472 t REV-1502 EX+ (6-98) ~' SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Angeline M Kitner 21-08-0203 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 (acts. (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 INHER{TANCE TAX RETURN pERSONAI PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Angeline M Kitner 21-08-0203 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 M&T Bank CD #31003913903398 20,000.00 2 Interest on item 1 60.22 3 M&T Bank CD #31003914381056 37,477.52 4 Interest on item 3 124.97 5 2004 Hyundai Elantra Sedan 5,200.00 6 2006 Property Tax Rebate 236.54 7 2007 Economic Stimulus Check 300.00 8 AARP Refund check 143.25 9 Misc personal property 500.00 10 Erie Insurance Homeowners Policy Refund 41.00 11 Comcast Cable Refund 57.55 TOTAL (Also enter on line 5, Recapitulation} $ 64,141.05 (If more space is needed, insert additional sheets of the same size) REV•1509 EX+ (6-98} ~ x; m: COMMONWEALTH OF PENNSYLVANIA INHERfTANCE TAX RETURN aCCInGt\IT nF!'FnFNT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Angeline M Kitner 21-08-0203 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Rodney W Kitner 3 Water St PO Box 123 Newburg, PA 17240 Son B. C JOINTLY•OWNED PROPERTY: ITEM rdUMBER LETTER FOR JOINT TENl.NT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION ANp BANK ACCOUNT NUMBER OR SIMILAR. IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY•HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET °6 OF DECD'S WTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST ~ a 08102/02 M&T Checking Account #978736 wish accrued interest 18,139.13 50 9,069.57 TOTAL (Also enter on line 6, Recapitulation) j $ 9,069.57 (If more space is needed, inseR additional sheets of the same size) REV-1517 EX+ (12-99) } COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Angeline M Kitner SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-08-0203 Oebts of decedent must be reported on Schedule I. ITEM NUMBER DESCR1PTtON AMOUNT A. FUNERAL EXPENSES; t' Lisa Kitner -reimburse for church donation and food for reception 573.75 z Carlisle Memorial Service 170.00 e. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Stree(Address City .State Year(s) Commission Paid: 2. Attorney Fees 3. 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 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees ~. Legal Advertising {The Sentinel & Cumberland Law Journal} s Diversified Appraisal Services s Sally McClintock -house cleaning 1o Scott McClintock -furniture removal ~ ~ Gardners Carpentry -lawn care ~z Total from Schedule H Continuation Zip 4,012.50 ,Zip 356.00 177.86 300.00 300.00 300.00 200.00 8,414.27 TOTAL (Also enter on line 8, Recapitulations I $ 14,804.38 (lf more space is needed, insert additional sheets of the same size) SCHEDULE H CON'T Estate of Angeline M Kitner File # 21-08-0203 12 Orrstown Bank (stop payment fees) 12.00 13 Carlisle Propane 58.67 14 Calaman's Lawn Service 2478.19 15 PPL 71.92 16 Shipley Energy 353.98 17 Recorder of Deeds 38.50 HUD Expenses 18 Sales Commission to Dawn Realty 19 Transfer fee to Dawn Realty 20 Real Estate Transfer Tax 21 County property tax 22 School tax TOTAL 4290.00 95.00 715.00 146.06 54.95 $414.27 REV-1512 EX+ (t2.03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT scHE~u~E ~ DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Angeline M Kitner 21-08-0203 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-W) ~ SCHEDULE J