Loading...
HomeMy WebLinkAbout01-08-10 (2)J 15056041125 REV-1500 EX (as-o5, PADeperprreRafRdre~m~e .a- Baaau of NmMAdiWTames CaeAy Cads Year FNB Number PO BOX 258801 INHERITANCE TAX RETURN iNnMbtaa. PA 17128-0801 RE,g~N'I' pECEDENT 2 1 0 8 1 2 6 6 ENTER DECEDENT IlIFORMATION BELOW Socal Security Number Date of Death p~ ~ gqq~ 7 1 6 0 9 4 5 5 2 1 2 0 8 2 0 0 8 0 2 2 7 1 9 1 9 Decedent's Last Name Suffix Deoerlent's First Name MI LAN I O U S C H E S T E R R (N Applicable) Enler SuMving Spouse's IMOnnatJon Below Spouse's Last Name SufRx Spouse's First Name MI Spouse's Social Security Number TH18 RETURN MUST 8E FILED IN DUPLICATE MATH THE REGISTER OF WILLS FILL IN APPROPRIATE pVAL8 BELOW © 1.Origfnal Retum ^ 2. Suppbmenlal Retum ^ 3. Remainder Retum (dale of death ^ 4. Limited Fatale ^ priorbD 12-13-82) 4a. Future Interest Compromise (date of ^ 5. Federal Entate Taz Return Required ® 6. Deoederd pied Testate (Attach Copy of vu8q ^ death alter 12-12-82) 7. Decedent Maintained a Living Trust 8. Total Numlxu of Safe Deposit Boxes ^ 9• LIUgaUan Proceeds Received ^ (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death ^ 11. Eieotion to taz under Sec. 9113(A) between 1237-91 and 1-1-95) (Attu gch, p) COR Nam RESPONDENT - TIil6 SECTION MUST 8E COMPLETED. ALL COONOENCE ANO ©ONFB)H(T1AL TAX 81FORMIITgN SIIOIILD lIE OSIECTED TD: e Daytkne Tebphone Number W I L L I A M A D U N CAN 7 1 7 2 4 9 7 7 8 0 Finn Name (N AppBcabie) D U N C A N & H A R T M A N P C First 8ne of address 1 I R V I N E R O W Second Ikre Of address City or Past Oflioe C A R L I S L E State ZIP Code RElilalF~~F YYLLS USEjNLY Q o ~ ~ ~ ~ ~ "I, ~ C7 T is ~: -r.. r ~ U) "7 ~7'y7 ~ (~ tU D s , P A 1 7 0 1 3 ca -, :;v' '~ `T l . _~ ;`-r7 [~> ,~ PLEASE L18E ORN3INAL FORM ONLY Side 1 L 15056041125 15056041125 ~~, 1045 NEWVILLE ROAD CARLISLE PA 17013 SIGNATURE OF PREPARER OTHER THAN REPRESENTATfVE ~~ ADDRESS J 15056042126 REV-1500 EX DecedenPs Social Security Number DecedenCaName: CHESTER R. LANIOUS 7 1 6 0 9 4 5 5 2 RECAPITULATION 1. Real estate (Sdredub A) ................................ ........ 1. 1 1 2 6 3 3, 8 5 2. Stocka and Bonds (Sdbdub B) ........................... ....... 2. 3. Closely Hek! Corporation, Partnersh~ or Sob-Proprietorship (Sdredub C) ..... 3. 4. Mortpepss & Notes Receivable (Sdredub D) ................. ....... 4. 5. Cash, Bank Bits d, Miscellaneous Personal Property (Schedule E) ....... 5. 2 4 1 6 2 , 9 8 8. Johdly Owned Property (Schedub F) ^ Separate Billing Requested ....... 8. 7. Inter-Vhros Transisrs 8 Miscellaneous rotate Property (Sdredub G) ~ Seperete BiHirg Requested ....... 7. , 8. Total Gross Asaeb (total Lines 1-~ ........................... s. 1 3 6 7 9 6, 8 3 9. Funeral Expenses & Administrative Coale (Schedub H) ......... ....... g. 1 4 5 7 1, 7 0 10. Debts of Decedent, Mor~age Llabilitbs, 8 Lbna (Schedub i) ..... ....... 