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HomeMy WebLinkAbout09-14-10 i 1505607121 T_ ~ ~~~-1500 Ex (~-~5) OFFICIAL USE ONLY PA Department of Revenue County Code Year F~ Number Bureau of IndNridual Taxes INHERITANCE TAX RETURN PO BOX 280601 2 1 1 0 0 1 4 4 Hanisburg PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 2 0 5 1 0 4 3 9 6 0 1 1 8 2 0 1 0 1 0 0 3 1 9 2 0 ', Decedent's Last Name Suffix Decedent's First Name ', MI FOYE EVELYN (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 WITf H 7~HE REGISTER OF WILLS C L 1505607121 T•~LL m r~rrnvrnM+~ ~ v••+`.v v~w•• © 1.Original Retum ~ 2. Suppbmental Retum ~ 3. Remainder Ret ~. m Qdate of death pnorto 12-13-8 ) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate ax (Return Required death after 12-12-82) ® 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 8. Total Number o Salle Deposit Boxes (Attach Copy of Wili) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Ebction to tax nd~r Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTUL TAX INFORMATION DBE DIRECTED T( Name Daytime Telephone N mbEer J O S E P H C. M I CHETTI J R. 5 7 0 7 9 7 8 6 5 1 Firm Name (If Applicable) REGISTER OF USE ONIA DLUGE & MI CH ETTI ~° First line of address 9 2 1 MARKET S TREET t~ ~ Second line of address p :D N , =` State ZIP Code DATE FIL D N City or Post Office Gn T R E V O RT ON PA 1 7 8 8 1 I Correspondent's e-mail address: MICHETTICc~ PTD.NET I Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statemenb, and ~ the best of mY a and belbf, it s true, correct and complete. Declaradon of preparer other than the personal representative is based on ati infomlatlon of which preparer has a e. S URE OF PERSON SPONSIBLE FOR FILING RETURN A - / 2010 A ss 836 iif. S , T'REVO1tTON A 17881 SIGNATUR F PR ARER O ER THAN REPRESENTATNE _ AT / /2010 ADDRE 921 ARKET ST EET TREVORTON PA 1 881 r'LtA3C Yrtt VK1~71PIAL rVKirl VPILT Side 1 150560712 I za n `7 :. =, ~w ~~ ,a J~ 1505607221 REV-1500 EX Decedent's Social Security Number Decedents Name: EVELYN I. FOYE 2 0 5 1 p 4 3 9 6 RECAPITULATION 1 150 ~(D 0.0 0 1. Real estate (Schedule A) 2 8 ~' 6. 1 6 2. Stocks and Bonds (Schedule B) .................................. 2. 3. Closet' Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages 8 Notes Receivable (Schedule D) ........................ 4. ', 3 ~ ~ 9 . 6 4 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5. 6. Jointy Owned Property (Schedule F) ^ Separate Billing Requested ....... 8. 7 ~ ~ 3 ' 7 6 7. Inter-Vivos Transfers 8 Miscellaneous N~Probate Property Billi R t d S 7 ....... eparate ng eques e (Schedule G) . 8. Total Gross Assets (total Lines 1-7) ........................... 8. 1 8 9 ~ 9 , 5 6 9. Funeral Expenses 8 Administrative Costs (Schedule H) ............. ... 9. 3 9 ~ 6 • 4 8 10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule q ......... ... 10. 11. Total Deductions (total Lines 9 8 10) ........................ ... 11. 3 9 ~ ~ 6 , 4 8 12. Net Value of Estate (Line 8 minus Line 11) ...................... ... 12• 1 5 0 ~ ~ 3. 0 8 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............... ... 13. 14. Net Value Subjsct to Tax (Line 12 minus Line 13) .............. .... 14. 1 5 0 ~ ~ 3 • 0 8 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9118 0 0 0 1 0 0 0 (au1.z) x.o _ . 5. . 