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HomeMy WebLinkAbout03-04-10INVENTORY REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA 1 SS COUNTY OF Cumberland File Number 21-2009-0655 Personal Representative(s) of the Estate of Valeria Nolan deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum the end of this inventory. I verify that the statements made in this Inven- tory are true and correct. I understand that false state- ~ «. ~~ ments herein are made subject to the penalties of t ~. ~~ a J~ 18 Pa.C.S. § 4904 relating to ttnsworn falsification to authorities. (Supreme Court I.D. No.) 25502 Anthony Adams H • Attorney -- (Name) (Address) 49 West Orange Street, Suite 3, Shippensburg, PA 17257 (Telephone) (717) 532-3270 DECEDENT'S SOC. S EC. NO. DATE OF DEATH LAST RESIDENCE Newburg Borough, Cumberland Co, PA 17240 10 Water Street 179-10-3870 , June 26, 2009 FIGiTRES MUST BE TOTALED 26,165.56 M&T Checking Account #97432369 30,044.11 M&T Checking Account #15004220310095 10,026.72 Orrstown Bank (Certificate of Deposit) 130,590.14 Real Estate (10 South Water Street) -net proceeds of sale -see Settlement Statement 97.50 UHN Retirement Fund (lump sum benefit payable to Estate) 47,692.30 Western National Life Insurance (payable to Estate) 2,898.47 Nationwide Life Insurance (payable to Estate) 291,712.58 Stock -see Fidelity Investments letter dated 9/3/2009 for value date of death ~ 46,037$ Fidelity Investments -Money Market ~, 4 635 45; Personal Property -net proceeds from auction (Dan Hershey Auction Services LLC) ~ , ,~r ~ 91,3~86~93t Inheritance from Estate of Fredith Nolan * ~_. n I ~ -7 '. a tTt t --, *Valeria Nolan survived her daughter, Fredith Nolan, by 3 months. Under Fredith's Will, Valeria was to ~. ~C ~ ~ ~~ -r7 receive 65% of the distribution. The accounting for the Estate of Fredith Nolan reflects a distribution ~-. ~~ ~.- .`;~ ~~ payable to the Estate of Valeria Nolan is $91,386.93 _ .--- ~ (Attach additional sheets as needed) TOTAL: 681,287.58 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal (See 20 Pa. C.S. ~ 330I (b)) t I h representative include the value of each ory. nven e but such figures should not be extended into the total of t item , Form RW-09 rev. 10.13.06 (OMB # 2502-0265) (Expires 11 U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT w rn_~ r ruiFniRM SETTLEMENT STATEMENT _ B. Type :Yi uoan 1.[ ] FA iA 2.[ ] FmliA 3.(x ]Conv. Unins. 6. File Number: 24719n Number: 8. Mortgage Insurance Case Number: 4.(] VW 5.[ J Conv. Ins. C. NOTE: This form furnishes a statement of settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.c.)" were paid outside the closing; they are shown for informational purposes and are not included in the totals. D. Name & Address of Borrower: E. Name, Address & TIN of Seller: F. Name & Address of Lender: Curtis R. Carbaugh Estate of Valeria Nolan Cornerstone Federal Credit Union Angela L. Carbau;3h Dennis J. Hoover Executor 5 Eastgate Drive, P.O. Box 1181 PA Carlisle PA 17013 Newburg , G. Property Location: TIN of Seller: H. Settlement Agent: Anthony Adams, Esquire H 10 South Water Street . Place of Settlement Newburg Borough, Cumberland County 49 West Orange Street I. Settlement Date: 9128/2009 Shippensburg, PA 17257 Pennsylvania, 17240 of Seller's Transaction Summary of Borrower's Transaction J K. Summary . 100. Gross Amount Due from Borrower: 400. Gross Amount Due to Seller: 000.00 134 Contract sales price 101 , 134,000.00 401. Contract sales price . 402. Personal Property 102. Personal Property 103. Borrower's settlement charges (line 1400) $4,801.35 403. 104. 404. 405. 105. Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance 106. City/town taxes to o $ 0.00 406. City/town taxes to . 89.30 107. County taxes to 89.30 407. County taxes to $ 0.00 to 108. Assessments $ 0.00 408. Assessments to 840.84 109. School taxes to 840.84 409.Schooltaxes 110. 