HomeMy WebLinkAbout12-29-09~~
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1505607121
""+ REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau oflndivldual Taxes INHERITANCE TAX RETURN
PO BOX 280601 2 1 0 9 0 4 7 0
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1 7 2 2 4 9 0 1 7 0 5 0 8 2 0 0 9 0 6 0 6 1 9 2 7
Decedent's Last Name Suffix Decedent's First Name MI
G U R L E Y B EV E R L Y S
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
MI
1. Original Retum ~ 2. Supplemental Return ~ 3. Remainder Retum (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)
0 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 8E COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SMVU~u rst u-rctc: r to ~ u:
Name Daytime Telephone Number
H U B E R T X G I L R O Y 7 1 7 2 4 3 3 3 4 1
Firm Name (If Applicable) - - - -~-- -----
REGISTER OF WILLS USE ONLY
M A R T S O N L A W O F F I C E S ~ h,,
~~~
First line of address ! e-~,y; c,~ ~ ~.,, ~=~?
~ (: n ~ "r) ~ j ~...~ ~ ~ r~.~
1 0 E A S T H I G H S T R E E T ~ ~~' _
N
Second line of address ~ ~ ~'~ r-- ' ~ '~
City or Post Office _ . r'~ bA'~TB~ILED~ ;' -tai
State ZIP Code ~.~; , ....
C A R L I S L E P A ], 7 0 1 3 _~ ~ {;.~ ~~
~ ~~
Correspondent's a-mail address: H G I L R O Y a M A R T S O N L A W• C O M
Under pena~fes 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 representathre is based on all information of which preparer has any knowledge.
TURF OF PERSON R SPO IBLE F FILING RETURN DATE
75RESS LE LA v ETTERS PA 1,7319
SIGNAT P R O R THAN REPRESENTATIVE DAT~,.,
ADDRESS
10 EAST HIGH ST EET CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505607121 1505607121 J
J
1505607221
REV-1500 EX
Decedent's Social Security Number
oecedent'slVame: BEVERLY S- GURLEY 1 7 2 2 4 9 0 1 7
RECAPITULATION
1. Real estate (Schedule A) ........................................ 1. 1 1 2 0 0 0. 0 0
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. 6 8 3 6 . 0 6
6. Jointly Owned Property (Schedule F} ^ Separate Billing Requested ....... 6. •
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested ....... 7. •
8. Total Gross Assets (total Lines 1-7) ........................... s. 1 1 8 8 3 6. 0 6
9. Funeral Ex enses & Administrative Costs Schedule H
P ( ) ................ 9. 2 3 4 4 0 . 2 8
10. Debts of Decedent, Mort a e Liabilities, & Liens Schedule I
9 9 ( ) .....
....... 10. 3 9 6 . 7 6
11. Total Deductions (total Lines 9 & 10) .................... ....... 11. 2 3 8 3 7 . 0 4
12. Net Value of Estate (Line 8 minus Line 11) .................. ....... 12. 9 4 9 9 9 . 0 2
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. 9 4 9 9 9 . 0 2
TAX COMPUTATION - 9EE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) x .0 0. 0 0 15. 0. 0 0
16. Amount of Line 14 taxable 9 4 9 9 9 0 2 4 2 7 4 9 6
at lineal rate X .045 16. •
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 1 g. .
19. Tax Due ......................................... ....... 19. 4 2 7 4. 9 6
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
1505607221 1505607221
REV-1500 EX Page 3
Decedent's Complete Address:
File Number
21 09 0470
DECEDENT'S NAME
BEVERLY S. GURLEY
STREET ADDRESS
1710 WALNUT STREET
__ _
CITY ', STATE .ZIP
CAMP HILL PA 17011
Tax Payments and Credits:
i. Tax Due (Page 2 Line 19) (1) 4,274.96
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits (A + B + C) (2) 0.00
3. Interest/Penalfy ifapplicable
D. Interest
E, Penalty
Total InteresbPenalty (D + E) (3) 0.00
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is fhe OVERPAYMENT.