16. Amount of Line 14 taxable 1 5 0 4 2 3. 0 8 6~$ 9. 0 4 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 . 18• . 6 ~ ~ 9 . 0 4 19. Tax Due ............ ............................. .... ...19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^ Side 2 1505607221 15056072211' J 1 - -- - - __ ___ __ _ _ _ __ _ --- L.__ 1 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 10 0144 DECEDENTS NAME EVELYN I. FOYE STREET ADDRESS 6325 BRANDY LANE CITti! MECHANICSBURG STATE PA Zlp 17050 Tax Payments and Credits: ~ ~ Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payrrx?nts 6,000.00 C. Discount 315.78 3. InteresVPenalty ffapplicable D. Interest E. Penalty 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (1) ~_ 6,769.04 Total Credits (A + B + C) (2) ~ 6,315.78 Total Interest/Penalty (D + E) (3) 0.00 (4) 0.00 (5) ~ ~ 453.26 (5A) (5B) 453.26 Make Check Payable fo: REGISTER OF U/tLLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPR~fIAI~E BLOCKS 1. Did decedent make a transfer and: Yes I 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 I~Alia`T 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 th~ surNiving spouse is three (3) percent (72 P.S. §9116 (a) (1.1) (i11• 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)J. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for discloser of sets 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 tax rate imposed on the net value of transfers from a deceased child twenty-0ne years of age or younger at death to or for the use of a nat~-ral parent, an adoptive parent, or a stepparent of the child is zero (0) percent p2 P.S. §9116(a)(1.2)J, The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except a8 noted in 72 P.S. §9116(1.2) (72 P.S. §9116(a}(1)J. 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)]. A s~blin~ is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX + (g-9a) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUh~ER I1A AA AAII CVCLTIV I. rVTC " '~ ~+'~ AB real properly owned coley or es a tensM in common must be sported at hir market value. Fair market value is defined as the price at which Would be exchanged between a wiNng buyer and a wilting seNer, neitller being compelled to buy or sell, both having reasonable knowledge of the relevan facds. Real which is owned with M of sunivoreh must be dkcbssd on ScheduN F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Real Estate situate in Hampden Township, Cumberland County, Pennsyvlania, 150,000.00 municipally known as 6325 Brandy Lane, Mechanicsburg, as more fully described in Deed Book G-22, Page 426, as sold to Sharon T. Bradigan, single, on April 23, 2010, a copy of the settlement sheet being attached hereto. I TOTAL Also enter on line 1, Recapitulation i 150 000.00 (N more space is needed, insert additional sheets of the same size) REV-1503 EX + (8-98) COMAAONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS ~ BONDS ESTATE OF FILE NUp~ER EVELYN I. FOYE 21 10 0144 AN property jofMly~owned with right of survivorship must be discbsed on ScMduk F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Consolidated Edison, Inc. Stock 4,584.00 100 shares @ $45.84/share 2. PPL Corporation Common Stock 8,174.40 256 shares @ $31.93125/share 3. Federated Government Income Securities, Inc. Stock 4,648.80 520 shares ~ $8.94/share 4. Royal Dutch Shell