10. ~ 8 1 9 4 , 4 4 11. Total Deductions (total Lines 9 A 10) .................... ....... 11. 9 2 7 6 6, 1 4 12. Net Valve of Estate (Line 8 minus Line 11) .................. ....... 12. 4 4 0 3 0 , 6 9 13. CharHabb and Gowmmerkai Bequests/See 9113 Trusts for which an ebction to tax has not been made (Schedub J) ........... ....... 13. , 14. Net Value SuhJsct to Tax (Line 12 minus Line 13) ............ ...... 14. 4 4 0 3 0 , 6 9 TAXCOMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable et the spousal tax rate. Or trsnsfirs urMer Sec. 9116 18. Amount of tine 14 taxable at uneai rate x .oas 4 4 0 3 0, 6 9 18 1 9 8 1. 3 8 17. Amount of Line 14 taxabb o< rats x .12 0. 0 0 tT. 0. 0 0 18. Amount of Lins 14 taxabb at coMetsrai rat X .t5 0, 0 0 18. 0, 0 0 19. Tax Due ................................................ 19. 20. FILL IN THE OVAL IF YOU ARE RElaUEBTING A REFUND OF AN OVERPAYMENT Side 2 15056042126 1 9 8 1, 3 8 15056042126 re=v-~soo Qc Pap.9 D6CYdAflt'ti C0111PNb /I~ddf+Yas: Fee Hrmber 21 Ot3 12Rr, DECEDEHIS - --- CHESTER R. LANKx1S STREEfADORESS 143 N. ORANGE ST. cm CARLISLE srArF ~ PA 17013 Tax Payment and Ctrodila: 1• Tax Oue (Page 2 LMe 19) 2. CredifslPayrrrente (1) 1. 1.38 A. Spousal ~y Credit B. Prior Payments C. Discount 3. InbereatlPenally if appAcable Tafal Credits (A + 9 +D) (2) 000 D. Interest 33.34 E. Penalty 4. N Line 2 is greater Caen Line 1 + Line 3, enter the diltererroe. This is the GVERPAYfENT Taal ~ (D + E) (3) 33.34 FM M owl on PaCs 2, Llne m b repose! a refund. (4) 000 5. C Line 1 + Line 3 is greater Cure Line Z, solar the dtlfererae. This ie Cre TAX DUE (5) 2.014.72 A, F_nler the hrlerest on ilre tax due. (~) B. Enter Cre btal of line 5 +SA. This is the BAIJINCE DUE (5B) 2.014.72 Make Check Payable to: REGISTER OF WILLS, AGENT PLEA$E MISlc11MER THE FOLLOWING QUE8710N8 BY PLACING AN "7(" IN THE APPROPRIATE BLOCKS 1. Did decedent make a b'ane(er and: Ye6 ~ a. retain the use a Nrcarrre of Cie property lrarasfenad : ...................................................................... b. retain the fight b designab who shah use the property 6anderrad a iS irrcorrre; rw retain a revsreionary a ................................................................................. ........ ...... d. receive the promise fa Ifs of either paymerrta, berreflfs a care? ....................................................... O 2. F death oouxred alter Deoerrrber 12,1962, did daoedent trarroler property wi1Nn one year of death witlrad reoelvkg adequate corteideration7 ....................................................................................... 3. Dld decedent awn an'in trust for a payable upon death bank aooourrt a aeax(ly at hie a her death? ......... 