COh,4MONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Angeline M Kitner 21-08-0203 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE 1 TAXABLE DISTRIBUTIONS (include outright spousal distributions, and transfers under Sec. 9116 {a)_(1.2)]_ 1 Jesse A Pennabaker 3411 Spring Rd, Carlisle PA 17013 grandson 99907.48 2 Samantha Moore 151 Stony Creek Rd, Dauphin PA 17018 i granddaughter 35907.48 3 Judy Ann Turner 403 N 4th St, Scottsville KY 42164 daughter 23938.32 4 Rodney W Kitner 3 Water St, Newburg PA 17240 son 33007.88 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 1&, AS APPROPRIATE, ON REV-1500 COVER SHEET 11 NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 8. 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) r r A. SettlBTent 51:01:8ment V.S. Department of Flousinp ' and Urben Development /.~ ~r OMB No, 2502.0265 B. Type of Loan 1. ^ FHA 2. ^ FmHA 3. ^Conv. Unins File Number Loan Number Mortgage Insurance Case Number 007 80001257 4. [] VA 5. ®Conv. Ins. C. NOTE:Tnis form Is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. hams marked "p.o.c" were paid outsWe of clos(ng; they are shown here for informational purposes and are not included In the totals. D:NAMtri~+t~Ibi;A OR •...: !~' y~ .,r ~yy .......... ............ .. ...Y.... ..~$.~~'. ...~ ~ ^.IrA /lft~"•r~A .:::::.; .. .... .. .... .. .. ........ ... .... ... _:.. ;:::~:::;:•:::•:i;°::.::::;x:.:^:.°S:::r::L:^:.^et:°::dr:1::^a:::::::::::::::::::::::°::::::::^d::::::d::,:::::r::,:c1:e::,::^:...:::: e:: :... :,_ _. . ....... ... .....::.::::~ :::::::::.. .:..:.~14.ifillfa ~`.'i7r`:%Mt,.Holl ..S rTn s, .P.A.::::::.:::::::::::::::::~ :~ :::::::::~ ~ ::-::::~ ::::::::::::::::::::::~ .it ::a t~ ::::::a :::~ .. -:- :.:::....:~ ::.:::::.:::::::.:.:::::::::::::~ ::::::::::•::,:::••:::::::••~ ::::•::::::::~ •::R.~ ::•: y...•,::::.;.,Y:...P:,::~ 9.;,~......,.........;..................................................................................................... ..... • E. NAME AND ADDRESS OF SELLER: Ray W. K/tnef, deceased Angepne M. lUtner, deceased Carlisle, PA 17013 3174 Sprfny Road, Carlfsle, PA 17013 . ::' , . ::. .:aeiiattl3~rs'tbwa:Banktt:::5. ,F..,NAM6:AND.ADDRE~S:.QF.LENDER: ............................................... iss;tas::is:::::a;;~;::::;:atats::::::att~ ;t~:~ 3a~ t:;:at~;;;;:: ~:~t::::::;;tt:::~ :;[:~: °; :::::::::;t~ ::::::..:: ::: .......................................................................:........:.....:.:....:::::........:......:::......:::.....:::::...::.:::.:. :.:::_ _ , . _ iiriti:i::ae.'•riiSii°ii°F.'•ir.`:'~r?ii'irrriiirrcirrrrrrr:'riFFrrrrirrr2ri: 95 .~lL..:J~. .:..8~; ~~'$li ........ ...•~J'!11'••~i}~r~'i1 ~'/::FrFirjiirirryrrFrrrrrrrirFri:`•rFrF.'riiiucrrrr"rrrcii+rr iirr;i:;:E;f;i;i;i;:;i;;i';;;::.i°:; .....: :` G. PROPERTY 3174 Spring Road LOCATION: Carlisle, PA 17013 1 5~T1'l.£MEt~Cf AGBN'1`s• :::::::::::::~ ...::::::::::::: ........ .. ...7f~1' ....... ..6. ..... . :: :,:~:.:.:. •: •::::: ::::•::::: :::::::.::.::..::~ :::•::::::~:.::::~::•: •.~.:: ,:.:: •::.::.: ,::.-:.. v.; ....... ........................................................... ::::: ' .. . ... .... ... .......... • ......:. .... : .... . i:FFiirr: <isiiirrrr~ititi;'iiiiriiFriFitirrrriiiiiiiriFriirir::`:~:::ri;i::.:'.':':,::. . ::::':i ~~~~QF;S~T~'L:~M~(1'1'SFri;inFifiaT:Yyesr:~SAUth'..i^trae :Carlls/e:f>A;170fS:...::.:•:::::.::~..• :.:::::::::.::::::::::::::::::::::::.: ,....