PLC Stock 11,268.96 192 shares ~ $58.6925/share TOTAL (Also enter on line 2, Recapitulation) ~ S 28,676.1 (tf more space is needed, insert additional sheets of the same size) !, it REV-1508 EX + (B-98) sCNEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERRANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER EVELYN I. FOYE 21 10 0144 Indude ttre prooeeds of litigation and the date the proceeds were reoeNed by the esfale. All property bhNlyowned wkh right of survhrorship must be dleclosed on Schedule F. ITEM NUMBER 1. Personal Property of the Decedent DESCRIPTION VALUE AT DATE OF DEATH 600.00 2. Prudential Annuity No. ROS847169 Estate beneficiary TOTAL (Also enter on line 5, Recapitulation) ~ s (If more space is needed, insert additional sleets of the same size) 3,129.64 II ~_ REV-1509 EX + (8-99) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERRANCE TAX RETURN ESTATE OF EVELYN I. FOYE 21 10 0144 ' ff an ssset was made joint w8tlin one year of the decedeM'a dab of lath, h must be reported on ScheduN G. SURVMNG JOINT TENANT(S) NAME ADDRESS RELJATIONSHIP TO DECEDENT a. RONALD I. FOYE 846 W. COAL STREET S N TREVORTON, PA 17881 s c JOINTLY-OWNED PROPERTY: ''' ITEM LETTER FOR JOINT DATE MADE DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANGAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH CDIS DATE OF DEATH VAL F UE O NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET I TE ST DECEDENT'S INTEREST 1. A. 5/1988 U.S. Savings Bond -Series EE - $500 face 740.40 ', '50. 370.20 2. A. 4/1979 U.S. Savings Bond - Series E - $1,000 face 4,331.20 I '50. 2,165.60 3. A. 4/1979 U.S. Savings Bond - Series E $100 face 433.12 ', 50. 216.56 4. A. 3/1977 U.S. Savings Bond - Series E $100 face 552.16 !50. ~~ 276.08 5. A. 2/1977 U.S. Savings Bond - Series E $100 face 552.16 ' 50. 276.08 6. A 10/72 Union Bank and Trust Company 773.23 ', 50. 386.62 Checking Account No. 13100963 7. A 2005 PA Central Federal Credit Union 1,289.65 S0. 644.83 Share Account No. 81717-015 8. A 2005 PA Central Federal Credit Union 5,164.95 ~I X50. 2,582.48 Certificate of Deposit No. 81717-OA5 9. A. 2005 PA Central Federal Credit Union 1,030.62 'S0. 515.31 Certificate of Deposit No. 81717-065 TOTAL (Also enter on line 6, Recapitulation) (If more space is needed, insert additional sheets of the same size) ~~ __ _ - - L_ ; REV-1511 EX + (10.06) sc~~u~ N COI4NIAONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES 8c INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER EVELYN I. FOYE 21 10 0144 DstRs of dscedeM mutt be reported on Schedule L ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Robert Foust, Jr. Funeral Home -funeral expenses 4,971.00 2. Country House Catering -funeral meal II 864.00 3. St. Patrick Church -church use, service of luncheon, grave opening and vault 2,090.00 B. ADMINISTRATIVE COSTS: III 1. Personal Representative's Commissions ~~ Name of Personal Representative (s) See NO. 7 8~ 8 belOW Street Address Cfly State Zip Year(s) Commissar Paid: 2010 ~I, 2, Attorney Fees JOSEPH C. MICHETTI, JR. 8,890.00 3, Family Exemption: (If decedents address is not the same as claimants, attach explanation) li Claimant I Street Address City State Zip ~I Relationship of Claimant to Decedent I 4. Probate Fees and short certificates II 331.50 5. Accountants Fees I I 6. Tax Return