Fill In oval on Page 2, Line 20 to request a refund. (4) 0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 4,274.96
A. Enter fhe interest on fhe tax due. (5A)
B. Enter fhe total of Line 5 + 5A. This is the BALANCE DUE. (5B) 4,274.96
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 : ...................................................................... ^ Q
b. retain the right to designate who shall use fhe property transferred or ifs income; ............................... ^ Q
c. retain a reversionary interest; or ................................................................................................ ^ 0
d. receive the promise for life of either payments, benefits or care? ....................................................... ^ Q
2. If death occurred after December 12, 1982, did decedent Transfer property within one year of death
without receiving adequate consideration? ....................................................................................... ^ Q
3. Did decedent own an "in (rust for" or payable upon death bank account or security of his or her death? ......... ^ Q
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 fhe use of the surviving spouse
is Three (3) percent (72 P.S. §9116 (a) (1.1) (i)J.
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)J. 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 fax 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 (O) percent (72 P.S. §9116(a)(1.2)J.
The tax rate imposed on the net value of transfers fo or for the use of fhe decedent's lineal benetfciaries is four and one-half (4.5) percent, except as noted in
72 P.S. §9116(1.2) (72 P.S. §9116(a)(1)J.
The fax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent X72 P.S. §9116(a)(1.3)]. Asibling is defined, under
Section 9102, as an individual who has at least one parent in common with fhe decedent, whether by blood or adoption.
REV-1502 EX + (6-98)
SCHEDULE A
COMMONWEALTH OF PENNSYLVANIA REAL ESTATE
INHERITANCE TAX RETURN
occincnrr ncr~GnGNT
ESTATE OF FILE NUMBER
BEVERLY S. GURLEY _ 21 09 0470
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 behNeen a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real ro which Is In -owned with rl ht of survivorshl must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Residence located at 1710 Walnut Street, Camp Hill Borough, Cumberland Co., PA, known as 112,000.00
Tax Parcel No. O 1-21-0269-193, being described in Deed dated 12/ 11 /2001 and recorded in
Cumberland Co. Deed Book 249, Page 4122, being conveyed to Beverly S. Gurley, Decedent
herein. Value is actual sale value. See attached Settlement Statement
TOTAL (Also enter online 1, Recapitulation) ~ a 1 12.00c).UO
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
BEVERLY S. GURLEY 21 09 0470
Indude 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.
VALUE AT DATE
ITEM OF DEATH
NUMBER DESCRIPTION
1. M&T Bank checking 391177394 1,3=49.61
See attached
2. Personal property and household goods, actual sale value 1,771.09
3. Personal property and household goods, estimated value 2,000.00
4. Sewer proration 9/ 19/09-10/ 1/09 8.15
5 . County Tax proration 9/ 19/09-01 /01 / 10 2 4 6.68
6. School Tax proration 9/ 19/09-01 /01 / 10 1, 4 60.5 3
TOTAL (Also enter on line 5, Recapitulation) ~ S 6.8 3 6.06
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
BEVERLY S. GURLEY 21 09 0470
Debts of decedent must be reported on Schedule I.
1 TEM
NUMBER
A.
1.
2.
3.
DESCRIPTION
FUNERAL EXPENSES:
Mussleman Funeral Home, Lemoyne, PA
Mt. Calvary Episcopal Chruch, donation for funeral luncheon
Blooms By Vickery, funeral flowers
AMOUNT
x,97 3.32
~O.OU
13 3.56
Q, ADMINISTRATIVE COSTS:
1, Personal Representative's Commissions
Name of Personal Representative (s)
Street Address
Cry State _ Zip
Year(s) Commission Paid:
2 Attorney Fees MARTSON LAW OFFICES (estimated) 6, 5 00.00
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
Cry State _ Zip
Relationship of Claimant to Decedent
4. Probate Fees Oberland County Register of Wills 248.00
5 Accountant's Fees
6, Tax Return Preparer's Fees
7 Cumberland County Register of Wills, filing fee, Inheritance Tax return ~ ~ .00
.
g The Patriot News, advertising Letters Testamentary l 67.31
.
9 Cumberland Law Journal, advertising Letters Testamentary 7 ~ .00
,
10. M&T Bank, estate checks ~ ~~ 7 ~
~0 00
11 Cumberland County Register of Wills, additional probate fee
.
12 Cumberland County Register of Wills, Short Certificates x.00
.