-::.',•.:.. I. SETTLEMENT DATE: 08105/1008 RESCISSION GATE: J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION i1ctl~RQS~~AMQllNT'DtSE;F.RQM.B~}Rf?Q1AtER::':•i;ii:;ii ::'{its :::':ii:;;i~:::::i::ii. 4i0tl.6R4'SS~S'Mf3kii~tTDL1Er:'E'Q`SE£LER~is':::::i;r:;.:rr;fri';`:;`':;i ..:: `:. C.nlract.5a?es.._rw.&::.:!:~::::::~it:d::ca:::::?:ii::;:}:~:.};:•;i}i>::.,::~: i:::•;tt;:• : ...::::::.. : 7 500. Sr.r~S.'Olth+~~T@S:PF(GR.................................................................... ..._.....5.'rii _~J~do i' 102. Personal Property 402. Personal property ~. ettl~t}fent9 rharges~bortow8l":.• :::............:::::::: •::::..:::::::.. .... ....... :: :. ~:::::::::: .:::::::. 4g3.:::......:..::::::::.:.::::::::::::::::::::;:::: :::::::::::::::::::::::::: ... ........................................................................................ ;;ii~:" :..:r;:• ::..::::::::::.: ,.. ... ... :.::.:::::.. i.(tom:Ikle:f:40a... ...... `_:._ :~:::::::: °..'riiiii:•~. i'Eiittiii. :.::::: .:.::;;•. .•:d::r.. .::... ::a: 4..12:.`2 ....S...ri.. .. .a. ;:: :~ta:~..°a:•ta;aa::a:::ass:eta;;as;>ss>;t;ac;;<a;ata:•;:;.aa:• ~;:;:•:::'~:•::;: •.::::;:::::::~.::::::::::::.::.::::::::::.:::::::;::::::::.::::::::.:::•:•::::::.:::.:::.::::: ... :...::: •::....:~:~:::•:•~r.:^^ :::::.................... ? z; 1 G4. 404. ~.: .....:......:... ~.........:............:....:.......... :::::::::::.::::::::::.•::::...::::::::::.:.::::::::::.::.:::::::::::. :.......:. :.::::::::: :.:. .:...... ~ ..i:::: ::::::.:::::::..::::..::::. ...::...:....::::...:...:...::..............::::.....:.::............::.:.....:. ::.::.:...::. .:....:.:: 405....................................................................................................... •. ......... ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: _ ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE' ::;108 ................. . ,.arty/1bW11,te~88„~ ::'°°•c••~~•••.~ ;¢.:...,....... iiiiF+i{iiiiii? .. .....:::::• :.::::.:..... .............................. ... ...... ....... .......... ...... .::..:::_::..:_::::::~ ..................... .........:......................... :.tUS%'l l16Nifl~: e ::::am...:::::::::::::::.::•.:°e•igiiiiiiiii'i. '~:iiiii?:: ........ ........4.ty ....... ..~................................................ ................ .. '.. ..... t 07. County Taxes to 407. County Tsxes to iae~aAss ......... .............. ... ., .. .......................fQ...........:.................::.: .......... .:::::::: ...................... :::.:::::::::.......... :. ...4.07lsssesamenta:•:;:::::::::::::•::::::::::::::::::::::t4:•;:°;:•::'::::;::::::;tt:ta : ..:.. __ 108. 409. T- :110iiiF•:;:•'rt:f::t2::':S.t:•:'.:.:ftt}:"~:ti}:~::: :::a°::.;..~ •::::::~::.:::rs::~: •::: ~: :~:.::. .....:::.......,.,......................................... ~ • :::::. ........... .... :....::::~ :• :: ~.v:.:. ........................... .. ............................................................................................. ..A1A+:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.::..:::::::.::::::::.: :.:.::.:::::.,::::::.. :.::::.:.. tit, 411. ial: } ^aki')afit'aadii'r'rii:•riafii;Eia:•iittaaiiiaaai}i'tilt}ai'riaaiiaiiiii'rt:•'ritaai}'raiitatitfiiaFrii'rtiit'ri ir:•~ ititii iar'rartffaiiiiiitiiai2_°' 7:'' ' !:C:::::::F::::::r::::r::~ ::::_ ::::~:.:,::::~ ::,:~ ::r..~:.°.r:•en:::~: ~::.~ ::°:::::::r::[ ~.:::~.:~.::::,:~: :::::.:' 120. GROSS AMOUNT DUE FROM BORROWER: 316,112.29 qy0. GROSS AMOUNT DUE TO SELLER: S71,5o0. 