Preparers Fees I, 7. Ronald Foye - Co-Executor Commission 4,445.00 II 8. Helen Zechman - Co-Executor Commission I 4,445.00 9. D. L. Zimmerman Electrical/Construction -electrical repairs at home 1,938.78 10. Zimmerman Plumbing & Heating -bathroom repair I 1,110.00 11. Janney Montgomery Scott -fee for date of death values on stock 50.00 12. Union Bank and Trust Company -check charges 17.20 13. Vital Records -death certificates 54.00 14. The Sentinel -advertising grant of letters 314.98 15. Cumberland Law Journal -advertising grant of letters 75.00 16. Union Bank and Trust Company -signature guarantee on stock sale 5.00 17. Keller Williams of Central PA East -real estate commission 6,225.00 18. T.A. Financial Services, Inc. -tax certification I 10.00 TOTAL (Also enter on line 9, Recapitulation) I S (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent EVELYN I. FOYE 21 10 0144 Decedent's Name Page 1 File Number Schedule H -Funeral Expenses ~ Administrative Costs - B7. ITEM NUMBER DESCRIPTION AMOUNT 19. Teresa A. Dobson -notary fees 35.00 20. U.S. Postal Service -overnight mail 18.50 21. Recorder of Deeds - 1 °~ transfer tax of Deed 1, 500.00 22. Michael Langan, Tax Collector - 2010 County/Township Real Estate Taxes I 294.29 23. Hampden Township -sewer and trash i, 465.01 24. E-Script -prescriptions due 69.60 25. Studio 61 Salon -perm due 52.00 26. Verizon -telephone service 125.18 27. Susquehanna Oil Co. -heating oil 355.86 28. PPL Electric Utilities -electric service 87.27 29. Erie Insurance -homeowners coverage 323.00 30. United Water PA -water service 56.31 31. Reserve for administration 200.00 SUBTOTAL SCHEDULE H-B7 I I 3,582.02 REV-1573 EX + (9-00) SCHEDULE) COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER- T EVELYN I. FOYE 21 1 ~ 0144 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(Sy RECEIVING PROPERTY Do Not Liat Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [ir>dude outrig ~ s pousal distributbns, and transfers under S 8116 1 ) ec. . a 1. RONALD I. FOYE Lineal ' 43,181.09 846 W. Coal Street Trevorton, PA 17881 (1/4 share + joint accounts) 2. HELEN S. ZECHMAN Lineal ', 35,747.33 126 W. Market Street Middleburg, PA 17842 3. MARSHA A. GREAK Lineal 35,747.33 5405 Riverdale Blvd. Mechanicsburg, PA 17050 ', 4. VEDA M. HEINTZELMAN Lineal ', 35,747.33 1619 Paradise Road Mt. Pleasant Mills, PA 17853 I ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, ON Iii EV- 500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: 1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS I I ~I 1. ', i TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ~n more space Is needea, Insert atltlitional sheets of the same size) ' OMB Approval No. 2502-0265 A. Settlement Statement (HIJD-1) n T-__ _....__ t-o ~ z.o aHa 3.o C~~v.t1N1r~. ,.~.~..e.: ,.,~.r..~.: ~M.~,.~_~.a..~...., 4. ^ va s. ^ mtrv. INS. Pff123-38045 0096203273 G Note 7Tre fine ie aaniehed to ®t+YW • et~mwta of actual eattlmrat Dow. Aawuw Pdd ro ad lry the eeltMme~ errs en shown hew moked'(p.aal" w~eta Pdd ounids the cloemg thry ero eltownhns fat aEwMiatW pupas end en not mchtdedin tlr taglt a rrt.e a awn. ws.tw.n Shaerat T. Btadigm single t x... a Awns watw: Helest S. 2achman, Co-Etoecutor of the Estate of r. Ntuue a ears. wt,ewen Sovereign Bank Evelyn L Ftrye and Ronald L Foye, Co-Exetattor of 1130 