HomeMy WebLinkAbout01-11-11
1505610101
EX (oi-io) ~
REV- ~ SUO OFFICIAL USE ONLY `
PA De artment of Revenue
p pennsylvania
~EF~RTMENTUFREVENUE County Code Year File Number
Bureau of Individual Taxes
PO BOX 28o6oi INHERITANCE TAX RETURN ---- - _ ~ - -~
Harrisbur , PA i~128-06oi RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social-Security Number Date
_
_ .. - _
..._.._.-
~ ~~ - ..... of Death MMDDYYYY Date of Birth MMDDYYYY
.~____ ______w_______.. ~.___.___.. - __-. ~_... ~___~___.... _..__.. _. __.._._._.___
-
~
194-42-3830 i
08/ 11 /2009 ~ 12/17/1958
Decedent's Last Name
. .....~. Suffix Decedent s First Name
-. _ ~--__L_.,
-.._-. __......._, ,.~...-,.__.-_ _. ~ ~..w.__..._.-. -. _~.~_ ._.....____.._.~ _.......
'
.. _ .- ...._
,- _._._.. _ .._ ._.W._..__.
;Stansbury
_ _.
#
R
~ '. Walter
~ '
F _
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Stansbury ~ ~ ~ Carolyn ._ ~ ~.
..__-__-_ _.- ...- ... .~._- ___...._.
___-_
~
~
__
__ _
Spouse's Social Security Number W
.
___ __ __
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
- REGISTER OF WILLS
FILL fN -APPROPRIATE OVALS BELOW
f~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death
prior to 12-13-82)
O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Ta:x Return Required
death after 12-12-82)
O 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust}
O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TD;
Name Daytime Telephonesumber _'
_. -~-~_
~_.__.._ .- ..._ __..-~__ .....__- _._.._._ ._ _._....___W_ _ ___-_---.._ .... ___-_v_~_. --- X717) 2.~.~.~ 5~, -....._.. ~~ _ ~_,
58-85 ':~ ~~~
Dpi it Rrarlfnrri f~rr 1
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i ~Yt.~
_. _,~
-Y 1
ioy
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.~
DATE FILED
Lary or cost vmce ~~a« ~~~ ,,.,,...
Carlisle PA =17013
Correst~on$ent's email addr
Under p Itie of per , I declare ha I have a in this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is tru rre t and plete. De r 'on of r other than the personal representative is based on all information of which preparer has any knowledge.
SIGNA F PER N RESP SI E F R IN ETURN DATE
01 /04/11
ADDRES ~ ~ ~ ~ 5 `~ e~1~ ~ ~ S ~ ~ ~ 1 ~ ~ U
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610101 1505610101
J
REV-1500 EX
Decedent's Name:
Decedent's Social Security Number
194-42-3830
RECAPITULATION
__ _
1. Real Estate (Schedule A) ............................................. 1 > ..
.,.
82 000 00
°r...~.~',... _.,._
2. Stocks and Bonds (Schedule B) ....................................... 2. ~ 0.00
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. '; 0.00
4. Mortgages and Nates Receivab{e (Schedule D) ........................... 4.
} ~
0.00
,.,. M............
5. Cash, Bank Deposits and Miscellaneous Persona{ Property (Schedule E)....... 5
~
~,.....w ..~., 2,450.00
~ ~...w. w.,r ~.
6. Jointly Owned Property (Schedule F) O Separate Bi{{ing Requested ....... 6. ~
..... °n°~° . 0.00
,..~ ~., ..~_, °m ..... .... .....r.~.~ ~.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property ~
00
0
(Schedule G) O Separate Billing Requested........ 7 w e
.M .
~°,,.....°~.. *°~"°^ ~~ ° , -° °°, w
..
8.
( 9 ) .............................
Total Gross Assets total Lines 1 throw h 7 8. ~
~ 84,450.00 !,
9. Funeral Expenses and Administrative Costs (Schedule H} ................... 9. ~ 87,566.17
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .............. 10. '' 0.00
11. Total Deductions (total Lines 9 and 10) ................................ . 11.
~~~.~,,,..-,m.~ 87,566.17
~, ..... _. _ _ _ ~ ....~„
12. Net Value of Estate (Line 8 minus Line 11 } .............................. 12. -3,116.17
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which } ~ ~ ~ ° ~ _ ~~ ~ .._...
