HomeMy WebLinkAbout10-25-10' 1505610145
REV-1500 EX (01-10)
Pennsylvania OFFICIAL USE ONLY
PA Department of Revenue DEPARTMENT OF REVENUE County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO BOX 280601 ~ I
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
201-16-4281 09232009 08161927
Decedent's Last Name Suffix Decedent's First Name MI
Bear Frank A
(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 WNTH THE
REGISTER OF WILLS
FILL IN APPROPRIATE BOXES BELOW
0 1. Original Return ~ 2. Supplemental Return 0 3. Remainder Return (date of death
prior to 12-13-82)
0 4. Limited Estate 0 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 1 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received 0 10. Spousal Poverty Credit (date of death 0 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE C OMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number ,
'=_-;
Robert G. Frey 717-243-~r3,8 `~-a'~
First line of address
5 South Hanover Street
Second line of address
_ -,
f _
REGISTER',,
ly USE ALLY
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DATE FILED
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City or Post Office State ZIP Code
Carlisle PA 17013
Correspondent's a-mail address: rf reyC~f reyt i ley . corn
Under penalties 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 corn lete. Declaration of re arer other than ersonal re resenta ' is based on all information of which re arer has an knowledge.
SIGNATU E OF E ON SPO IBLE OR FILING. URN DATE
~C ~ 10 /~.~/ 10
ADDRESS
SIGNATUR~O P ER O R THAI~REPR~ TA IVE DATE
~~ ' _ 10/07/10
ADDRESS J
5 South Hanover Street, Car le, PA 17013
PLEASE USE ORIGINAL FORM ONLY
1505610145
Side 1
1505610145
J ~
J
1505610245
REV-1500 EX
Decedent's Name: Frank A Bear
Decedent's Social Security Number
2 01-16 - 4 2 81
RECAPITULATION
1. Real Estate (Schedule A) ............... . ........................... 1. 15 3 5 O O . 0 0
2. Stocks and Bonds (Schedule B) .................. ....... 2. NONE
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C} ..... 3. NONE
4. Mortgages and Notes Receivable (Schedule D) ......... . , .. 4. NONE
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) ...... 5. 7 3 9 4 . 0 0
6. Jointly Owned Property (Schedule F) OSeparate Billing Requested ........ 6. NONE
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested ....... ~ 7 NONE
8. Total Gross Assets (total Lines 1 through 7) .......... .............. „ . 8, 16 O 8 9 4 . 0 0
9. Funeral Expenses and Administrative Costs (Schedule H) ............... , .. 9. 3 8 915.0 0
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .......... . .. 10. 17.0 0
11. Total Deductions (total Lines 9 and 10) .................. . ......... . . . 11. 3 8 9 3 2 . 0 0
12. Net Value of Estate (Line 8 minus Line 11) ............................ . 12. 12 19 6 2 . 0 0
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ....................... 13 2 0 0 0 . 0 0
14. Net Value Subject to Tax (Line 12 minus Line 13) ....................... 14. 119 9 62.0 0
TAX CALCULATION -SEE 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 15. 0. 0 0
16. Amount of Line 14 taxable
at linealratex.o 45 119962.00 16. .5398.29
17. Amount of Line 14
taxable at sibling rate X • 12 17. 0 . 0 0
18. Amount of Line 14 taxable
at collateral rate X o 15 18. 0. 0 0
19. TAX DUE ......................,................................. 19. 5398.29
20~ FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L 1505610245
0
1505610245 J
REV-1500 EX Page 3 File Number 201-16-4281
Decedent's Complete Address: 21-09-0941
DECEDENT'S NAME
Frank A Bear
STREET ADDRESS
103 Earl Street
CITY
Boilin S rin s STATE
PA Z:I P
17007
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19) (1) 5398.29
2. Credits/Payments
A. Prior Payments 8400.00
B. Discount 269.91
Total Credits (A + 6) (2) 8669.91
3. Interest
(3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in box on Page 2, Line 20 to request a refund. (4) 3271.62
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00
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: Yeas No
a. retain the use or income of the property transferred : ............................................................................. C~
b. retain the right to designate who shall use the property transferred or its income : ................................ ~~
c. retain a reversionary interest; or ............................................................................................................ C~
d. receive the promise for life of either payments, benefits or care? ......................................................... C~ QX
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .................................................... ................. C~
............................
