HomeMy WebLinkAbout01-13-10 (2)REV-1502 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCI~IEDULE A
REAL ESTATE
ESTATE OF
FILE NUMBER
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 property which is jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
S" U ~ ~,, V4 ~ ~- ~ ~ ~ ~ M i1 N 1 ~ r`-i
TOTAL (Also enter on line 1, Recapitulation) I $
(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
SCNEDVLE N
FUNERAL EXPENSES &
ADMINISTRATNE COSTS
ESTATE OF
FILE NUMBER
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A. FUNERAL EXPENSES:
~.
e.
1
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City
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 Zip _
Relationship of Claimant to Decedent __
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
TOTAL (Also enter on line 9, Recapitulation) I S ~ Or~ ~' 7
(If more space is needed, insert additional sheets of the same size) -T
State Zip
4-~~.:1-
A~~P1 ~
'°` Vnlu 1\V. GOVf-V COO
B. TYPE OF LOAN:
U.S. DEPARTMENT OF HOUSING 8 URBAN DEVE LOPMENT 1.^FHA 2.~FmHA 3. ^CONV. UNINS. 4. XQVA 5. QCONV. INS.
SETTLEMENT STATEMENT 6. FILE NUMBER:
os-sa4 7. LOAN NUMBER:
02747os2so
8. MORTGAGE INS CASE NUMBER:
1060608543
C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown.
Items marked '(POCJ" were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
1 0 3/98 (KNOWLDEN.MOMICA PFD/09~844n8)
D. NAME AND ADDRESS OF BORROWER:
Monica B. Knowlden
1076-2 Lancaster Boulevard
Mechanicsburg, PA 17055 E. NAME ANO ADDRESS OF SELLER:
Estate of Barbara R. Bogsted F. NAME AND ADDRESS OF LENDER:
SUNTRUST MORTGAGE INC.
901 SEMMES AVENUE
RICHMOND, VA 23224
G. PROPERTY LOCATION:
1076-2 Lancaster Boulevard
Mechanicsburg, PA 17055 H. SETTLEMENT AGENT: 68-0510988
Community Land Transfer, LLC I. SETTLEMENT DATE
N
b
30
2009
Cumberland County, Pennsylvania PLACE OF SETTLEMENT
2331 Market Street
Camp Hill, PA 17011 ovem
er
,
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLE 'S'TRANSACTION
100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER:
101 . Contract Sales Price ; 104,900.00 401. Contract Sales Price 104,900.00
102 . Personal Pro i 402. Personal Pro e ~
103 . Settlement Char es to Borrower Line 1400 5,928.19 403.
104 . 404.
105 . 405.
Ad'ustments For Items Paid 8 Seller in advance Ad'ustments For Items Paid 8 Seller in advance
106 . Ci frown Taxes to I 406. Cit /Town Taxes to
107 . Coun Taxes 11!30/09 to 01/01/10 i 31.16 407. Count Taxes 11/30/09 to 01/01/10 31.16
108 . School Taxes 11/30/09 to 07!01/10 756.94 408. School Taxes 11/30/09 to 07/01/10 756.94
109. 4th Qtr. Sewer 11/30/09 to 01/01/10 38.96 409. 4th Otr. Sewer 11/30!09 to 01!01/10 ! 38.96
110. 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER ~ 111,655.25 .420. GROSS AMOUNT DUE TO SELLER 105.727.06
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO ELLER:
201. De osit or earnest mone I 2,000.00 501. Excess De osit See Instructions
202. Princi al Amount of New loans 107,155.00 502. Settlement Char es to Seller Line 1400 8,058.00
203. Existin loans taken sub act to i 503. Existin loans taken sub'ect to
204. 504. Payoff of first Mort age !
205. 505. Pa off of second Mort a e
206. i 506.
207. 507. De osit disb. as roceeds
208. 508.
209. Seller Assist I 892.00 509. Seller Assist 892.00
Ad ~ustments For !tams Un aid B Seller Ad'ustments For Items Un aid B Seller
210. Ci /Town Taxes to 510. Cit frown Taxes to
211. Count Taxes to 511. Count Taxes to
212. School Taxes to 512. School Taxes to I
213. i 513.
214. 514.
215. 515.
I
216. 516.
217. 517. HOA Balance Due to Horsl Pro art Mena ement 21.60
218. i 518. Inheritance Tax Escrow to Rea er 8 Adler PC 18,882.00
219. ~ 519.