Beduhve Hlvd the Betate of Evelyn I. Foye Wytmtiwiag Penosylvanie 19610 G rnr~tr , 6325 Brandy Lana a 8ettlesst Ape TA. Fmttttciel.Sttvices, lac. L aeltlr~l tlulee April 23, 2010 MechaoidMvg Cumberland County, Pettttsylvsnia 2831 Bartl®vi0e Road 17050 Pittsburgh, Ptmatrylvania 15216 HempdmTowtnhip 412-531-1050 fax: 412.531-1180 Lot 13, Revised Phm of Hilco Pletx, Book 10, Psge rra. w&seasr. T. A. Fiaaocial Services, Iac. 530 N. Lotdrvnllow Ave Hartiaburg, PA 17112 Daupldn Cauuy Phone: (717)724-3724 J. Sammary of Borrower's Transaction ~ K Summary of Seller's Transaction 103. $tsttlemertt to Borrower line 1400 5 714.41 403. Ad nstmenb for Items Paid Seller in Advance: Ad astmenb for Items Paid Seller is Adwnee: 2010 Courtly & Township Taxes Apr 23, 2010 1 ~' thru Dec 31 2010 203.99 2010 County & Township Taxes Apr 23, 2010 406. thru Dec 31 2010 203.99 107. Co Texas 407. Co Taxes 108. Assesamettb 408. Assessments 109 2009-10 School Taxes Apr 23, 2010 thru Jun 30 2010 189.06 409. 2009-10 School Taxes Apr 23, 2010 ihru Jun 30 2010 189.06 110. Sewer & Trash 2nd qtr Apr 23, 2010 thru Jun 30 2010 113.74 410. ~N°r & Ttash 2nd qtr Apr 23, 2010 thtu Jun 30 2010 113.74 120. Gras Amoaot Dae from Borrower: 156 21.20 420. Gross Amoaat Due to Seller. 150 79 200. Amoaeb Paid or in Behalf of Borrower: 500. Rednetiona in Amount Dne to Seller. 201. it or Earnest Mon 2 00.00 501. Excess sit see instructions 202. Princi 1 Amount ofNtsty Loan 112,950.00 502. SaWement to Seller ins 1400 7,778.50 203. Bxistina Ltlan(sl taken subiect to 503. Existing Loan(s) taken subject to 300. Cash at Settiemettt from / to Borrower: 600. Cash at Settlement to /from Seiler: 301. Gross Amount due from Borrower line 120 156 21.20 601. • Gross Arnount due to Seller ins 420 150 506.79 302. Less Amount Paid by/for Borrower (line 220) 115,849.00 602. 3120s Rtxiuctions Amount due Seller (line 7,778.50 303. Cash From Borrower: 540,372.20 603. Cadh To Seller: S142,728.29 The Public Reporting Burden fa this colkrtion of infomation is estimated at 35 minutes pa response for collecting reviewing end reporting the date. This agency may not collxt this information, and you en; not required to Ixmtpkte this form, unle~ it displays a currently valid OMB txbtrd Dumber. No confidentiality is esstsed; this diudoaure is mandatory. This is designed to provide the parties to a RESPA txwered haoeetxiat with information during the aottlotrtertt process. Barrovver initials: ~ Shearon T. Bndigen Helen S. 2ecMnen, Co- SeBv Initials: ~ ExecuWr of the Fatale of 0°°ld L Foye, Co-F.xewtor ~J of the Estate of Evelyn I. Foye Ewlya I. Foya Previous editions are obsolete Pegc 1 of 4 HUD-1 e..«t oz Duran.'' ea,r ~~•3 File Number: PIT123-38045 Settlement Date: April 23, 2010 Losn Number. 0096203273 FA L. Settlement Charges 700. Total Sales /Broker's Commission: 56,225.00 Division of Commhtdon a 700 sa follows Paid from Borrower's Pald from Seller's 701. 225.00 to Keller Williams of Central PA East Faads at Fonda at 702. 