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Home My WebLink About12-29-10' ~ REV-1500 Ex(01-1°' ~ 1505610143 PA De artment of Revenue ~ OFFICIAL USE ONLY p Pennsylvania County Code Year File Number Bureau of Individual Taxes DEPARTMENT Of REVENUE PO 80X.280601 INHERITANCE TAX RI~:1"URN 21 0 9 0 7 3 9 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 208 24 1136 07 22 2009 08 29 1918 Decedent's Last Name Suffix Decedent's First Name MI DEGRANDI ATENEO (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 QE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ^ 1. Original Return ® 2. Supplemental Return ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ 4a. Future Interest Compromise ^ 5. Federal Estate Tax Return Required (date of death after 12 12-82) ® g Decedent Died Testate ^ ~ Decedent Maintained a Living Trust 8. Total Number of Safe De osit Boxes (Attach Copy of Wilq (Attach Copy of Trust) - p ^ 9. Litigation Proceeds Received ^ 1 °. Spousal Poverty Credit (date of death ~ ~ Election to tax under Sec. 9113(A) between 12-31-9i and i-1-95j ^ (Attach Sch. O} CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND COi+fFIDENTIAL TAX INFORMATION SHOULD EE DIRECTED TO: Name Daytime Telep a Number tom:: PATRICIA C ZUCKE~t ESQ 717 724~@~821 ~':~ ~a~. m ~ ~~ ~ c ..~.~ REGISTER ~ USEIQ~ILY • :~°_~ e ~~ C1~ ~ tt~ ~;.~ First line of address C.~~~ ~~ ~` 1035 MUMMA RD STE 101 ~ ,~ ~ •• Second line of address ~'" ,~ .fv-'. City or Post Office State DATE FILED ZIP Cade WORMLEYSBURG PA 17043 Correspondent's a-mail address: p z u c k e r@ d z m m g i a w. ~, o m Under penalties ry, I declare that I have examined this return, inclt,ding accompanying schedules and staten)ents, aid to the best of my knowledge and belief, it is true, correct nd co plete. Dec ation of preparer other than the personal representative Is based on all Information or which preparer has any knowledge. SIG P RS N R SPONSIBLE OR FILING ETURN ~~ DATE ~ IQ..._.. Teresa D. Warlow ~a.~~4~~a 350 Hunters Valley R ,Liver ool, PA 17045 SIGNA E OF PREPARER NE A REP TATIV +~ )ATE= Patricia C Zucker Esq ~,~7 ~. `0 R SS ""- 1035 Mumma Rd., Ste. ormleysburg, PA 17043 Side 1 1505610143 1505610143 J REV-1500 EX Decedent's Social Security Number Decedents Name: D E G R A N D I, A T E N E O 2 0 8 2 4 113 6 RECAPITULATION 1. Real Estate (ScheduleA} ............................._.. .........,....,........ 1, 7 5, 0 0 0 0 0 2. Stocks and Bonds (Schedule B) .............................._............................_.............. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)........ 3. 4. Mortgages 8~ Notes Receivable (Schedule D) .............................._....................... 4. 5• Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E~ .............. 5. 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested............. 7. 8. Total Gross Assets (total Lines 1-7) .............................._............................._..... 8. 7 5, 0 0 0 0 0 9. Funeral Expenses 8~ Administrative Costs (Schedule H) ............................._........ 9. 2 5 , 4 3 9.71 10. Debts of Decedent, Mortgage Liabilities, 8~ Liens (Schedule I) ............................... 10. 11. Total Deductions (total Lines 9 & 10) ............................................................ _..... 11 • 2 5 , 4 3 9.71 12. Net Value of Estate (Line 8 minus Line 11) ........................................................... 12. 4 9 , 5 6 0 . 2 9 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) .............................................. 13. 14. Net Value Subject to Tax(Line 12 minus Line 13) .............................._................ 14. 4 9 , 5 6 0 . 2 9 TAX COMPUTATION -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 .00 15. 16. Amount of Line 14 taxable at lineal rate X .045 4 9, 5 6 0. 