3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? .... C~ ~X
4. Did decedent own an individual retirement account, annuity or other non-probate property, which
contains a beneficiary designation? ......................... ..~..... C, ^X
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT ~1S PART OF THE RETURN.
For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving
spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)]. 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 tax rate imposed on the net value of transfers from a deceased child 21 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 0 percent [72 P.S. §9116(x)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, excE:pt as noted in
72 P.S. §9116(1.2) [72 P.S. §9116(x)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(x)(1.3)]. Asibling 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+ (01-10)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Frank A Bear 21-09-0941
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as this 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.
If more space is needed, use additional sheets of paper of the same size.
REV-1508 Ex+ (6-98) SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
COMMONWEALTH OF PENNSYLVANIA PERSONAL PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Frank A Bear 21-09-0941
Include the proceeds of litigation and the date the proceeds were received by the estate.
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (10-09)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Frank A Bear 21-09-0941
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Hoffman-Roth Funeral Home 10,028
2. Funeral Luncheon 910
3. Burial Marker Enscription 185
B.
1
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City
Year(s) Commission Paid:
State ZIP
2. Attorney Fees;
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
Street Address
City State
Relationship of Claimant to Decedent
4. Probate Fees:
5. Accountant Fees:
6. Tax Return Preparer Fees:
7. Final Medical expenses. See Itemization Attached
8. Expenses in connection with real estate sold. See Itemization Attached
9. Bank fee for missing safe deposit box key
5,000
75
1,632
21, 075
10
TOTAL (Also enter on Line 9, Recapitulation) ~ $ 38,915
If more space is needed, use additional sheets of paper of the same size.
ZIP
REV-1512 EX+ (12-08)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES ~ LIENS
ESTATE OF FILE NUMBER
Frank A Bear 21-09-0941
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
it more space is needed, insert additional sheets of the same size.
REV-1513 EX+ (01-10)
Pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: 1=1LE NUMBER:
Frank A Bear ~ ~ _na_nQd~
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
1 TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
1 ~ Wanda Borden
641 Adams Road, Carlisle, PA Daughter 1~'2 of residue
2~ Lorre E. Bear
390 West Pine Street, Mt. Holly Springs, PA Son 112 of residue
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUG H 18 OF REV-1500 COVER SH EET, AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
10
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1. Otterbein United Methodist Church 2,000
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET.
2,000
If more space is needed, use additional sheets of paper of the same size.
Real Estate expenses
South Middleton Twp Auth 106
Shipley Oil 95
112
Met Ed 53
27
Shipley Oil 180
American Modern, Home Owners Insurance 833
South Middleton Twp Auth 101
Shipley Oil 172
Met Ed 24
Shipley Oil 152
Met Ed 14
Shipley Oil 203
Milton Stackfield, trash removal 150
Caitlin Harral, house cleaning 128
Shipley Oil 181
Milton Stackfield, trash removal 75
Met Ed 14
Derek and Pamela Oswandel, Painting 720
Robert Caims, Tax Collector 229
South Middleton Twp Auth 101
Met Ed 11
Shipley Oil 172
Met Ed g
James Schully, lawn mowing 220
Met Ed g
American Modern Select Insurance 798
South Middleton Authority 108
Robert Cairns, Tax Collector 945
Met Ed g
James Schully, lawn mowing 180
Tillery Inspections 100
Michael Ludt, home repairs 2,047
Met Ed 10
Bass Air Quality Systems, Radon System 800
Termite treatment 1,006
James Schully, mowing 150
Met Ed. 1 g
Met Ed., final bill 13
Expenses from HUD-1 Settlement Statement 9,302
Seller Credit at settlement 1,500
Total 21.075
Final Medical Expenses
Sarah Todd Memorial Home 1,228
Millenium Pharmacy 26
West Shore EMS 372
Millenium Pharmacy 6
Total Medical Expenses 1.632
LAST WILL AND TESTAMENT OF
FRANK A. BEAR
I, FRANK A. BEAR, of South Middleton Township, (R.. D. 1,
Earl Street, Boiling Springs), Cumberland County, Pennsylvania, being
of sound and disposing mind, memory and understanding, do hereby make,
publish and declare this as and for my last Will and Testament, hereby
revoking and making void any and all Wills by me at any time heretofore
made.