13 Cumberland County Register of Wills, fee to appoint Administratrix due to death of Executor '20.00
.
14. UGI, service pending disposition of real estate 396.67
75
=13
15 Penn Waste, service pending disposition of real estate .
.
16 service pending disposition of real estate
Verizon 62.98
.
17. ,
PPL, service pending disposition of real estate 7 g .42
720
OU
1 g, Antiques Marketplace, Inc., Lemoyne, PA, rental for sale of personl property .
TOTAL (Also enter on line 9, Recapitulation) S 2 ; 44U ~ 8
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
21 09 0470
BEVERLY S. GURLEY Page 1 File Number
Decedent's Name
Schedule H -Funeral Expenses & Administrative Costs - B7.
ITEM AMOUNT
NUMBER DESCRIPTION
62.50
19. Borough of Camp Hill, sewer service pending disposition of real estate 3 , 5 8 5.00
20, Homestead Group, real estate commission 3 , 5 8 ~ .00
21. Heritage Group, real estate commission 10.00
22. Kerwin & Kerwin, notary fee 1,120.00
23 , 1 % Realty Transfer Tax > > ~}, 7 2
24, PA American Water, service pending disposition of real estate ; ~ , 00
25. Patriot News, tag sale advertisment 125.30
26. Miscellaneous expenses for sale of personal property
SUBTOTAL SCHEDULE H-67 I 4,673.52
REV-1512 EX + (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUMBER
BEVERLY S. GURLEY 21 09 0470
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. Camp Hill Borough, account payable 62.50
3. PA American Water, account payable
4. UGI, account payable
5. Penn Waste, account payable
6. Verizon, account payable
7. PPL, account payable
8. UGI HVAC Service, account payable
TOTAL (Also enfer on line 10, Recapitulation) I $
(If more space is needed, insert additional sheets of the same size)
44.46
164.00
48.75
31.42
35.63
10.00
396.76
REV-1513 EX + (9-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
tip v ~tCL Y J. l7UiCL1G Y G 1 v7 v'+ i v
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DI STRI BUTT ONS (include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. Melissa G. Hoy Lineal 47,499.51
75 Eagle Lane
Etters, PA 17319
2. Estate of Stephen C. Gurley Lineal 47,499.51
c/o 10 East High Street
Carlisle, PA 17013
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ONLINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
,~~
. to
~~x:
LAS T W ILL AND
TESTAMENT
C~
. r~ - .
_~_
O F
~ i.~,
-
--• - ~
: BEVERLY S. GURLEY
,,
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1..:.1 ~ ~~-~ .
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EVERLY S. GURLEY, of
umberland
ounty, Pennsy vania
L ..') I,
Last Will and
Testament,
hereby revoking and
are this
decl
to be my
id all Wills, Codicils, or writings in the nature thereof
o
making v
by me at any time heretofore made.
I TEM I: I direct that the expenses
~ of my last illness
_
and funeral shall be paid from my e state as an administrative
expense.
ITEM II: I give, devise, and bequeath all my rings
'ewelr unto my daughter, Melissa S. Gurley Hoy, of
and other ~ Y
Lemoyne, Cumberland County, Pennsylvania.
ITEM III: I give, devise, and bequeath all the rest,
residue and remainder of my estate unto my beloved husband,
Robert G. Gurley, provided that if he digs before the thirtieth
(30) day following the day of my death, this gift shall lapse or
be divested and I give such property to my issue in equal shares,
per stirpes.
ITEM IV: No interest of any beneficiary under this
'll or any Codicil hereto shall be subject to anticipation or
W~
voluntary or involuntary alienation.
ITEM V: In addition to powers given him by law. mY
Executor and his successor shall have the following powers, appli-
cable to all property held by them, effective without Court Order
T/
.--~
`~ (SEAL)
.,~ +r~~-t.,
~.'~ : lia;. ..G ~.
RF.~IF.RT.Y _ C;i1RI, Y r
and until actual distribution:
(p,) To retain any property received by him;
(g) To sell real estate for any purpose, publicly or
rivately, for such prices and on such terms as he deems proper,
P
out liability on the purchasers to see to application of the
with
purchase moneys;
(C) To compromise Controversies;
(D) To distribute in cash or kind or both at such
valuations as he may fix.