2 9 1 s. 17. Amount of Line 14 taxable at sibling rate X ,12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. Tax Due ..............................._.............................. ......._................ ... 19- 1505610243 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. L 1505610243 Side 2 1505610243 2,230.21 2,230.21 J REV-1500 EX Page 3 File Number 21 - 0 9- 0 7 3 9 Decedent's Complete Address: D D N 'S NA DeGrandi, Ateneo STREET ADDRESS _ 428 North 21st Street CITY - -r-STATE _ -_ _ _ I ZAP - Camp Hill ~ PA ~I 17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A• Prior Payments B. Discount 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPAYMENT. Check box 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 theTAX DUE (3) 0.00 (4) (5) 2,230.21 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: Yes No a. retain the use or income of the property transferred :............................................................................. ~_J !,~x.! ---,~ b. retain the right to designate who shall use the property transferred or its income :............................. . x_, c. retain a reversiona interest; or ............................... x ry . . .......................................................................... '~ -~' '--- d. receive the promise for life of either payments, benefits or care? .............................._............................ ~~ _,: ~xJ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receivin ade uate consideration? .............................._............................._.............................._..................... ~_ _I ~- 9 4 Ix! 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death.?....... ~ _ 1 [J 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which ___ contains a beneficiary designation? ................. ~ r ............_. ............................_.............................._.................... i X, ~ _~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETUR 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 January 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 retturn 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 ears 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 (a) (~.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, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1 )]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 1.2 percent [72 P.S. §9116 (a) (1.3) . A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by bloo~ or adoption. (1) 2,230.21 0.00 Total Credits (A + B) (2) a SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER DeGrandi, Ateneo 21 - 09 - 0739 All real property owned solely or as a tenant in common must be reported at fair market valud: air market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither bein~ compelled to buy or sell, both having reasonable knowledge of the relevant facts.Real property which is Jointly-owned with right o survivorship must be disclosed on schedule F. Attach a copy of the settlement sheet if the property has been sold. Include a copy of the deed showing decedent's interest if owned as tenant in common. ITEM DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 Real Estate located at 428 North 21st Street, Camp Hill, Cumberland County, Pennsylvania 75,000.00 17011 (Copy of HUD-1 is attached) -- TOTAL (Also enter on Line 1, Recapitulation) 75,000.00 . ,. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF DeGrandi, Ateneo SCHEDlA.E H w~~~~AA / j & ~1~1~~~ Debts of decedent must be reported on Schedule I. ITEM NUMBER FUNERAL EXPENSES: DESCRIPTION A. B. j ADMINISTRATIVE COSTS: 1. ~ Personal Representative's Commissions Name of Personal Representative(s) i~ __ ___ FILE NUMBER 21 - 09 - 0739 AMOUNT Street Address 2 3 City State Zip Year(s) Commission paid Attorney's Fees Daley Zucker Meilton Miner & Gingrich, LLC Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant ', 1,144.00 4 5. 