1. I direct my hereinafter named Executrix to pay all of my just
debts and funeral expenses as soon after my death as may be found con-
venient to do so.
2. All the rest, residue and remainder of my estate, real, personal
and mixed, and wheresoever the same may be situate, I give, devise and
bequeath to my wife, Jane C. Bear, her heirs and assigns, to the exclusion
of my children, born and unborn, provided my said wife shall survive me by
a period of ninety (90) days.
~ 3. Should my said wife, Jane C. Bear, pre-decease me or fail to
survive me by the aforesaid period of ninety (90) days, then in such event,
all the rest, residue and remainder of my estate, real, personal and mixed,
and wheresoever the same may be situate, I give, devise and bequeath as
follows:
(a) Two Thousand ($2, 000.00) Dollars to the official board of
Otterbein United Methodist Church, Boiling Springs, Pennsylvania, to be
used for such purpose or purposes as the official board of said church shall
deem best;
Page 1 of 3 pages
(b) The balance thereof shall be divided equally among my children
who shall survive me by a period of ninety (90) days, the share any deceased.
child would have received to pass to his or her issue, per stirpes, and i.f
there be no issue, such share shall lapse and be added to the remaining
share or shares. At the present time I am the father of the following two (2)
children: my son, Lorre E. Bear, and my daughter, Wanda A. Bear;
(c) In the event neither my said wife nor any child of mine or the
issue of any child of mine shall survive me by a period of ninety (90) days,
then in such event the remainder thereof shall be distributed in its entirety
to the official board of Otterbein United Methodist Church, Boiling Springs,
Pennsylvania, to be used for such purpose or purposes as the trustees of
said church shall deem best.
4. Should any person less than 21 years of age be entitled to distribution
from my estate, in such event I nominate, constitute and appoint Farmers
Trust Company and its successors, 1 West High Street, Carlisle,
Pennsylvania, as Guardian of the estate of each such person, and I authorize
and direct it to receive and to invest the same, and to pay the income ari:;ing
therefrom together with so much of the principal thereof as in its opinion is
necessary or desirable to be expended for the proper maintenance, support
and education of such person, to or for the benefit of such person, and up~~n
such person attaining 21 years of age, to pay to him or her the then remaining
principal together with any undistributed income.
5. I hereby nominate, constitute and appoint my said wife, Jane C.
Bear, as Executrix of this my Last Will and Testament, but should she
pre-decease me or fail to qualify, then in such event T nominate, constitute
and appoint my said two children, or either of them, they being Lorre E.
Bear and Wanda A. Bear, as Co-Executors, but should neither of them glzalify,
Page 2 of 3 pages
then in such event I nominate, constitute and appoint Farmers Trust Company
and its successors, 1 West High Street, Carlisle, Pennsylvania, as Executor,
and I further direct that none of them shall be required to post any bond to
secure the faithful performance of his, her or its duties in the Commonwealth
of Pennsylvania or in any other jurisdiction.
IN WITNESS WHEREOF I have hereunto set my hand and seal to this
my Last Will and Testament written on three (3) pages this 18th day of
April 1978.
~, ~i ( AL)
Frank A. Bear
Signed, sealed, published and declared by FRANK A. BEAR, the
testator above named, as and for his last Will and Testament, in our presence,
who, in his presence, at his request, and in the presence of each other, have
hereunto subscribed our names as attesting witnesses. ;
Y~,.
Page 3 of 3 pages
~~~~,
~* ' `°~ A Settlement Statement HUD-1
-~~~: ~ ( )
ya ~ r~3'
OMB Approval No. 2502-0265
Q FHA 2. Q RHS 3. ®Conv. Unins.