4. Did decedent own an Individual Retirement Acoarnt, aruruity, a oCrer ran-probate propeAy war contains a banefidary deefgnation? .................................................................................................. IF THE ANSWER TO ANY OF THE ABOVE QUESTION8 IS YES, YOU MUST COMPLETE 8CHEDULE t3 AND FILE R AS PART OF THE RETURN. For dales of deatir on a after July 1,1994 and betas January 1,199b, the tax rate imposed on the net value of irarratera b a fa the use of the surviving spouse fe 11Mee (3) peroeat (72 P.S. X116 (a} (1.1) (i)J. Fa dales of death on a alter January 1,1995, the tax rate inpoeed on the net value of transfers b a for the use of the survivkig spares is aero (0) peroerrt [l2 P.S. 0116 (a) (1.1) {~J. The etatrrle a transfer b a s<rrvirkrg spouse trom lax, and Cre stahday rogrererrreMe ~ disGosrae ~ ~ tiMng a tact retrxrr are atl0 applcable even M the surviving spouse is tiro only beneficiary. For dales of death on a after Joy 1,2000: The tart rats inr{roeed on the net value of trabfera from a dearaeed cllld tvreMyare years of age a younger at death b a for the use of a rradaal parent, an adoptive parent, a a stepparent of the chid is aero (0} perarrrt JM P.S. ~118(a)(1.2)J. The tart rats inKaeed on the rret value of trarrebra b a far Cre use of the deoederN's lineal beneRdarlee is tour art are~tralf (4.5) percent, except as mooed m 72 P.S. J~116(1.2) [72 P.S. ~5'116(a)(1)J. The tax rate knpoeed an the reel vakre of trarrsfera b a for the use of tlwe decadence is twelve (12) percent (72 P.S. J~111i(a)(1.3)J. A a~Nng is defined, under Section 9102, as an individual who has al least are parent in coneran wNh Cre deoedsrd, whelMr by blood a adoption. REV-1511 IX + (12.88) co~aNwEN.TH of PENNSrwANa INHERITANCE TAX RETURN ITEM NUMBER CHESTER R. LANIOUS 21 OS 1266 Da6ts of decadwk tputt ba npoAad on ScMduM L A. B. FIiNERAL EXPENSES: t. HOFFMAN-ROTH FUNERAL HOME scN>~v~ H FUNERAL EXPENSES 8 ADMINISTRATNE COSTS DESCRIPTION ADMINISTRATIVE COSTS: 1. Personal ttepleseldatlve'g Cominieaions Name of Pantonel RspeeeiNaWe (s) Socid SeasUy Numbel(s)IEMI Num6ar of Pentorrel Repreeentetlve(a) StfeetAddn~ee ~ Stale ZP YeeQs) CanrnbNon Paid: 2 A~rFeee DUNCAN 8~ HARTMAN, PC 3. Feniy Erempbn: (BoleoedenPe addees b not ttie earns es ddmenTs, e~ eocperelion) GYei~t StisetAddiees ~ Stak ZP Retatbnahip of CleineiK b peoedeid 4• PmbeleFeee REGISTER OF WILLS 5. ~ AaopakerKa fees 6. ~ Tmc Retem Prepaiera Fees 7. CUMBERLAND LAW JOURNAL-LEGAL NOTICE 8. THE SENTINEL -LEGAL NOTICE 9. REGISTER OF WILLS -FILING FEE 10. HELD IN RESERVE AMOUNT 6,772.20 6,839.84 327.00 75.00 142.66 15.00 400.00 rarer (Also errter a- line s, RecapihnaUon) ~ s 1 REV-1512 EX + (12.03) scN~ov~ i Muni of arrrNSV~vANa DEBTS OF DECEDENT, ~ r T M~TGAGE LIABILRIES, 8~ LIENS ESTATE OF FN.E NUMBER CHESTER R. LANIOUS 21 08 1266 tLyat d~bk hrcwrod b1r1M dradMt prior b doolh which rryo~hrod rrrrpold o oHho doM of Motlr, vnroNnbursod modiul ogronNt. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. WELLS FARGO FINANCIAL -MORTGAGE PAYMENT 581.40 2. SUBURBAN PROPANE 333.00 3. MOFFITT HEART 8 VASCULAR GROUP 1000 4. MSHMC PHYSICIANS GROUP 10.00 5. WELLS FARGO FINANCIAL -MORTGAGE PAYMENT 581.40 6. SURBURBAN PROPANE 333.00 7. DELUXE CHECK CHARGE 1890 8. CARLISLE HMA PHYSICIAN MGMT. 12 50 9. WELLS FARGO FINANCIAL -MORTGAGE PAYMENT 581.40 10. SUBURBAN PROPANE 333.00 11 • WELLS FARGO FINANCIAL -MORTGAGE PAYMENT 581.40 12. NATIONWIDE MUTUAL FIRE INSURANCE 304.50 13. SUBURBAN PROPANE 230.00 14. WENS FARGO FINANCIAL -MORTGAGE PAYMENT 581.40 15. I NTERSTATE WASTE SERVICES 65.00 TOTAL (Neo errter an Nne 10, Recapi6ulatlori) I i (ff more epeos r needeo, insert eaawaw anew d(ne..me.~,) Continuation of REV-1500 Inheritance Tax Retum Resident Decedent CHESTER R. LANIOUS Decsdenea Name Psys ~ 21 OB 1266 File Number 3Chedule I - Daibts o/ DsCSdent, Mo~fgps Lisbllitles, b Lints ITEM ~~ DESCRIPTION 16. SUBURBAN PROPANE AMOUNT 230.00 17. GEM ENVIRONMENTAL -HOUSE REMEDIATION 600.00 18• GEM ENVIRONMENTAL -HOUSE REMEDIATION 600.00 19. CUMBERLAND GOODWILL FIRE RESCUE -AMBULANCE 99.28 20• WELLS FARGO FINANCIAL -MORTGAGE PAYMENT 581.40 21. PPL -ELECTRIC 19.77 22• SUBURBAN PROPANE 230.00 23. WELLS FARGO FINANCIAL -MORTGAGE PAYMENT 581.40 24• STEVE NAUGLE -TRASH REMOVAL 1,040.00 25. PPL -ELECTRIC 22.24 26. SUBURBAN PROPANE 230.00 27• WELLS FARGO FINANCIAL -MORTGAGE PAYMENT 581.40 28• GROVE INSURANCE AGENCY -HOMEOWNER'S INSURANCE 304.50 29. PPL -ELECTRIC 119.52 30. COOK JANITORAL SERVICE -CLEAN HOUSE . _ _ ~' e~iIEDULE 1 ~ 5, 398.51 Continuation of REV-15001nheritance Tax Return Resident Decedent CHESTER R. LANIOUS DeoedsnCa Name Pape 2 21 08 1266 Flk Number Schedule 1- Dsbta of Decedent, Mortpaps LlabNltl~s, >f< Lkns ITEM 32. SUBURBAN ENERGY SERVICES 33. WELLS FARGO FINANCIAL -MORTGAGE PAYMENT 34. PPL -ELECTRIC 35. SURBURBAN PROPANE 38• BOROUGH OF CARLISLE -WATER 8 SEWER BILLING 37. WELLS FARGO FINANCIAL -MORTGAGE PAYMENT 38. PPL -ELECTRIC 39. SURBURBAN PROPANE 40. PPL -ELECTRIC 41. JERRY'S CARPENTRY SERVICE 42. WELLS FARGO FINANCIAL -MORTGAGE PAYMENT 43• SUBURBAN PROPANE 44. CARLISLE BOROUGH TAX ACCOUNT -REAL ESTATE TAXES ~• CARLISLE BOROUGH TAXACCOUNT -COUNTY TAXES ~~u' tXE I ~ 8,385.95 Continuation of REV.1500 Inheritance Tax Return Resident Decedent CHESTER R. LANIOUS oeo.dsnt's Nmis ~ 3 21 08 1266 Fib Nwnbsr scMdule I - csaa of Dsc~dent, Mortpape ~anll+n.., aE usnss ITEM uMee 46. 