6,000.00 to Keller Williams of Central PA East Settlement Settlement 703. Commission Paid at Settlement 6,225.00 704. Additional Commission to Keller Williams of Central PA East 225.00 800. Items Pa ble in Conneetioe.with Loan: 801. Our origination charge (from GFE #1) 5949.00 802. Your creditor charge (points) for the specific interest Hate chosen (from GFE #2) S0.00 803. Your adjusted origination charges (from GFE #A) to Soverei Bank 949.00 804. Appraisal Fee (from GFE #3) to Steven W. Barrett Real Estate & A sisal 346.00 805. Credit Report (from GFE #3) to CBC Innovis 18.33 806. Tax Service (from GFE #3) to First American ~ 63.00 807. Flood Certification (from G.FE #3) to LPS Natitmal Flood 7.50 900. Items airod Leader to be Paid is Advance: 901 Daily interest charge from Apr 23, 2010 to to May 1, 2010 ®16.0797 / (iirom GFE #10) day for 8 days to Soveroi Bank 128.64 902. Mo Lrstrrance Premium from GFE #3 903. Homeowner's Insurance (from GFE #11) to Erie Insurance 5327.00 b Borrower 0.00 0.00 1000. Reserves fed with Lender: 1001. Initial deposit for your escrow account (from GFE #9) to Soverei Bsnk 883.19 1002. Homeowner's Insurance 3 months S27.25 mortt}t 581.75 1003. Mo Insurance months S month 50.00 1004. Pro Taxes 3 months 52$.02 month S75.06 1005. School Taxes i I months 585.04 er month 5935.44 ]099. Ad'ustment 5-209.06 1100. Title Cba 1101. Title services end lender's title insurance from GFE #4 1 53.75 1102. Settlement or Closin Fee S 1103. Owner's Title Insurance first American Title Insurance Com from GFE #5 185.00 1104. Lender's Titre Insurance (First American Title Insurance Company) to T.A. Financial Services, Inc. 51,073.75 Lender's Premium (Risk Rate Premium:) 5923.75 Endorsernatt ALTA 8.1 PA 100, PA 300 =basic 5150.00 1105. Lender's Title Poli Limit 5112,950.00 1106. Owner's Title Poli Limit S 150 000.00 1107. is Portion ofthe Total Title Insurance Promium Sl 069.94 1108. Underwriter's Portion of the Total Title Insurance Premium 5168.81 1109. Reimbursement of Tax Cert to T. A. Financial Services, Inc. 10.00 1110. Notary Fees to Theresa A. Dobson 25.00 1111. Document Overnight Delivery reimbursemertt to Dlu & Michetti 18.50 1200. Government Reoordin and Transfer Cha ea: 1201. Government Reoordin Char es from GFE 155.00 1202. Deed 565.00 Ma 590.00 Releases 50.00 1203. Transfer Taxes from GFE #8 . 1 500.00 1204. Ci /Coon tax/stam s Deed Sl 500.00 Mort 50.00 1205. State tax/stam s Deed Sl 500.00 Mort 50.00 1,500.00 1206. Other Tax 1 S 1207. Other Tax 2 S 1300. Additional Settlement Cha ea: 1301. R aired services that ou can sho for from GFE #6 1302. Pest/Home/Radon 1303. 2010 County & Twp tax to Michael Lan an -treasurer 5294.29 Seller 1304. 2009-10 Schooltax to Michael Lan - treasuror S1,000.09 b Seller 1400. Total Settlement Charges (Enter on line 103, Section J and line 502, Sectloe IQ 55,714.41 57,778.50 Borrower initials: ~ Shearon T. Bradigaa Helen S. Zechman, Co- SeOer Initials:~,~ Exewtor of the Estate of Evelyn I. Foye Previous editions are obsolete onald I. Foye, Co-Executor of the Estate of Evelyn I. Foye Page 2 of 4 H1JD-1 Apri123, 2010 9:11 AM Settlement Date: A d 23, 2010 File Number: PIT123-38045 P~ Loan Number: 0096203273 FA Comysrlson'ptGoydFaitlF'Eat(rpt~te'(GF~)'atrdHUI1~ ~€4ar¢es Charges That Cannot Increase HUD-1 Line No. Good Faith HUD-1 Our on 'nation e # 801 Estimate 949.00 949 00 Your credit or lots for the ific interest rate chosen # 802 ' 0.00 . 0 00 Your ad usted on ination ch # 803 949.00 . 949 00 Ttansfir ~~ #1203 1500.00 . 1,500.00 Charges That in Total Canaot Increase Moro Than 10% RUD-1 Liae No Good Faith . GovemmeM Recordin Ch es #1201 Estimate fii7D-1 sisal Fee 152.00 155.00 # 804 Credo 346.00 346.00 # 805 Tax Service 1833 18.33 # 806 Flood Certification 63.00. 