1 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number:
. 109 1007002383
4. ~ VA 5. ~ Conv. Ins.
C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agents are shown Items marked
"(p.o.c)" wero paid outside the closing; they are shown here for informational purposes and are not included in the totals.
D. Name & Address of Borrower: E. Name 8 Address of Seller: F. Name 8i Address of Lendear:
Julia Y. Carvalho The Estate of Frank A. Bear Vision Mortgage Capital, a Divisions of
307 Oak Drive, Mount Holly Springs, PA 17065 641 Adams Road, Carlisle, PA 17013 Continental Bank, ISAOA,ATIMA, :i55 N. 21st
Street, Suite 102, Camp Hill, PA 17011
G. Property Location H. Settlement Agent: I. Settlement Date; 09/23/20'10
103 Earl Street The law Office of Andrew H. Shaw, PC Disbursement Date: 09/23/21)10
Boiling Springs, PA 17007 Telephone: 717-243-7135 .
South Middleton Township place of Settlement: TitleF~cpress
200 S. Spring Garden Street, Suite 11, Carlisle, PA 17013 Printed 09/2V2010 at 3:01 pm
by SDC
. :. .
100. Gros Amount Due from Borrower
101. Contract sales price 153,500.00
102. Personal ro
103. Settlement charges to borrower (line 1400) 5,678.16
104.
105.
Ad ustmarrts for Items d seller in advance
106. City/town taxes to
107. County taxes 09/23/2010 to 12131/2010 62.75
108. School Taxes 09/23/2010 to 06/30/2011 727.67
109.
110.
111.
112.
120. Gross Amount Due from Borrower 139,968.58
200. Amounts Paid or In BehaH of Borrower
201. Deposit or earnest money 1,000.00
202. Prinapal amount of new loan(s) 57,500.00
203. Existin loa s taken sub'ect to
204.
205.
206.
207.
208.
209.
Ad ustmenb for items un aid seller
210. City/town taxes to
211. County taxes to
212. Schad Taxes to
213.
214.
215.
216.
217.
218.
219.
~0• Total PaW r Bortowar 58,500.00
300. Cash at SeWernent fromlto Borrower
301. Gross amount due from borrower (line 120) 159,968.58
302. Less amounts paid by/for borrower (line 220) 58,500.00
303. Cash X^ From ~ To Borrower 101,488.58
1400. Gross AtnouM Due to Seller I
404.
405.
Ad ustmerrts for Items d aelkr in advance
406. Cityftown taxes to
407. County taxes 09/23/2010 to 12/31/2010 62.75
408. School Taxes 09/23/2010 to 06/30/2011 727.67
409.
410.
411.
412.
~0• Gross Amount Due to Seller 154,290.42
500.. Reductions In Amouttt Due to Seller
501. Excess deposit (see insUuctions)
502. Settlement charges to seller (line 1400) 9,301.63
503. Existin loa s taken sub'ed to
504. Payoff of first mortgage loan
505. Payoff of second mortgage loan
509.
Ad ustmerrts for items un ald seller
510. City/town taxes to
511. County taxes to
512. School Taxes to
513.
514.
515.
516.
517.
518.
519.