00
0
an election to tax has not been made (Schedule J) ........................ 13. ; .
14. Net Value Subject to lax. (Line 12 minus Line 13) ...... . ................. 14. '; -3,116.17
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
.
transfers under Sec. 9116 ~ ~ r r
" °° "' °~'' ~ ~` "~°` " ° ~` ~ E
15.
- °.., ~~.~~~. ......~... M
16. Amount of Line 14 taxable
at lineal rate X .0 _ 16.
17. Amount of Line 14 taxable ~
at sibling rate X .12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 ~ 8.
19. _ ___
TAX DUE ......................................................... °..
19.
~
20. F1LL.1N THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
L 1505610105
1505610105
Side 2
O
1505610105
REV-1500 EX Page 3 File Number
Decedent's Comalete Address:
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 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.
(3)
(4}
(5)
Make check payable to: REGISTER OF WILLS, AGENT.
~, ~ ~ ~~s
t
,, __
Y ~~a - ~ t~z~~. t~ < . G. ~ ~. ~ ., .f < ., ,. ~ .
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 :.................................................................................... ...... ^
h. retain the right to designate who shall use the praperty transferred or its income : ...................................... ...... ^
c. retain a reversionary interest; or .................................................................................................................
^
d. receive the promise for life of either payments, benefits or care? ................................................................ ......
If death occurred after Dec. 12, 1982, did decedent transfer property within ane year of death
2
.
without receiving adequate consideration? ....................................................................................................... ....... ^ 0
3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ....... ....... ^
Did decedent own an individual retirement account, annuity or other non-probate property; which
4
.
contains a beneficiary designation? ................................................................................................................. ....... ^
w 4` LETE SCHEDULE G AN
IF THE ANSWER TO ANY OF THE,ABOVE .QUESTIONS IS YES, YOU MUST COMP ,.a .~. L~ v~. ~c¢rt~~
_.,~~ ... :.. > .. ~ ... ~ ~ .:::.~ , , ~ r~ ; . D FILE IT AS PART OF THE RETURN
For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed an 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(a)(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, 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 12 percent [72 P.S. §9116(a)(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.
Total Credits (A + B) (2)
05.85 R1~V 101JOT
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
gee for this certificate, $6.00
P 15659626
Certification Number
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
W ~.
Local Re strar Date Issued
C~Op~
nt~s i<3 ~i:v iv2aca COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TY?c' / PRIN i IN
P~l.'N"NKT CERTIFICATE OF DEATH
(See instructions and examples on reverse) srnrE FILE NUMBER
1. Nan d Doadenl (Fill middN, last sufs) 2. Soa 1. Soon Souaiq Narbor 1. Om d Ooalb I+~nft dry. r•+rl
Walter R. Stansbury Male 194 - 42 - 3830 August 11, 2009
S. Apa (~ ~1'I tJnda 1 llidar 1 8. OaY d Gift btadt 1. ~ad alala « to Phoa d Doak ar
swm. o.rs e/wa aa~en,. MoaplYt Oflor L~
~ 50 Y~ December 17, 1958 Coatsvllle, Pennsylvania
r
W. Cawdr d Daofr k. Gh, Bao, Twp. d Doafl Id. F ^ l'~o'd ER I Oupaiad ^ OOA ^ NiaaaO Moon, ^ Ofwr • Spahr:
aOb' Nam (0 na1 °~^• ~ aroM ~ ^~) 0. Waa Doadad d-fapwe 0/fpint No ~ Yoa 10. Raa: Aawiea~ ila+ll Bhr>e. YNiio, re.