6. 7. 1 1,019.22 TOTAL (Also enter on line 9, Recapitulation) 25,439.71 Street Address City State Zip Relationship of Claimant to Decedent Probate Fees ICI Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs Real Estate Taxes for Cumberland County and Borough of Camp Hill ' ' Sr.~~ed~e H ~ Funeral E & COMMONWEALTH OF PENNSYLVANIA /+,~,,,~,~ INHERITANCE TAX RETURN /~+~,~~ VW47 ~1 ~ RESIDENT DECEDENT _~_ __ _. __.__ ___L__ __ -_ - - FILE NUMBER ESTATE OF DeGrandi, Ateneo 21 - 09 - 0739 2 Steve Snook Residential Construction-multiple repairs to estate residence in preparation for sale 23,276.49 Page 2 of Schedule H REV-1513 EX+ (11-08) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF DeGrandi, Ateneo NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I~ iTAXABLE DISTRIBUTIONS[include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 Teresa D. Warlow 350 Hunters Valley Road Liverpool, PA 17045 2 I Elissa A. Snook 625 Beagle Road Lewisburg, PA 17037 3 ~~ Gloria D. Hoffman 1602 E. Camino Cielo Tuscon, AZ 85718 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Daughter ', Daughter i '~, Daughter FILE NUMBER 21 - 09 - 0739 ~ SHARE OF ESTATE 'TAMOUNT OF ESTATE ~ (Words) ' ($$$) one-fourth I one-fourth I, one-fourth Enter dollar amounts for distributions shown above on lines 95 through 18 on Rev 1500 cover sheet, as appro riate. N II ~ NON-TAXABLE DISTRIBUTIONS: iA. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN '~ i I I I I i i B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS ~ '. i I i I I TOTAL OF PART II- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE~ SCHEDULE J BENEFICIARIES 0.00 REV-1513 EX+ (9-00) i SCHEDULE J ~ COMMONWEALTH OF PENNSYLVANIA ~ ~~~~~~~+~ /~ ROES ~~~~~~~~~ INHERITANCE TAX RETURN I V l11'i RESIDENT DECEDENT ESTATE OF FILE NUMBER DeGrandi, Ateneo __ _ 21 - 09 - 0739 ____ _ _ NAME AND ADDRESS OF PERSON(S) ~ RE DECED NT TO ' SHARE OF ESTATE AMOUNT OF ESTATE NUMBER ~ + (Words) ($$$) RECEIVING PROPERTY oo Not List Trustee(s) I~ TAXABLE D(STRIBUTIONS[include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 4 : Kathy A. Heasley ~ Daughter one-fourth 9635 N. Fire Ridge Trail ~ I ' Fountain Hills, AZ 85268 i ~ i I _-_.__ _ _.___.._____ _ _J Page 2 of Schedule J ~•~~,j6NT pF. Q~~P ~~~~~ ~~~ OM8 Approval Na. 2502-0265 A. Settlement Statement (HUD-1) 6,~,`, of:v~.~o ~ FHA i- C~ 1• ~_J 2. L~ RHS 3. Conv. Unins 6. File Number 7. Loan Number 8. Mort a e Insurance Case Number: 9 9 1 4. ~ VA 5. ~ Conv. Ins. Ci. NOte: This form is furnished to give you a statement of actual settl '(p.o.c.)' were paid outside the Dosing; they are shown here ement costs. Amounts paid to and by the settlement agent are shown. Item for informational purposes and are not included in the totals. s marked D. Name d~d ss of Borrower Steven andis D S E. Name & Address of Seller: F. Name and Address of Lender: sa . nook 625 Beagle Road Teresa D. Warlow, Executrix Estate of Ateneo DeGrandi i Lewisburg, PA 17037 428 N. 21st Street Camp Hill, PA 17011 ~ G. Property Location: 428 N 21st Street H. Settlement Agent Name: - I. Settlement Date: . Camp Hill, PA 17011 CO Law Offices of Peter Russo 12/20/2010 UNTY: Cumberland Place of Settlement PARCEL ID: TOWNSHIP: Borough of Camp Hill 1035 Mumma Road, Suite 101 Wormleysburg, PA 17043 . :. e -' 100. Gross Amount Due From Borrower 40p Gros" s Amount pue T Se 101 Contract sales ri _ o: ter i . p ce 75,000.00 401. Contract sales rice 102. Personal Property ~ p 402 Personal Pro rt 75,000.00 --- --j 103 Settlementchar e to or li . pe y ~~ ` ~ . g s b rower ( ne'I400) _ 2,157.60 403. ~ ~ ____J -- 104. _ ~ _ ~ ----- -~_ ~ 404 , ,~,~ - ~ ---~ 105. ~ _ ~ ~" .. -----~- - 405 ~ __ i --- --I J ~~ p T ~--- Adjustments for Items ald by seller in advance -- ! ` = + d ustmehts for Items ~~ J aid b f ' I ~----~ - - 106 Cityltowrt taxes o ~ ; p : y~sef er, ln advance . 