ITEM VI: All taxes, interest, and penalties thereon
le b reason of my death with respect to property comprising
payab Y
toss taxable estate, whether or not passing under this Will,
my g
shall be paid from the principal of my residuary estate.
ITEM VII• I appoint my husband, Robert G. Gurley,
Executor of this Will. If he does not act or continue to act, I
oint m son, Stephen C. Gurley, Executor in his place with the
app Y
same powers and duties. No fiduciary acting hereunder shall be
required to post bond or enter security in any jurisdiction.
IN WITNESS WHEREOF, I have set my hand and seal to this
m Last Will and Testament, consisting of this and one other page
Y
seal
at the end of which I have also set my hand and affixed my~
fora reater security and better identification, this T day of
9
;,
°%f* /~ ~~ ~ SEAL)
BE ERLY S, GURLEY
We, the undersigned, hereby declaredtbyttheeabovegnamed
Will was signed, sealed, published and resence
Testatrix as and for her Last Willhe~d resencentandninhthe presence
of us, who, at her request and in P
of each other, have hereunto set our hands and seals the day and
ear above written, and we certify that adishosingemindeandumemory.
Y
thereof, said Testatrix was of sound an P
.~
Page typo of two typewritten pages ;;%
~~ / ~ -
,i. ,. ~~ ;
no i -vim
L A
A• ~ 1. FHA 2. FmHA 3. X CONY. UNINS. 4. QVA 5. CONY. INS.
U.S. DEPARTMENT OF HOUSING 8 URBAN DEVELOPMENT 6 FILE NUMBER: 7. LOAN NUMBER:
SETTLEMENT STATEMENT 8. MORTGAGE INS CASE NUMBER:
C. NOTE: This form is fumpOC "rwere a d outs/d ~e clos,nquthey a're shown heref ~ Ir nfivnrPat onal pu~oses and are notenCluded iri the totals.
Items marked ( I P 1.0 3f98 (LEMOYNE-1710-WALNUT.PFDILEMOYNE-1710-WALNUTrZ2)
D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER:
Inc. Estate of Beverly S. Gurley, Centric Bank
Lemoyne Land Corp., 4320 Linglestown Road
319 South Third Street, P.O. Box 31 by Melissa S. Gurley Hoy
Lemoyne, PA 17043 as Administratrix d.b.n.c.t.a. Harrisburg, PA 17112
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 23-2083639 I. SETTLEMENT DATE:
1710 Walnut Street Kervvin 8 Kerwin September 18, 2009
Camp Hill, PA 17011
Cumberland County, Pennsylvania PLACE OF SETTLEMENT
Tax Parcel No. 01-21-0269-193 4320 Linglestown Road
Harrisburg, PA 17112
101. Contract Sales Price 112,000.00 401. Contract Sales Price
102. Personal Pro 402 Personal Pro
~n~ Settlement Chames to Borrower Line 1400 2 507.25
;ill 09/19/05 to 10/01!0
Taxes 09M 9/09 to 01 /01 h
T~vaa 09/19/09 to 07/01/1
Or Barnes[ mvnvy
I Amount of New Loan(a
losn(s~ taken subject to
to
Taxes
301 Gross Amount Due From Borrowler (Line 1
302 Less Amount Paid By/For Borrower (Line
303. CASH X FROM TO BORROWER
The undersigned hereby ack receipt
Borrower emovne La ., nc
1,460.53
10,000.00
89. 0006 0
99,600.00
116,222.61
99,600.0
16 622.61
112,000.00
403.
404.
405.
406. Sewer Bill 09/19/09 to 10/01/09
407. Coun Taxes 09h 9/09 to 01 /01 h 0 8.15
246.68
408. School Taxes 09/19109 to 07/01/10 1 460.53
409.
410.
411.
412.
420. GROSS AMOUNT DUE TO SELLER
500. REDUCT ONS IN AM UNT DUET SELLER: 113,715.36
501. Excess De osit See Instructions
502. Settlement Cha ea to Seller Line 1400 9 920.50
503. Existin loans taken sub ect to
504. Payoff of first Mort a e
505. Pa off of second Mort a e
506.
507.
508.