00 Q:N} . PR14;~'i',C?f~~hltB:EJ-1f~.f{3F;&Y?13RAW~ffi ,'.~'t '.':;:_ira:z?.;:'i:?. SQQ ~pl1GTlQN~!iS3;AA!1R~li~JT:;f3WE'~':(3S.E.t;l,Ef~;..... . _... 201. Deposit or earnest money S2, 000. 00 501. Excess deposit (see instructions) 0 ':: r .................................................. 2 2..PAi1a al mau ::::::::::::::::::::::::::::::::::::::::::::::::::: R .a... aLe..new!Qarl(il :................................................... ........... ::::::::::: ........... . ::.:, . ..: . .5.ffq .$57.,.i?4 ............................................................................................................. . .... .........:...............,........ ............................................... :5:f1~t:Sahlemenl:ahargeaidsatfer; ne~rtOA)':a:stattt:::;a:::at: taaa;;t ....................................... ............. ;::::;•:a::;S":S:.~o.Q;;9'o s 203. Existing loan(s) taken subJect to 509. Existing loan(s) taken subject to .. '?0:.ii>isr:.::;rr..;;{;;:i;;(f;?•....:i::iiii ::.......... :.r::~:.......:....::::: •::. .......... ~. • ::: .........:.... .......... .... ..... ..................; ....... .. ....::: ::: 5QQ••P. ff.bf: ....................... ::•... :..... .. 3iS'b... titST xllbrt g 8.f69!{.. ......... .... :..... 205. 505. Payoff of second Mort age loan 207. 507. . .. .. ':208 ..:. ............... .... .. ~., ;508. ....::....:::.:....::. ::::•:r................:.,.. . :.~. ~..:: .. •: 209. 509. ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: 210. City/town taxes to 510. City/town taxes to ............:...........:...........~i:iP:;,,....:.;:......,,. ..........:::: ••:::::::..,.;. .................:iii :;,,.~213;;Crwrttytexes y...t?S~OIJ~XA.OS..::fatty:~Sl6~:R5l21?0.8.•::. ;iiiiiiiiii ..::::::~ cg{s,:c .. :... .::•:~ :.t:::~.lad'..d.. :::::r.....,,..•:r....•:r: ~::::::::::::::: ~:: .........:::...:::::....:...,..:.........,:: ..::t•31::T:ii'RVdTY:tt;xes:::::tt:b3fd~rl~dtl$~.:::~:~:~ ~~-05,F2ada...:~ :::::::::::::::::. ...,...,::~ :~ .:. ~:.... $?a5::a6;;: 212. Assessments to 512. Assessments to ,school tex From 7 r71 dff ta.•• • DS •tl6 < kA, ......~.. ;1...... / .r....: .iiiii: :;:: :::..:~ SSA; ~S .. ... '..:irxi.a sofiaa~':•:Eeyc:: from;:.y~d~/b9.:~a:a~fd5{b.... .................. . :: .: ... 85.,i .:9s 214. 514. 25: :'iiii ... . ....... .......... -- . :. .. 515.ri.: , ., . 216. 518. -- .. ...... . ............ ... ...51Y:r;:>,:..:•::::::::;r:;t;t;;:r::~;;a;;;J;iF;:;:;;FiFf:';~:i;;;;::;~.;:;.'~t: ..:: . '?.. 218. 518. . . .. .... ... .. ~ :.i,VV2i9 i~~iii2:r':SF..~ ;.:~ :: ;.C::ir?i ~iii}:)i:•:r..:::::r ... . ........ ..... ...... ::::::i:::: ......... :"':: :iii?: ~ .. ~.~ ::~ ..........:..•,.....• :.~: '" •iiii+:~:.::.:::i:'isi:'i::iiii::::ii:i:i::iiiii::~: i:::iiii:::ii :i:iii:.:.~.::':~'. . :::.•$I•,8 ............................................................................... ...i:. 220. TOTAL PAID BYlFOR $65 551.01 520. T07AL REDUCTIONS 401 S5 01 BORROWER: IN AMOUNT DUE TO SELLER: , . t~QQ';t ~' . ~ ::~ ~.::• ~ ::. ~ ~:. ' :. • i . ~ :. ~.~. %iiiiii .iKt15.H.Ad..SET.T~.~Al11wNT:~F~S~Ts~Lf Q.6.QRFiOWlzft ........ ................................................................................................................. iiiiiii'rr:E ........... ........... :•ifa:;nii;;l3;aai;tt;g} .......................... ......................... :~ ... . .6.O.Qtt:GR~ H:f~T::S.i'F:ifiEcMEIVT:TQ{.F•.ROtftl;aER4ERiti;l'tatf ................................................................................................:.........::... ii;:k;;::::;:<:i;;:>r.;i;::;; .....:.........:...............::.:.... 