47. (REIMBURSEMENT NOTARY FEE 8 FED EXP CHARGES I 30.00 48. (POSTAGE & FED EXP CHARGES 25.00 49. PAYOFF OF MORTGAGE TO WELLS FARGO (SEE HUD SHEET) 47,049.38 50. REALTOR COMMISSION PAID AT SETTLEMENT [SEE HUD SHEET] 6,420.00 51 • APPRAISAL FEE -LYNN BAKER [SEE HUD SHEET) 375.00 52. CREDIT REPORT -TOTAL CREDIT SERVICE [SEE HUD SHEET) 20.00 53. LENDER'S INSPECTION FEE - METLIFE HOME LOANS [SEE HUD SHEET] 75.00 54. COURIER FEE - METLIFE HOME LOANS [SEE HUD SHEET] 25.00 55. TAX RELATED SERVICE FEE -TOTAL MORTGAGE SOULTIONS [SEE HUD SHEET] 90.00 56• UNDERWRITING FEE - METLIFE HOME LOANS (SEE HUD SHEET] 250.00 57• WIRE FEE - METLIFE HOME LOANS [SEE HUD SHEET] 35.00 58. FLOOD DETERMINATION -FEDERAL FLOOD [SEE HUD SHEET] 26.00 59. COMMITMENT FEE - METLIFE HOME LOANS [SEE HUD SHEET] 250.00 ~. INTEREST FROM 12/23/09 TO 01/01/10 [SEE HUD SHEET] 158.18 ~~~ ~ i 54,843.78 Continuation of REV-15001nhsHtance Tax Return Resident Decedent CHESTER R. LANIOUS Dsoede~H's Name ~ 4 21 08 1286 Fib Number Schedule 1-Debts d! Decedebt, Moi~ape UabNitlee, $ Dens • r~rvnrtv insurcP-NC,;t PREMIUM 1.0 YEARS -ERIE INSURANCE [SEE HUD SHEET] ..~„ ~•~ 62. HAZARD INSURANCE 3 MTHS. [SEE HUD SHEET] 120.51 63. COUNTY TAXES 11 MTHS. [SEE HUD SHEET] 476.19 B4. SCHOOL TAX & MTHS. [SEE HUD SHEET] 690.76 65. DUNCAN $ HARTMAN, PC -SETTLEMENT ATTORNEY FEE [SEE HUD SHEET] 325.00 66. TITLE INSURANCE -KEYSTONE LAND TRANSFER LTD , . [SEE HUD SHEET) 918.75 67. ENDORSEMENTS -TITLE INSURANCE -KEYSTONE LAND TRANSFER LTD , . [SEE HUD SHEET] 1~•~ 68. CLOSING PROTECTION LETTER -KEYSTONE LAND TRANSFER LTD , . [SEE HUD SHEET] 75.00 69. OVERNIGHT MAILING FEES - KEYSTONE LAND TRANSFER LTD , . [SEE HUD SHEET) 14.00 70. NOTARY FEE (SEE HUD SHEET) 7.14 71. NOTARY FEE [SEE HUD SHEET) 15.00 72. REPAIRS -JERRY RUMER (SEE HUD SHEET] 65.00 73. RECORDING FEE ( SEE HUD SHEET] 150.00 74. CITY/COUNTY TAX/SURCHARGE DEED [ SEE HUD SHEET] 1,120.00 75. STATE T/WSTAMPS [ SEE HUD SHEET] 1,120.00 SIIBTOTAI SCIEDIILE I 5,729.35 Continuation of REV-1500 Inheritance Tax Return Resident Decedent CHESTER R. LANIOUS DeosderR'a Name ~ 5 21 08 1266 Fpe Number Schedule I - Dsbts of Decedent, Moetpape LlablUWs, ~ LMns ITEM [SEE HUD SHEET] 203.87 77. FINAL UTILITY BILLING -CARLISLE BOROUGH [SEE HUD SHEET] 201.48 78. PEST CONTROL - GILBERT'S PEST CONTROL [SEE HUD SHEET) 874.50 u ~olx.E I ~iRAIID TOTAL 8CfE0U~E l I s 78, t94.4a REV-1513 EX+(9-0p) COMNONWEALTN of PENNSYLVANw INNERITANCE TAX RETURN RESIDENT DECEDErtT SCHEDULE J BENEFICWRIE3 NUMBER NAME AND ADDRESS OF L TAXABLE DISTRIBUTIONS @Iw~ Sa¢ 9 1. DOROTHY MARIE RAND 1045 NEVVVILLE ROAD CARLISLE, PA 17013 2. CHESTER H. LANIOUS 9 SPRINGSDANS ROAD COLUMBIA, SC 29229 RECEIVING PROPERTY ~ Do Not LMt TnaM(s) I OF ESTATE Id dedrtauYona~ >etd lralnkla Under 5096 SHARE Lineal SHARE tNr ER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHONM ABOVE ON LINES 15 THROUGH 18, AS APPROPRwTE~ ON II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL DEPART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF RE1/-1500 COVER SHEET I S IN nrrw snsnn La r~rrkrl Vert ar4Nlinnal cF1an11c of >hw Warrior ci~al T . T~' ...: . I, estex R~a~s I,.~:otas of~ ~~r~ ~tty, P ~:, being of ..~otd ate. c~s~tis.