63.00 # 807 7.50 7.50 Total 586.83 589.83 Increase between GFE and HUD-1 Cha es 3.00 0.51 Charges That Can Change HITD-1 L[ne No Good Faith . Initial k for ur escrow account # 1001 Estlmate 864 98 HUD-1 Daily interest charge from Apr 23, 2010 to to May 1, 2010 (aj 16.0797 / . 883.19 d for 8 da #901 128.64 128.64 Homeowner's insurance #403 i 480 00 327 00 T tle services and lender's title insurance #1101 . . Owners Title insolence 1 267.85 1,253.75 #1103 150.00 185.00 imw T...w. Your initlal loco amount is 5112 950.00 Yoar loan term is 30 ears Yonr iniWrl interest rate is 5.125 Your initlai monthly amount owed for principal, $615.00 includes interest, and aHy mortgage insaranee is [ X ]Principal (X ] Interost Mort Insurance Can your interest rate rise? [ X ] No. [ ]Yea, it can rise to a maximum of %. The firs[ change will be on end can change again every after .Every change dato, your interest rate can increase or decrease by %. Over the life of the loan, your interest rate is guaranteed to never be LOWER than % or HIGHER than %. Even if you make paymenb on time, can your loan [ X ] No. [ ]Yes, it can rise to a maximum of S balance rise? Even it yon make payments on time, pn your [ X ] No. [ ]Yes, the first incroase can be on and the monthly amount owed for principal, interest, and monthly amountowed can rise to S mo hcsarance rise? The maximum it can ever rise to is S Does your loan have s prepayment pensky? [ X ] No. [ ]Yes, your maximum propayment penalty is S . Does your loan have a balloon payment? [ X ] No. [ ]Yes, you have a balloon payment of S due Total monthly amount owed incinding escrow in ears on [ ]You do not have a monthly escrow payment for items such as account payments , property taxes and homeowner's insurance. You must pay these items directly yourself. [ X ] You have an additional monthly escrow payment of S 137.31 that results in a total initial monthly amount owed of 5752.31. This includes principal, interest, any mortgage insurance and any items checked below: [ X ] ~P~Y ~~ [ X ]School taxes [ ]Flood insurance ( ] X Homeowner's insurance Note: If you have env onactinn..M..t rh. e...i........ n~..,_-__ __~ . ___ .,. -- ---- ---..._ ......,............ ., p.casc w„uwt your ~enaer. wus con~ons are oosoiete ~ Page 3 of 4 HUD-1 April 23.2010 9:11 AM '~ - _ _ I__ i_ Loan Number. 6203273 File Number; p1T123.38045 Fq ~~~ dish `a°efWly reviev~ ~ _ ofEvel 1 I. Fo a a~CecuWr of the Estes -~ dents made on mY °~t or bey e""m Se tematt and to the beet of ~+ctioa. 'nY imow• Bmmwer. ~ furfyar ~' that I ~ ~~1C~ it ie a trtk and T a spy of$UD-1 ~o dap nxxiptr and Addnxv '~ ""'~S~ ^lSl . Seller: 3. _ _ ~... c•_ ~~ Seller. -/ `'~- ~ ~'1 t S 1. F ' Co-P,~y~ o~ >`o>- ~~p noe with this ~ t ~"~ 1 have pn~+red is a true Addroaa ~ pehk ofSvelyn L Foy~a-~~ tau Agent; (/~ and aceurape aeco~t of this f f 8/ W AMY Wendel . tr°n~etion. I ham eaused or ~ ~ ~ use ids to be diebuteW in iotpnaun~~'tIF~ one to tmotynBlYmake fyaa deae~7a ex: Title 18 US. Code ~~ ~ the United Date: Apn7 23, 2010 FA Sation 1001 and Seedon 10y1 p ~ ~ or ~Y other similar form. P r'naltiea npon eanviotit~n obt molude a ~ ~ ~~ ~„^,.---'~'~~ page 4 of 4 gpri123, 2010 9:111 I ~l ~~ent Date: gpr;123, 2010 Bpjr~~ I Shearon T u LAST WILL AND TEST.