520. Total Reduction Amount Due Seler 9,301.63
800. Cash at SNtiement tolfrom Seller
601, Gross amount due to seller (line 420) 154,280,42
602, Less reductions in amount due seller (line 520) 8,301,63
603. Cash ^X To ~ From Seller 144,988.79
ng or m in per r••ponN a np, rw
w• loan unl••• tt d•pl•ys • mrr•ntly vaNg OMB mead number. No mnlltl•ngdty b .••ur•¢ gi• AI•don"• b m•nd•lory. m•• b awpr.d m pwfG tlw y no m , y r
~,,,•,,, p,oo,~ p•rg•• b • RESPA mvw•d a•n••cgon wig, InlormWm dwlrq g,•
Previous editions are obsolete Page 1 of 4 HUD-1
.J Real Estate Broker Foss $ 7,675.00 Paid From- Paid From
Division of commission line 700 as follows:: Borrower's Seller's
$3,837.50 to Wolfe & Company Realtors Funds at Funds at
-o2• $3,837.50 to ~ Agency Real Estate Settlement Settlement
703. Commission paid at settlement 7,675.00
800. tteme bk in Connection with Loan
801. Our origination charge (Indudes Origination Point % or $0.00) $750.00 (from GFE #1)
802. Your credit or charge (points) for the spedfic interest rate chosen $ (from GFE #2)
803. Your adjusted origination charges (from GFE A) 750.00
804. Appraisal fee to TY Eb Real Estate (from GFE #3) 375.00
805. Credit report to Kroll Factual Data (from GFE #3) 12.39
806. Tax service to Vision Mort a Ca ital, a Division of (from GFE #3) 96.00
807. Flood certification to Kroll Factual Data (from GFE #3) 8.00 '
808. Ellie Mae Closing Fee to Vision Mort a Ca ital, a Division of (from GFE #3) 100.00
900. tteme ulrod Lenderto be Paid In Advance
901. Daily interest charges from from 09/23/2010 to 10/01/2010 @ $7.5860/day (from GFE #10) 60.69
902. Mortgage Ins. Premium for months to (from GFE #3)
903. Homeowner's insurance for months to State Fam- Fire and Hazard Ins. (from GFE #11) 315.00
904. months to from GFE #11
1000. Reaervee Ited with Lender
1001. initial deposit for your escrow account (from GFE #9) 378.33
1002. Homeowner's insurance 3 months $ 26.25/month $78.75
1003. Mortgage Insurance months $ 0.00/month $0•~
1004. City Property Tax months $ 0.00/month $0•~
1005. County Property Tax 8 months $ 19.48/month $155.84
1006. Scholl Taxes 4 months $ 80.38/month $321.52
1007. Aggregate Adjustment $-177.78
1100. Title Ch es
1101. Title services and lender's title insurance (from GFE #4) 996.75
1102. Settlement or dosing fee to $
1103. Owner's title insurance (from GFE #5) 522.00
1104. Lender's title insurance $606.75
1105. Lender's title policy limit 7,500.00
1106. Owners title policy limit $153,500.00
1107. Agent's portion of the total title insurance premium $903.00
1108. Underwriter's portion of the total title insurance premium $225.75
1109. to $
1200. Government Records and Transter Ch es
1201. Government recording charges (from GFE #7) 144.00
1202• Deed $62.00 Mort a $82.00 Release $0.00
1203. Transfer taxes (from GFE #8) 1,535.00
1204. City/County tax/stamps Deed $1,535.00 Mort a $0.00
1205. State Tax/stamps peed $1,535.00 Mort a $0.00 1,535.00
1206. UPI Fee Deed $0.00 Mort a $0,00
1207.
1300. Addttlonal Settlemerd Ch ee
1301. Required services that you can shop for (from GFE#&) 385.00
1302. Survey to $
1303. Home inspection to Ins or PI Home Ins ion $300.00
1304. Final WaterlSewer to South Middleton Townshi Munc. Authors 91.6
1305. Pest Inspection to Gilbert's Professional Pest Ins $85•~
1306. to $
' " • - - • - - ' ~ ~ 5,678.16 9,301.63
'Paid outside of dosing by (B)onower, (S)eller, (L)ender, (I)nvestor, Bro(K)er.
Previous editions are obsolete Page 2 of 4 HUD-1
www.fmtrust~~u~~.com
October 13, 2009
Frey & Tiley
Attorneys-At-Law
Attn: Sharon Devos
5 South Hanover Street
Carlisle, PA 17013
To Whom It May Concern:
RE: Frank A. Bear
In reference to the above customer, our records show the enclosed information to be
accurate of today's date. If I may be of any further assistance, please contact me.
Sincerely,
Tricia Ganoe
Deposit Operations Manager
717-261-3624
717-264-6116 888-264-6116 P.O. Box 6010 Chambersburg, PA 17201-6010
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