~ ~, ~, .crre~sret~tr-~r< hereby e_, ~ubl#ah aid .c1 t~~~ ass aarel ~`mr ia.at wl and t4a~~et~at, .hereby r~i~g any rid all ®tbar irks aid codicils heretafbr~ ~a+~e by ~tra. FIRST. I' direct that all z~ay just ct~s az~d fur~~al e~rp~enses be paid frerr ~' +ra~- ars .sue e+r .~ ~ .,.~,,~r!~` s co~tve~ti.ently may_ be ~©ne. S~GUND. I cti~rect grit my rasa ~ waded k., beloved wife .Brrrflthy, ~thi.~s trial plat 1®cate.d at Weatffiinir-ter Ce~e~ery, C'airlis~.e; 1~insylvanat,' TI~I~. I, rtuthorize irt~r psrs~tnal re~es~artive to e~,d s funds f~ " ~ 'estate, iri: ~~ch amo~ts as' ~* Pars; t-a- ttve sha ear~sid.e.r'r~eac~ass~ary ~+e~ir]~-e, fir tie ra~a-se, erection aisd .xtaer~~tio~ ;o.f a s.rsitable 'm~~Cer ~ $.rra+~*e. FCT~ . I prca~ty c.ed in-si~aae~ ~li.+ if she ~~e~e to .survive sse ~' sil, 'said t.~t~ib~ policies t~srq~ to:.be d.itr r~n~er as. ,~3we, dri~se; anal ~gth all t . ble .ter®m~tal ~- at tltxa time ~ ~-.~h, - r a-°~th ail ~ ~~ ~ eyrie ~ -. ar~1s thi:rt~."d~a, ,I give; ~i+asr ~ ~+th e :pazs~nal psicrpart . anal all laid fart Ito b ®# ~}- cil~r~ C~tater. I~r#e~ a~.,d e aviw~ ~ by t~~ty f.~~ +ys, .fir st~i~rpes ~;:,g them as equal~:y ~s pr~~crt.~ele in .sttcyh ~y agree FIFTH. I litre, devise; and bee~~~eat:h all rra,, a7,.'.esta~e cn~d by me at .the tip o£ my ,dash .o....~:,_. , . ~~.,~~-a..~~ ~.~.__..., ~ .a . Lan,:eue:, if shy.. &~s ,tne t she fa~.ls t® ats~e ~ ~~ ber~,uetith all acid°-t#al. asar t Che~ter.:~iorace .a~tscl ae~ .~;; clays, per ati.rp, fe ~e d~~.~?ill r cable ' n suc~- mar ae y ~ tom: € ~,a~ e~~ly . p~atctf~ SIXTH. I su t ebtat any and all of ~ :~~ which: could b~ :coe~:~~ad to, ~er2.es ba: kit ~ . .. 'fir as :it is eus.tira~ry to pass t'h~ae it+r g;~r~t~.,~-a..9 .genetatiari. SE~T~I. I cli,ct e~ any ~~ a~,l I~itae,.:~~te aid ~"r~a~r hexes .s~i mY ss~te ~a~, t~ ' . twill.. or othe~e, s•Ia~aell be Paid out :off the ~ri~,~~~.~al of, my cs~tate . 1 ' _, ti EiGH~'H. I gimme, 6~v~.s~e ~;~. the ra.st., residue r ~~ ~ ' ''_ g ~' Tie , if s ~ Y s fails t~ sm~a F ' °~s~ begttEa~h all ~ ~~, ,. such of ~. chil.~ ~z' ._ n , :: ~ s?~ve me b tta,3.rty E3~~ ~~. fir' .. ~. t affi e~u#~ly as p~aetible fn •such ` sa ~r . eee. NI3. I hsr~b n~ta.te, ti.Ytte ,~i a, at~~ my ~~.~fe In tt7.~ ~~At Of t~ E; a ~~' , ~ t0 act fpr any 1~@~! ~,~~ ( ~..~ . , ~ ,~ co~tstitt~te ~~ ' I3ar€tthy 1~arie ~ ~ : , :` '° .~ ~ " . I hereby relie~re ~ eta '~~~rltfi~tg security in. connection with her. equities, a6s such, in jnri~dictian in' rich 4Y~e ats.y tre eel led upon to act if~;r as I aa~ able by lati9 ~e , clo sir '~. In additis~ t® the pass co~tfarred ~y law, I authorizes t®y Executor, u h+er a~aseJl.ute r~is~xeti ts+ ~ i the ..form received, ~'ed ~o seli eit~te~ at p~`blic or prrwri~te gale any real or personal property oi~re~ by ~e at the time Qf ~ deaf IN WIC I have he~~uaey set try lcsd and seal to this , ~ ]~aa•~ ~. ~. ~ ~ +qre~! ~t , . ts~G eof (~ ~ t written pates, th+e firer e! ahi+s~x 1~aars ~ s~.