509.
us ens r ms n a, a er
510. Sewer Bill to
511. Coun Taxes to
512. School Taxes to
513.
514.
515.
516.
517.
518.
519.
520. TOTAL REDUCTION AMOUNT DUE SELLER 9,920.50
6 CA M T I R•
601. Gross Amount Due To Seller Line 420
) 602. Less Reductions Due Seller (Line 520
603. CASH X TO FROM SELLER 113,715.36
( 9,920.50
0
103,794.86
a completed copy of pages 182 of this statement 8 any attachments referred to herein.
7 Seller Es ate of Beverly S. Gurley
BY• `
~ elissa S. Gurley y ~
gsident
HUO-1 (3-86) RESPA. HB4305.2
~~
(10 TOTAL C 1
Division of
302. Loan Discount
Ins. App. Fee
m Fee
aS
„, ..
s.t•• ~Te~Q RF 111RED BY LENDER TQBE..
901. Interest From 09/18/09 to 10/01109
902 Mort a e Insurance Premium for rn
903. Hazard Insurance Premium for 1.0
904.
905.
1001. Hazard Insurance
1002. Mort a e Insurance
1003. Sewer Bill
1004. Coun Taxes
1005. School Taxes
1006.
1007.
1008.
1101. Settlement or Closin Fee
1102. Abstract or Title Search
1103. Title Examination
1104. Attome s Fees
1105. Document Pre aration Deed
1106. Nota Fees
1107. Attorney's Fees
t0
to
to
to
to
to
13
to
months (~ S per month
months C$ a per month
months ~ a per month
to
to
to
to
to
to
to
PAID FROM PAID FROM
BORROWER'S SELLER'S
FUNDS AT FUNDS AT
SETTLEMENT SETTLEMENT
20.00
1112.
1113. Closin Service Letter
to Stewart Title Guaran Com an 75.00
Releases $
Recording Fees: Deed $ 40.00; Mortga e $ 56.00;
1201 96.00
1,120.00
.
1202. Ci /Coun Tax/ tam s: Deed 1 120.00 • Mort a e
00; Mort a e
1 120
1203. State Tax/Stam s: Deed .
to Re rder of Deeds 20.00
00
25
1204. UPI Certittcations to Recorder of Deeds .
1205. Asai nment of Rents
1301. Surve to
to
1302. Pest Ins action
1303.
Sewer Bill Jul IAu Se t
1304 to Cam Hill Borou h POC:S62.50
.
1305. 2009/2010 School Taxes to Janet L. Miller, Tax Collector
0
i
E 2,507.2!
1400. TOTAL SETTLEMENT CHARGES
th
t edge receipt of a comp eted copy of page 2 of this two page statement.
cknowl
natories a
si
e
,
ey signing page 1 of this statemen g
Kervvin ~
Certified to be a true copy. Settleme nt
10.00 ~
120.
1, 870.50 ~
(LEMOYNE-1710-WALNUT / LEMOYNE-1710-WALNUT 122 )
499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12
Phone (888) 502-4349
Fax (302) 934-2955
September 29, 2009
Manson Law OffiEes
Attorneys at Law
10 East High Street
Carlisle, Pennsylvania 17013
Re: Estate of Beverly S. Gurley
Social Security • 172-24-9017
Date of Death • May 08. 2009
Deaz Sir or Madam:
Per our inquiry dated September 24, 2009, please be advised that at the time of death, the above-named decedent had on
Y
deposit with this bank the following:
l , Type of Account Checking Account
Account Number 39177394
Ownership (Names o,~
Opening Date
Balance on Dote of Death
Accrued Interest
Total
Beverly S Gurley*
8/28/64 Closed 5/21/09
$1,349.61
$ 0.00
- ----
-- ------------------------- --
$1,349.61
Please be advised, there was no safe deposit box found for the above decedent.
ou believe there are additional accounts not referenced, please provide
* If upon reviewing the information above, y For any additional information on the
us with an account number and/or name of any possible joint account holder. lease contact
above accounts, including ownership and any changes, closures and/or reimbursement of funds, etc., p
our West Shore Plaza Of~lce # 717-731-1730.
S' ly,
JI.O~,uQ.,: ~
Tracie Hale
Adjustment Services
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