301. Gross amount due from borrower (line 120) 576,112.29 601. Gross amount due to seller (line 420) 511,500.00 :3.02;`~''S'si~Friouii4':dit*'...r~ :::::::::::::::::::.: .kd D .$ ..C1;tQf1'GY1ef: Iff.~;22Q1 ..................... y :::::::::: .......... ::.....::: ..,,... .,is.~ ~5t d1 .......,................;_..:....... ................. 81Y2'Lsss reducCwns .am~xSui~:esllei:: fiise;630 .. a1 :r:::r:~r;:r~~.,.,, ...::::::::.. 7. G .Y. ........................... 303. CASH ( FROM) ( TO) BORROWER: ® ~ 520,561.2a 603. CASH (a FROM) (®TO) SELLER: S66, 098.99 HUD-1 (3-86) - RESPA, HB 4305.2 PAGE1 ~ mve va~eimry raneweu the nvu•i 5elllem8n( Statement and to Ne best Of my knowledge and belief, Il Is a true and accurate statement of all receipts and disbursements made on my account or by me in is-ba cdon. I further certly that I have received a copy of the HUD-1 Settlement Statement VL/ ~ Sellaror Borrower: Dater Agent Date; Mark F. Bayley ,_,Q8y.{g4.~{;rr,~, asp Sellaror Borrower Date: AgenC ~r ...,,, Date: C-3~~y,y~ ngeline 0. Uf er, deceased G~ The HUD-1 Settlement Statement which I have prepared Ia a true and accurate account of this transaction. I have caused or wilt cause the funds to be disbursed In accordance with this statement. ~'" Date: Settlement Agent Date: ~_~ ,.~ ~~~~ Joh J ngan WARNING: It Is a crime to knowlnply make falca stateotients to @te United States on this or any other similar form. nalties upon convk' n can include a fine and imprison- ment. For delalla sea: Title 18 U.S. Cade Section 1001 aril Section 1010. HUD-1 (RYY. 3186) OMB tio. 2502-0265 I hereby certify that upon application for valuation by: THE ESTATE OF ANGELINE M. KITNER the undersigned personally inspected the following described property: All that certain piece or parcel of land, with the improvements thereon erected, situate in Middlesex Township, Cumberland County, Pennsylvania, bounded and described as follows: Beginning at a stake located 65 feet North of the line dividing property now or formerly of George H. Mentzer from property now or formerly of Clarence E. Brownawell, and said stake being 40.1 feet West of the center line of the Carlisle to New Bloomfield public road known as Pennsylvania Route No. 34; thence along the North side of a proposed street, 20 feet in width, North 88 degrees 15 minutes West, a distance of 202.8 feet to a stake; thence along lands now or formerly of Clarence E. Brownawell, North O1 degree 45 minutes East, a distance of 70 feet to a stake; thence still by other lands of the said Clarence e. Brownawell, South 88 degrees 15 minutes East, a distance of 201.8 feet to a stake in line of land now or formerly of Ernest Brewster; thence along said line of land now or formerly of Ernest Brewster, South 00 degrees 45 minutes West, a distance of ?0.6 feet to a stake, the place of beginning. To the best of my knowledge and belief the statements contained in this report are true and correct, and that neither the employment to make this appraisal nor the compensation is contingent upon the value reported, and that in my opinion the Market Value as of February 13, 2008 is: SIXTY-FOUR THOUSAND DOLLARS $64,000 The property was appraised as a whole, subject to the contingent and limiting conditions outlined herein. Larry E. Foote Certified General Appraiser GA-000014-L 3