~en ix~ ~ aargi for -the pur~acs of ~d~2ntification this ~ f~-- day: of 197. Trestaet~G~r, Glee+ testa't, fin, ~i.~tt pre? hie he~~u~3to ~ ^ A 8. TYPE OF LOAN U.9. DEPARTMENT OF NOUSINO 6 URBAN DEVELOPMENT 1'®F~ 2. FmNA 3. QCONV. UNINS. 8. FILE NUMBER: 7 LO SETTLEMENT STATEMENT otkTee ~. 5. MORTGAGE INS CASE NUMBER: C. NOTE: TMs kvrrr k haNalad k 111-9852700.703 Items marked TPOC]" py9M You a afetsmenr 0/er:fwl seMNmsrd coda. Amaurda pakl b end by pN »Itlem pekJ ouhkM pre ca+IrW; prayers shown here /~ krkameponel Parposea end ero D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AI Nieholss A. Groaves Eateb W Ctro ter 5. ^CONV. INS. sham. /n pre bbls. 214 S. State Road, Apt, A s R. Lanbus 113 North Orertpa Steel MNLIfe Homs Loana, a Divlsbn Merysvllb, Pa. 17053 Cadbb, PA 17073 of MetLpe Bank, N.A. 201 Grenke Run Drive, Suite 730 Lanceater, PA 17807 G. PROPERTY LOCATION: H SETTLEMENT AG 143 North Onnps Street . ENT: 25-1878915 Car9eb, PA 17103 Keystone Land Trensfar, Ltd. I. SETTLEMENT DATE: CumberleM County, PonnayNanb PLACE OF SETTLEMENT December 22, 2008 3421 Markel Street Camp MIX, PA 17011 120. GROSS AMOUNT DUE FROM BORROWER TOTAL PAID BYiFOR BORROWER OMB NO. 2SOZa2r7a zA 115,958.91 I f 120. GROSS AMOUNT DUE TO SELLER 110.977.00 820. TOTAL REDUCTHXY AMOUNT DUE SELLER X)3. CASN (X FROM) ( TO J BORROWER - __~ ~~ • ~~~MO .+ue attar Lure SZO ( 81.288.3 4907 91 803. CASH (X TO) ( FROM) SELLER 97,348.52 The underolpned troreby adcnowledpe reeelpt or a tompbted rapt, or Papas 102 of Brb sta1MMM 0 arty e0achmenb roferrod t0 Mroln. Borrower Sslbr Est tsabr Lenl us khobs A. Grooves BY: A_~.J (//JOB WCEOIOYElO/t1) Citizens Bank Account Number Account Title Date Opened Account Tvne Principal Balance as of DOD Interest from Last Posting to DOD Account Balance as of DOD YTD Interest to DOD 6100682102 STER LANIOUS 6/6/1966 $17250.13 $ .00 $17250.13 $ .00 Citizens Bank- Account Number Account Title 61401770 Date ned CHESTER LA Account T 11/20/195 Princi Balance as of DOD Savin s Interest from Last Postin to DOD $2814.11 Account Balance as of DOD $ • 12 YTD Interest to DOD $2814.23 ~, f. In ~ ._.-._v.v~wcro. y yr~~f~j ,~ D~1 `yam. ~tfYM!~, .~, y ~~ ~ GL'~%Sa'~ C::~N .. . .. " ar^.F:.ae' 7'1 ~'~~T[ AT THE ORIGIN(A~L~~{JMR~AT URITY fIER[OF WILL -Ay `L~~S ~ (ISSUE DATE 7irLNESTrF: R LANIOUS JR xXI~XI$}NCfIRSip„~, ~,_~, 14~ N GRANDE ST s 716 OS 4552 NOY 1978 IVEEN) --i p u D MI<j DOROTHY M LQNICUS 14'1,88 -~ FR$ PHILA ', T Q DEC .Y"~~`7T978 I• I r~'f I ~~_1 ~~~ 9 U ', uA rv.,. s,unv I I INDEPENDENCE HALL ^n. s+e NYwc...a~w~u.... E +K.nrYCnwwre.w.e+. mrtn ....a.s K~ ~w.u..wow.- - SERIES K.YY....M[..w.KNgK.1 R.NYIp ---~- YMY I. w..IX. ` 111fYIlH C[MMY[.I WIOnM.[i.M101 M1.w111 M[Y1q, ~ WI1$XIX6}OF ~t i ~~- ~ a..