410. 111. 411. 112 412. . 113. 413. 49 420. Gross Amount Due to Seller 731 $139 $134,930.14 120. Gross Amount Due from Borrower . , Reductions in Amount Due to Seller: 500 200. Amounts Paid by or in Behalf of Borrower: . 00 501. Excess deposit (see instructions) 1000 201. Deposits or earnest money . 00 502. Settlement charges to seller (line 1400) 300 127 $1,340.00 202. Principal amount of new loan(s) . , Existing loan(s) taken subject to 503 203. Existing loan(s) taken subject to ' . 000.00 504. Payoff of first mortgage 3 s Assistance 204. Seller , 505. Payoff of second mortgage 205. 506. Seller's Assistance 3,000.00 206. 507. 207. 508. 208. 509. 209. Adjustments for items unpaid by seller Adjustments for items unpaid by seller 00 $ 0 to 210. City/town taxE;s $ 0.00 510. City/town taxes to to . $ 0.00 211. County taxes to $ 0.00 511. County taxes 00 512. Assessments to $ 0 $ 0.00 to 212. Assessments to . to 0.00 513.School taxes $ 0.00 213. School taxes 514. 214. 515. 215. 516. 216. 517. 217. 518. 218. 519. 219. 300.00 520. Total Reduction Amount Due Seller $131 $4,340.00 220. Total Paid Bylfor Borrower , Cash at Settlement Tolfrom Seller 600 300. Cash at Settlement Fromlto Borrower 0 . 49 601. Gross amount due to seller (line 420) 731 $139 $134,930.14 ) 301. Gross amount due from borrower (line 12 0 . , 00 602. Less reductions in amount due seller (line 520) 300 $131 $4,340.00 ) 302. Less amount; paid by/for borrower (line 22 . , 49 603. Cash ~ to ~ from Seller 431 $8 $130,590.14 303. Cash n from I Ito Borrower . , 00 $ 0 t Substitute Form 1099 Seller Statement The information in Blocks E, G, H, I & line 401 (or, if line 401 is asterisked, line 403 and 404) is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a sanction will be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. If this real estate is your principal residence, file Form 2119, Sale or Exchange of Principal Residence, for any gain, with your income tax return; for other transactions, complete the applicable parts. of Form 4797, Form 6252 and/or Schedule D (Form 1040). You are required to provide the Settlement Agent (named above) with your correct taxpayersrdnentalcatioaltesnimposedoby aw tUnderdpenaltieslof perjuryeltcelrtify thattheanumbertshownnon thsestatement semybCiorrect clvll o P taxpayer identification number. (Seller) (Seller) I have carefully r we the U Settlement St tement and to the best of my knowleoge ana oeuni, '~ " °/~~the~ V 1 Settlement Statement. disbursement ade n ~~p(-,nlt~or by me m transactiop I further certify that~v~ceiv a copyyn ~~ Borrower / "" ( Borrower Seller To the best of my knowledge the HUD-1 Settlened as part of the s t tement ofrthis transaction.nd accurate accoun~f th~ nds which wereDrate ived and have been qr ill~C~s hC'i ~-2 Settlement Agent WARNING: it ~s a dime l0 4:nowingly make false statements to the United Steles On this or any other similar form. Penalties upon conviction InGUde a Ina and imprisonment. For details see' Title 18 U.S. Code SeCien 1001 and Section 1010 410-252-6556 P • 1 Sep 08 09 02:06p Neil Adleberg ~~vN s Fi~l~~i .~~.~ September 3, 2009 ADLEBERG ASSETS p,DVISORS,LLC p,7'l'N: VEIL AI7LEBERG 1807 SHAWAN VALLEY LANE REISTERSTOW N NID 21236-5723 ~fln' 33~, ~ z6`~ Dear Neil Adleberg: We are responding to your request for information regarding Valeria C Nolan's Fidelity account. Account Number: 673-893757 Registration: Valeria Nolan -Individual Value on 6126/2009: See attached valuation report 93757 Ail information in the enclosed valuation report(s) is based on assets in the above-listed Fidelity account(s) as of the date indicated on the report{s}. Valuation information for these accounts is provided through Evaluation Services Inc., a third party valuation service