~~IENT OF EVELYN T. FOYE I, EVELYN T. Fpy~, of the Township of Hampden, Covinty of Cumberland and Mate of Pennsylvania, being of sound. axid disposing mind, memory and and®rstanding, do make, pub~,~is~h and declar® this my Last mill and Testam®nt, hereby revokinl~ and makixtg void any and all prior Wills 'by me at any t;rne h~re~ofore made. 1. I direct the payment o,f all my just debts a.nd funereal expenses as soon after my deoease as the same cari be conlveriientl done. y 2. I give and bequeath all the rest, residue and remaia~d®r of my estate, real, personal and mixed, whatsoever and w eresoever the same may be situate,, tom four y (1.4.) children, to wit,; RONALD I. FpyE~ -HELEN S. ZECHMAN, MARSHA A. CREAK -and VED~Pi M I3EINTZELN1AN, share and share alike. • per stirpes. ~• For the purpose of facilitating the settlement and d~stri- bution of my mstat®, T authorize, empow®r and direct my Executors hereinafter named, to sell any and all real estate which I' may ' own at the time of my decease, at either public or private sale or sales. -1- i __ __ LASTLY, I nominate, constitute and appoint my son, RONALD I. FOIE, and my daughter! HELEN S. ZECHMAN, Go-Executors. of this my Last Will and Testament, and direct that my said perso~'al representatives be excused from posting bond or other sei~eup~ity far the faithful performance of their duties. IN t~TTTNESS bdHEREOF, I have hereunto set my hand and seal this ~ day of January, A. D., 1993. (SEAL) Signed, sealed, published and declared b~ the above !nartned, EVELYN I. FOYE, as and for her. Last Will and Testament, i~ the presence of us, who have hereunto subscribed our names as'w~.tnesses, at the request of said testatrix, .in her presence and in the presence of each other. :~- ______ COl4tONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I, EZ1'ELYN I. FOYE the testatrix whose name is signed to the attached or foregoing instrument, having) been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed. it willingly; and Chat I signed it as my free and volu~- tary act and deed, for the purposes therein contained. Sworn and affirmed to and acknowledged before me b EVELYN I. FOyE the testatrix this day of _ J-- a~i.Y A . D . , 1993 . ~. ~ ~~ NOTARIAL SE L_ COMMONWEALTH OF PENNSYLVANIA ) MARILYN KAY EAKIN, Not ry,lPublic Mechanicsburg Boro. Cumberla d 4~ounty SS. My Commission Expires Nov. 6, h993 COUNTY OF CUMBERLAND ) __.._..~. --~--±-1--- We, the undersigned, J. ROBERT STAUFFER ~I and RUTH ANN FiTLWIDER ~ the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified ', accordingg to law, depose and say that we were present and saw the testat rix EVELYN I F sign and exe- '' cute the~inatrument as:~ har Last Will~and Testament; that the said testatrix E~ELYAT I. FpyE executed it as b~/her free and voluntary act for. the .purposes therein expressed; ', that each of us, in the hearing and sight of the testatri~_, signed the Will as witnesses; and that. to the best of our knowledge, the testatr'ia was, at the time, eighteen ;].3) or more years of age, !~ of sound mind, and' under no constraint, duress or undue influence. Sworn and sub abed to before me this __1~ day of J~y X993. NOTARIAL SEAL kIARILYN KAY EAKIPd, Notary Public Mechanicsburg Boro. Cumberland County MY Commission Expires Nov`6i1993