't '` ~ es t 107. Coon taxes ~ ~ ~ to - ~ o ~ 407.° Gouo waxe t s to - ~! ---- --- ---j 108. Assessmerts to - _ 40$. Assessments to ~~ ----- -- 109..School Tax . to 409. School "fax ~ t -- - 110. ---- -- - - - ---- o ;410 ~ - - -~ - i 11. -` 411. ---- ~ - -- - - 112. T-:_.....,-- - ~ __ -- 4,12. _ ,, - --~ 120. Gross Amount Due from Borrower ~ ~ 77,157.60 42a ~Gro§s Amount Due To Seller "~. ~ 75 000.0 '~ 200. Amounts Paid sy Or In Behlalf Of.Borrower , 500:;~Reduction's in Amou t p e T 20:1 De osits or ear st n u n o Seller :- ~ ~ . p ne mo e ~ Y ~~ 501: `Excess depQsit (see instr cti - ---- 202. Principal amount of new loan(s) ~: '-~ 2 , u ons) 502. Settlement charges,to seller (line 1400) 0 00 '~ 03. Existing loan(s) taken subject: to _ 503. Exlstmg loan(s) taken subject to . , ---------- 204. 205 504: Payoff of firs] mortgage loan ~ --- --- -_- . - 505. Payoff of second mort a e l . --- - -' 206 ° ' ~ _' g g oan . _ ' 506. ~ --------- - - L ;. 207. , 507;: - ----------- 208. 508: " , • ----- --~ 209. 309 - - --~ ~ =Adjustments for items unpaid by seller , ~ ~ ~ .AdJustments fior items unpatd by seller ~ - -- ---: 210. City/town taxes to ~.'. ~. ~ 510.: City/town'taxes to -- - 21.1. County taxes to ' ~ 511: County taxes` to _- _ _ _ 212. Assessments to '~~ _ 512. Assessments to ---- ---- ---' 21~.~ School Tax ,.° to ; ~ . ~ ""~. ' 513.,_ School Tax' 07/01/10 t 12/2 " ; ` 21 4 o 0/10 ` . . 514 --- ---- - ---- 215. , 216. -'~~~' 515; 516.` ., ------- - - - - 217. - - 218. ---- 517.! -_I 219. -- 518.' - - 519.. - _ _ - --- --- - - 220. Total Paid By/For Borrower 0.00 520 -Total Redu ti Am - .~, .; _ _ . c on ount Due Seller 0.00 300. Cash At Settlement From/To Borrower 600 - C h t S , 301 Gross Amount due f b ' ' . . as A ettlement To/From Seller . rom orrower jline 120) 77,157.60 6 01. ! Gross'Amount due to sell (li 4 302, L`essamounts paid by/for borrower (line 220) ( 0.00) er ne 20) 602. 'Less reductions in amt. due seller (line 520) ( 75,000 00 0 00 303. Cash ~x ~ From To Borrower $ 77,157.60 - 603. 'Cash 'To From Seller ~ f . ) -- - _ _ $ 75,000.00 The Public Rep~rtin~ l3urden for this collection of i or data. This aaanrtv may nn4 r-.,no.-++h~~ :s.,........:_~_ mation is estimat ~ .__ _~ ed at 35 minutes per response for COIIPr:tinn ravicwinn nnrl rc.,...~L.... sL.,. pumper. No confidentiality is assured; this dis fo- ~ e~in ma atory.~ T7iis is designed to pr I~l r Fie partleltto apRySPA coverled trlansbact on w t information during the settlement o ess. Borrower Steven . Spopk. S Seller state of Ateneo DeGrandi y `J t~ /t 'J Gt '~ Borrower Elissa D. Snook Seller - -- ----- Previous editions are obsolete Page 1 of 3 - ----- HUD-t _ ~ ~~,~ ~. ~ r rneservrces,ana lenaers Iltle'insuranCe ~- ~ - ~-~~° b ~~ ~~' ~~~ (from GFE, #4) 0.00 A~~ - 02 r °Settlement or closing fee l _ $ ~ ~ ~ , - - _ ~ 11 p3. Ownef s title .lnsufanCe ' ~Peter~JrRusso, P.C. (from GFE #5) 708.75 1104. Lender's title insurance „! $ ~ 1105. Lender's title policy'limit ,`$ ;: - - 1106. Owner's title policy'limit ~° $ 11'.07. Agent's ortion of th _ p _ e total title Insurance premium -. $ ! 1108. Underwriter's portion of tha totaltitte in`s'urance~remium $$ ; ~, . ~ ~ ~- 1110. --- 1111. _~ -~ -~-T---- --- ~ i -= • -! ~. ~ ,~= - _- (from GFE #7) 64.50 0.00 1202. Deed $64.50. Mortgage_$ -- - T Releases $ ~ -=- I --- ------ --- - i . 1203. Transfer taxes ` ,- ----~=_~-~--T ~=- -~- -= (from, GFE #8) - 0.00 ! 0.00 1204. City/County iax/stamps Deed $ - _----• 0 00 Mortgage $ . ~ - - -T- --- -7 1205, State tax/stamps `` `Deed $ ` QA0 Mortgage $ - 1206. -- - - r,- --1 1207. __ ------- -- - --- -- -J - ____~, 1300 Ad ifaonal. a lem t Charges~~ ~ ._..~ .