220. TOTAL PA/D BY/FOR BORROWER I 110,047.00 520. TOTAL REDUCTION AMOUNT DUE SELLER i 27,853.60
300. CASH AT SETTLEMENT FROM/TO BORROWER: 800. CASH AT SETTLEMENT TOIFROM S L 'ER:
301. Gross Amount Due From Borrower Line 120 I 111,655.25 601. Gross Amount Due To Seller Line 420 105,727.06
302. Less Amount Paid B /For Borrower (Line 220) ~( 110,047.00) 602. Less Reductions Due Seller (Line 520) ( 27,853.60
303. CASH (X FROM) ( TO) BORROWER ~ 1,608.25 603. CASH (X TO) ( FROM) SELLER ! I 77,873.46
The undersigned hereby acknowledge receipt of a completed copy of pages 182 of this statement 8 any attachments referred to herein.
Borrower ~~`
Seller Estate of Ba a gated
onica B. Knowlden / C7 "
BY: (i^
L. SETTLEMENT CHARGES
,~: TOTAL COMMISSION Based on Price $ % 6,234.00 PAID FROM PAID FROM
Division of Commission line 70~ aS FOIIOWS: BORROWER'S SELLER'S
701. $ 3,142.00 to Keystone Broker Group FUNDS AT FUNDS AT
702. $ 3,0 2.00 to THE HOMESTEAD GROUP, INC. SETTLEMENT SETTLEMENT
703. Commission Paid at Settlement 6,234.00
704. to
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Ori ination Fee % to
802. loan Discount % to
803. Appraisal Fee to Connor Group 375.00
804. Credit Report to CREDCO 10.88
805. Lenders Inspection Fee to
806. Mort a e Ins. .Fee to
807. Assumption Fee to
808. Tax Service Fee to Valutree Real Estate Service 83.00
809. LOL Flood Cert. to First American Flood Service 6,00
810. Processing Fee to SUNTRUST MORTGAGE INC. POC: CPAM 500.00
811. Booker Fee to Central PA Mort age LLC POC: L 3696.85'
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From 11/30/09 to 12/01!09 @ $ 15.410000/day ( 1 days %) 15.41
902. Mort a e Insurance Premium for months to Veterans Administration 2 255.35
903. Hazard Insurance Premium for 1.0 ears to Pro ressive Home Advanta a POC:8254.00
904.
905.
1000. RESERVES DEPOSITED WITH LENDER
1001. Hazard Insurance months $ er month
1002. Mort a e Insurance months $ er month
1003. Ci flown Taxes months $ r month
1004. Coun Taxes 11.000 months $ 29.02 er month 319.22
1005. School Taxes 6.000 months ~ $ 105.93 per month 635.58
1006. months $ er month
1007. months er month
1008. A r ate Adustment months $ r month -145.00
1100. TITLE CHARGES
1101. Settlement or Closin Fee to
1102. Abstract or Title Search to
1103. Title Examination to
1104. Title Insurance Binder to
1105. Electronic Document Pre to
1106. Closin Service Letter to Communit Land Transfer, LLC 75.00
1107. Attorney's Fees to
includes above item numbers:
1108. Title Insurance to COMMUNITY LAND TRANSFER 898.75
includes above item numbers.1102, 1103 8 1104
1109. Lender's Coverage $ 107,155.00 898.75
1110. Owner's Covera e $ 104,900.00
1111. Endorsements 100, 300, 8.1 8.1 to Community Land Transfer, LLC 200.00
1112. Notary Fee Community Land Transfer
1113. Notary Fee to Community Land Transfer 5.00
1114. Overnight Fees & Handling to Community Land Transfer, LLC 15.00
1115. Wire Fee to Community Land Transfer, LLC 10.00
1116. Tax Cert. to Marlin A. Yohn, Treas. 5.00
1117. Deed Prep. to CT Land Services 150.00
1118.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recording Fees: Deed $ 48.50; Mortgage $ 76.50; Releases $ 125.00
1202. Ci /Coun Tax/Stam s: Deed 1,049.00• Mort a e 1,049.00
1203. State Tax/Stam s: Deed 1,049.00; Mort a e 1,049.00
1204.
1205.
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Surve to
1302. Pest Ins action to
1303. 4th Qtr Sewer to U er Allen Townshi 112.00
1304. Home Warren to AHS 395.00
1305. December HOA Oues to Select Property 8 Association Management 108.00
1400. TOTAL SETTLEMENT CHARGES Enter on Lines 103, Section J and 502, Section K 5,928.19 8,058.00
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.~
Community L d Transfer, LLC
Settlement ant
Cert~ed to be a true copy.
( 09.644 / 09t>44 / 16 )