provider. Fidelity does not warranty the accuracy of this information for any particular purpose. In addition, Fidelity does not provide legal or tax advice. Consult with an attorney or tax professional regarding any specific legal or tax situation. V6ze hope this information is helpful. For questions concerning account holdings or instructions on howOtoo 5~aa03 ~ ween 8:00 A Maand 6 30 P M Eastern time Monday Services Group at 8 through Friday or visit our website at www.fidelity"corn. Sincerely, Fidelity Investments Our File: yV483841-27AUG09 "•t ..; i .. =idE'Ety B"•7hPteu :~`t:'ii rti LLC... .F j S- ~' ... --F :4 .. .: Ya4rnral r n: rci.; S r ias L~ ~ 1-..... ~ ~ .. , - . . ~. ... .. • .3 i'. .. ham' .. 410-252-6556 P ~2 Sep 08 09 02:06p Neil Adteberg Cn,~a~r ~ ~ ~ ~ ~ ~ ~ ~ r ~ x~A ~~ H m a ~ c%~ O ~i A G ~ ~1rD m HH ~ N ~ ~ A O ~ q ~ O v ~ ~ m~~m ~ ~ y ~ -'~i ~ az v~ ~; w ~ O ~ TA ~i" ~i q 0 .r{ m W rn rn rn O a a Q o O N N !V ~ 1 ~ 1D ~D 1"7 N N O '~ 1 10 ~O Qt O O 6 m m ~ J3 Od Q p C G O •~i 4-1 •ri U9 O 16 Ql ~ U J-~ H O ~ i0 i-I A>a ~I O a x m 0 0 r o c ~ o c• ~ ~ M n ~, ~ M N d d' ~..~ ~ ~ c aoo o 0 0 0 o a p o a o O a p O O a lfl O ~.-~ ~P 1!] e-! Lfl ~ ~ ~ ri 01 n ~n o u~ .r N N a-3 rl N a x 0 0 0 rl 10 4 N a a 0 0 o~ N m ~- ,cy U V O q ~ O rn o ~ ~ ~ ~ N . 41 ~1 ~ N w ~ ~: ~ x v~ir`~ ~ ~u o 0 0 Vt H a k I N y.~ b -~ w w ~~ ~ C4 m o O H ~ a a ~ ~ ~ a c a o o o c o ~"~ o ~ rn cn 'a ~ d. 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'mow cn W ~i~i m O ~ ~ v b ~ LA ~ ~ rl ya m ~ ~ m U Wi y ~~ b ~ V D ~ {~ O is a IA d 3 M O a m w rl 410-252-6556 P~5 Sep 08 09 02:07p Neil Adleberg ~, r ~n ~~ in n q n .. c z~Q H N~ m O -rl K ~1 F ~ ® ~o ~ td ~ ~ ~ m ? v . ~ Qg ow , aaC r ~ ~ o o~ m fL~ ~ ~ l1 W ~ ~ ~ q ~ ~ Q '.y m ~ ~a ,b w-1 ar .~ o a 1 ~ x ~ I II ~ ~ I ~ W m ~ ~ ~ Ooo O O Q N N N ~ ~ 1 1p ~D M N N O ~ 1 ~ lD~ ~ O O O ~ i~ ~ i~ Q a G1 S. 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O .rl y ~a m y 0 }+ _ µ-1 N a • n H D .,~ ,~ ,~ o- ~ a .yt ... m ~ o -ri U .ri M u~ ~ ~ ~ k ~ o `r' y o m ~ ~a ~ ~ ~ a ~ ~"' m M 67 l{.1 W o ~+ v y a w~ m ~ ~~ m 7 +~ W as ~ W ~v o -ri D 3 ~ Ra 0 H t~ 3 O a~ w H 60-15033 216 3 DAN HERSHEY AUCTIONEERING SERVICES LLC 313 ESCROW ACCOUNT ~ 790 WEST HIGH STREET DATE CARLISLE, PA 17013 PAY TO TNF I (/l~~ V lr.,- ~t/~ I~TIt~~~ Y ` ~ Lr~S' -l ORnnDER OP ~ r///`~/, l{/" p, 1~ ~, . ~ `-~ n t ~ lr ~. ,. ~ ~tU ~n ~ ~ ~II t .~ 'T"V1\Y/~TU'T ~l/u .~/~FIOLLAPS IJ o.~...~~.~ ~) (`~ ORRSTOWNBANK ~ -- - 11 Tradit~o~ of ~tl[ence ~~_ M' MEMO e ~ I ~~~JJI~~~ ~:03L3~5036~: LD3 00625411' 2L63 P:~. TION SERVICES LLC DAN HERSHEY AUC 790 West High Street Carlisle, PA 17013 (717) 532-4647 Steve Ege 717-385-5438 Cell Chris Bream 717-226-1920 Cell _ DATE `~,°/I''~-1}~'-. 9 SELLERS NAME ~~~~" ~ c -~ ~`~~ ~~ r° ` I~~~ n ~~ ~, PHONE ~~~cj - c 5 Fr - ~' ~~~ ADDRESS - du ~~ ~ ~~ `~' ~- ~" ,~ ~ ~j r~ ~ AUCTIONEER % ,J OTHER 5~~ ''~"~ ~ ''~ 1` J ~~- CLERK AUCTION DATE/LOCATION DESCRIPTION OF MERCHANDISE 1 ~ ~ i ° r+ /F° ~ ~ ~ ,r d / ~ ~ ,r/ .,~ 1:~~~ -.. , ~ j ~' ~ // ~ nr /_' ~ ,f ,~ / ~ / '~G~ is ^'~'"` , ~ ~ ~=~eov ~r~s ~~,f I Commission the Auctioneers to sell the merchandises oe to hthat Itamdthe ownebolr authorized representa- to be sold as is & grouped as necessary to obtain bid fy tive of the merchandise, goods and/or property and h lrt go°d roviding merchant ble It tle and fo hdel very of from all incumbrances. I agree to accept all responsib y P /, ` title to the purchaser. I agree to hold harmless the Auctioneers a ainst any claims oft e natpre referre to ,~n this agreement. Trash fee applied if applicable. /~ ; ~') ~~ `f / ~ ~ ~~ IGNATURE ~~1 L`E`RS SIGNATURE j A CTION S -~ ,, ~~~~. ~~ Total Sales (Clerking Tickets Attached) $ Less Sale Expense: Commission Auctioneer $ Commission Clerks OTHER: TOTAL SALE EXPENSE DEDUCTED SELLERS NET