~~-~~~c Q 6 3 2 0 5 31 2 9 6 E „' :u 4 Yak .... Mmyyrp.T..yyy. ~' :, ~AT TM~iIVA~ATUR~O-r l PAY ~'~~ • ~~ ~~~~~~'.'~.:~~ ms's ~OCNES7Ek ft LANIGUS JR 143 N URANGE S7 LAF.LISIE pq p L' D MRS Gt3RCTF-lY M LANI(US IssuE DnTe_" wNICN , r~L nxsr wv cr 7i6 09 4552 _ MA_R _1.9. 79 __ (MONTH( - IYC~R) "" 13358 i" pPR 27 1979 GATII,C ,T.,.,~ i .i _ `:~; IN 'EPENDENCE MgLI sue--~.ro..i N°.c0.u°..ow:onoi"I.^..°i~ E K.I.K Ub ... b.-p'Y.CT.KwwOl. wNiW" SERIES .Rw.uroKUnw.w.. ..wu..,..1.~...,. ~---- RItNwRrDMNRRLN{ ,.RW.. nMlnor Mwc.r. n.x WASI.W OTON ~~ ~- _~ " ~~~~~.~~~~~ Q 6 3 3 7 9 3 5 2 4 4 ~M.:... - -- - - - ~ - To ,. ~ - , i ~,; t' ,." .) INt EPENDENCE NAIL SERIES E AT TN[ ORI6IRAI IMTURtTT XER[O/ yy1LL ~.~y.-~~`.n-wl ISSUE DATEw wxrtx Is TxE Prxst DAr or ._: , L ~ :-. IMOi'.TMI ~ yrKMl i , 1, ~~,jti ~:~ ~ r 1 :::;7r. y aTI.M RTAI.I. ~ 3 R.. bIIY• ~w~mrow °"~"m e.°"°.I..M' a~wXws.wrwl~ `~`~~~~.. ~~c..c.Y[IOY~t Rurerear ~Ra'+~0M1~.i w+wy , !~. tr.,~ d.c 0 6 3 0 7 012 3 31 E RT THE ORIWNEL MFTURITY MER[OC Will pEY ryxtq~,- ~~~7 gr ~~1~ ^,J ""'~'~LL ~Zl'dS" i qE ISSUE DATE WHICH IS THE FIk51 Lc} pF 7L CNESTEk ri LA~~IC~US JI, 716 04 14~ id Lfi.4N~r 5T 4552 JAN 14 T9 ~(MONTrI - _ .. _ I K~1~) _ F ~ G Mfg S I]C,~':~~TS-IY M, Ll~~; IL'US p [~ 13S,r-2 l~ ~0. /V r~AR (38 1979 [ o~rlNe stoop ~ [ , INDE _NDENCE HALL ~___SERrES E RN eA ~ aNU aNn tn[Rwnr e.~ /[[[b[w[RIW{WLgO[gq• HMO M.RY WANG. W,t NNNp YO YiW M1tO N[NIROM NYMNp IIWIRT ON, I•tY1t+ TRMIIN COMIYGT taYN. A(I6[VL aM,HINQHXt .: lu.N..~-w~~c 0 6 -- - - - - .E.+h9or,~..,.y 330 714 264 E ROWE'S AUCTIQN SERVICE (RH 79L) Bill Rowe (AU 1538L) 2505 Ritner Highway Carlisle, PA 17016 .,;_'.~48-1878 687-4784 248-2677 Dave Rowe (AU 2295L) Auctaon Is Action Call "Rowe" For Satisfaction SELLERS NAME ~ DATE G ~" d ADDRESS 6y r PHONE ~-3 -tea/ OTHER ~~~5 t _ ~ ~7d~3 AUCTIONEER % 3 AUCTION DATE/LOCATION r CLERK CRIPTION OF MERCHANDISE .~ 'L%~ ~, s ~e I Commission the Auctioneers to sell the merchandise to the highest bidder by Public Auction. Merchandise to be sold as is & grouped as necessary to obtain bids. I certify that I am the owner or authorized represen- tative of the merchandise, goods and or property and have good title and the right to sell and that they are free from all incumbrances. I agree to accept all responsibility for providing merchantable title for delivery of title to the purchaser. I agree to hold harmless the Auctioneers against any claims of the natu referred to in this agreementi~ /' AUCTION SIGNATURE SELL S IGNATURE Total Sales (Clerking Tickets Attached- $ 3 ~ (o ~ S `~ Less Sale Expense: ,r (0 1.. ' ~/,S,,___%((,,,,~~C~~ommissionAuctioneer $ ~ 0 1 ~, - ~`~i:oeeaassivesClerks $ ~} <'- ~' OTHER: TOTAL SALE EXPENSE DEDUCTED $ ~ l (~ ~ 1' r-~ SELLERS NET $ ~ ~ ~ ~' ~' 7~.~r Vwl +. ~ a F (.t ~.~S/~.c.A-'~ls, ~ralS; (aka "7 8 ~f1`-'