~ , -- ~~~ } ~}~'~' .y~~~~ ~ ~ ' ` ; - ^ - ~ 1301 Required services;#hat you caR Shop for' _ ~ ;` ~ -- (from GFE #6) I ~ ~ - :~ - - _ -- 1302 Daley ZuckerMeilton Miner& Gingrich, LLCfor Deed and Preparation of HUp-14. - - - --- -- - - - - - ~-- ~ - - 300.00 j 1303. ~ ~ _ -__ - ~ - - - -- - --- i ~ . - - 1304: ' T _- __ - -__f ------ - --- ---- -- 1305. ~ ? 1306. - .:• I -- ---- ----- - ~ 1307 - j- -- - ----~ - - - - - - ---' 13Q8. -. ,. ---- ----- ----~-- ---- ---I T - - - - 1309. , . -- - -:~-~-Y~ -----_ __ ,, -- - . ----' __ __ i ~ ~ ' • ' ~ ~ 2 157 60 I -- -__--0 00 'Paid outside of cl osing by borrower "Paid outside of closing by seller revious editions are obsolete Page 2 of 3 HUD-1 ulvlslon of cpmmrsSlon (link 70p} as follows: ', ~ Flo ' '' ' ~ S~Ilers 701. $ #Q ~ , F,~nds at }~ ,,,,,, 702. $ ' to a ;.. ~pe~tlement ~ 7Q3. Commission paid,at settlement ~..; ~_ i 0.00 704. ---------- `Goorl,FaihEst~izie :HUD-1 ' --- ----- ------ -------- -- i --- Charges That Cap Change - ..: --- -- tnitial' depositfor your''escrow account # 1001 Dailyanter'estcharges~ •~ ~ ~ ~ ~~ ~ ~. #-- 901 $ • l day HomBwne~s,insurance # '903 _--- - - # - #, - Loan Teirms '"GoodFelhEstlrrlala ~~~II~D 't" ': x _. _._ i 64.50 ~- -~ - -- I -- ~I --------- 0.00 ~, __ 64.50 64.50 or ,084.351 .u, Yourinttial loan amount is ~ $ YourJoari terrri+is ! years Your~nitial interost-rate is ,. - ' - •r` Your initial monthly amount owed for pnnapal,~lnterest `' ~ $ includes '~.;, an an mort Y . gage insurance is _ ~ . ... ... . , ,: ~ 2, , '~ ~ ^ Principal ~ ~~ ~'' ^ Interest ^ Mortgage Insurance .. Can your interest rate';rise7 ^ No ^ Yes, it can rise to a maximum of %°. The first change will be on and can change again eve aft i .Every change date, your interest rate can increase r ~ or decrease by %. Over the life of the loan, your interest rate is ,. ;, ` ~: ~: ..- ' 'guaranteed to never oelower than % or higher,than %. Even if you make payments on time, can your oan balance rise? ^ No ^ Yes, it can rise to a maximum of 9 Even if you make payments on time, can your monthly ^ No ^ Yes, the first increase will be on amount owed for principal, interest and mortgage insurance rise and the monthly amounts owed can rise to $ , The maximum it can ever rise to is $ Does,your loan have a~, prepayment, penalty? 1 ---~- - ^ No ^ Yes, your maximum prepayment penalty is $ Does your loan have a balloon payment? ' ^ ^ Y P Y -- _ - -- due in No Yes, ou have a balloon a ment of ; ~ 2- ~ years or - ^ You do not have a monthly escrow payment for items such as property taxes Total monthly amount owed including escrow account payments- ~ : and homeowner's insurance. You must pay these items directly yourself. _ ~_ ~; - - ^ You have an additional monthly escrow payment of $ ` that results in a total initial monthly amount owed of $ .This includes principal, interest, mortgage insurance and any items checked below. ^ Property taxes ^ Homeowner's insurance ^ Flood insurance LJ ^ [1 •~•~• ~~ y~~ ~~a~~ yuaa~w~w auou[ [ne ~ememem cnarges and uoan Terms listed on this form, please contact your lender. Page 3 or 3 HUD-1 . Steve Snook Residential Construction 625 Beagle Road Lewisburg, PA 17837 570-524-4349 HIC # PA016044 Bill To Estate of Ateneo DeCirandi c/o Teresa Warlow 350 Hunters Valley Road Liverpool PA 17045 Invoice Date Invoice # 3/26/2010 259 Terms Due Date 3!26/2010 Description Amount Lewisburg Builders Supply -materials 332.44 West Branch Rental -carpet cleaner 48,79 Sherwin-Williams 12.93 Dale P. Kline Electrical - prepare hoarse for inspection; install grounded outlets through out home, install 1,718.1 G switches & outlets in two 2nd floor bedrooms Tice-Spinello Contractiing -painting walls, ceiling and trim in entire house 5,488.51 Disposal of debris 199.60 labor 12,440.00 Overhead 3,036.06 ~~ ~~ ~~ ~~~ Thank you for your business. TOta~ $23,276.49 Payments/credits $0 ~ Balance Due $23,276.49