Cumberland Mechanicsburg 130 West Portland Street Apt
10 (
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White
11. Daaodad'a Uarl (Kind d wodl aar ~ aawt d W. Do and ad. n6wd 12 Wa Dooodrd ova b 17. Dow/alaE~ucrMn ICI «dr+~d f~ ~nFrrd) 14. biaial Slra: Mrdad. NaNar bYniad, 15. Suaiaiq Spoar (r ails, qiw anaiMn n.nlq
Kind d IYaA Kid d flalnop 1 Yidualrr U.S. Arord Faaa4 J ~„~ (612) CofoOa (1~ a s•1 wldawad. Oirad (S),oailpJ
Printer Press O erator Manufacturin Y.a Nor ~ Married Carolyn S. Ganies
1.
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dad
a
130 West Portland Street :
AeWIRu
No/wo nastda PA u.
_ Twp.
vo. ~•~~
Mechanicsburg
PA 17055 - 1T-.ca.q Cumberland T""""pT lTa ~•ao~adu~a:rw
Mschanic
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tf. Fafufa Nano (Fiat middM, lad atu) 19. IAofr(a Nano (Faal aiddla, maiden tsanaaa)
Walter R. Stansbury Hazel Pfitzenmeyer
IOa Ydamanl'a Name (Typo / P/inq lob. idormold'a +~q Addroa (Shot air /lows. ada, riP ~)
Car lyn S. Stansbury 130 West Portland Street Apt 10 Mechanicsburg, PA 17055
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August 14.2009
Conolite Crematory
Sehaefferstown
Pa. 17088
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Nair I adr vdun arflyiq 27a To a d mlr , doafl d fr fora, dda and pYa acad. (Sfynrao and Yfa) 27b. liorw Nanbor 27c. Oda Sqr/ (~~. dry. ra+r!
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p.ms 2t-2f mua a aapwW br p«aon 2t. Tors d Daab 25. Odo Pnvnusod Ooad (MaiN, daF, cal 2f. wos Can Rdnwd (pfidied Eaamiia J Caarar b. Rarer ofw flan Gwmdia~ «oanafon?
.ha pransia~aa d.aw. - ~ ore G P wt 0
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Disposition Pemlil
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SHORT CERTIFICATE
I, GLENDA EARNER STRASBAUGH
Register for the Probate of Wills and Granting
Letters of Administration' in and for
CUMBERLAND County, do hereby certify that on
the 21st day of August, Two Thousand and Nine,
Letters of ADM/N/STRA TION
in common form were granted by the Register of
said County, on the.
estate of WAL TER R STANSBURY late of MECHAN/CSBURG BOROUGH
(First, Middle, Lastl
in said county, deceased, to CAROL YN S STANSBURY
(First, Midd/e, Lastl
and that same has not since been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the
seal of said office a t CARLISLE, PENNSYLVANIA, this 21st day of Augus t
Two Thousand and Nine.
Fi 1 e No . 2009- 00789
PA Fi 1 e No . 21- 09- 0789
Date of Death 8/11/2009
S . S . # 194-42-3830
NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL"
putt'
.•
REV-15Q2 EX+ (11-08)
~ pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
Water R. Stansbury 2009-00789
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the 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.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
i. ,130 W. Portland Street, #10, Mechanicsburg, PA 17055 82,000.00
TOTAL (Also enter on Line 1, Recapitulation.) $ 82,000.00
If more space is needed, insert additional sheets of the same size
+i
Previous ec'"lons are ohsa'e!e
' A. Settlement Statement
forth HUD-t (366) n# Handbook 0905.2
U.S. Department of Housing and Urban Development
/1~~rf w.~-_...., w,~ AGM AAQC /ew.:een 11 Mfl~M~1
1. EIFHA 2. EIFmHA 3. pCom. Unins. 6. Re Number 7. Loan Number 8. Mortgage Insurance Case Number
4. VF, 5. .lrls. 2009100AB
C. Note: fleet;armxtced •{pa.c.)- were ~ a,teide the da~tp, !hay are slwwrt here tar klfortredorl purposes one era not rtduded in themt~tels. Ti11@ExpresS Settlement System
WARNNG: k fs a crime m Itnawirlpiy rtrka tefea rtaistrrsrtta to the untied stale on thin ar an other abler Cann. PertaMies upon
m,sna0,a, an include a tix and . Per dalei~ oar. TMa to u. S. Cade sedon t~iot and Sadiln taro. Prin Bd 09124!2009 8t 10:58 CEC
D. NAME OF BORROWER; Jamie Carpenter
ADDRESS:
E. NAME OF SELLER: Estate of Walter R. Stansbury, Jr.
ADDRESS:
F. NAME OF LENDER: Bank of Amerka, N.A.
ADDRESS: 8400 L a TX 75024
G. PROPERTY ADDRESS: 130 W Portland St 8'10, Mechankaburg, PA 17050
Yecha h
H. SETTLEMENT AGENT: Absolute Abstract, LLC, Telephone: 717-432-7102 Fax: 717-432-1535
PLACE OF SETTLEMENT: 125 West Harrisbu Stree DWsbu PA 17019
I. SETTLEMENT DATE: 0912512009
J. SUMMARY OF BORROWER`S TRANSACTION:
K. SUMMARY OF SELLER'S TRANSACTION:
100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER
101. Contract sales 000.00 401. Corf#ract sates ~ce ~ ~-~
102 Personal 402. Personal
103. Setlement cha es to borrower ins 1400 353.25 403•
104. '~•
105. '~•
Ad'ustmertts for items b seller i n advance Ad'ustments for items aid seller in advarx;e
106. Ci own teDies 406. G (town taxes
107. Cou fixes 09125109ta12131109 112.59 407. Coun taxes 09125J09to12131109 112.59
108. Scholl taxes 09125J09to06130110 713.53 408.. Scholl taxes 091251096006130110 713.53
109. Condo Dues - tembtt-91Z5109 to09130109 15.99 409. Corxb Oues - S tertto09130109 15.99
110. Sewer -3rd Qtr. 09V15109 to 09/30109 4.23 410. Sewer -3rd 09125189 to09130109 4.23
111. 411.
112
120. GROSS AMOUNT DUE FROM BORROWER
200. AMOUNTS PAID BY OR ON BEHALF OF BOR
85199.59
ROWER 412.
420. GROSS AMOUNT DUE TO SELLER 848.34
500. REDUCTIONS IN Al10lINT DUE TO SELLER
201 't tx tjernest 1000.00 501. Ex 't
202 Princi amount of new loans 80 514.00 502. Settlement c es to seller irre 1400 9824.83
Eb tin loans ens t b 'n I n ens to
204. 504. dt0003943266 85 210.57
e
205. ~.
6. 506•
207. 507.
208. ~.
209. ~.
A us6nenh for Items un seler Ad ustrnents for i6ettn un seller
210. Ci Rown taxes 51 . Ci !town taxes
211. Cou taxes 511. Coun taxes
212 Scholl taxes 512. hod taxes
213. 513.
Y14_ 514. 09 Taxes Coun /Sch 1 ~•~
215. 515. HOA Resale Cent ~•~
216. 516. HOA Dues 310.00
217. 517. Sewer LierV2007 ~•~
218. 518. Sewer LierV2009 819.87
219.
220. TOTAL PAID BYIFOR ~RROMIER
300. CASH AT SETTLEMENT FROM OR TO BORR
81514.00
OWER 519. Del. Sewer Cho es
520. TOTAL REDUCTION AMOUNT DUE SELLER
800. CASH AT SETTLEMENT TO OR FROM SELL
'~ ' "
ER
301. Grass amount due from harrower ins 1
302 Less amounts borrower ins 220 199.59
81514.00 601. Gross amount due to seNer ins 4 ~ ~-34
602. Less reduction amount due seller ins 520 78 2.89
303. CASH FROM BORROWER 3885.59 803. CASH TO SELLER 4 578.45
Su85rfrUTE FORM 1098 SELLER STATf3,A9JT; The intorrrreliort aorttelnad hereit is fmportsm lax informeAfon and is bafn8 funtfatted to the iMemd tievsnue Sarviae. If you are required ib file a reUxn,
a rbaMpance psrtaKy ar other emcxxion wiN be Irtytoesd an you if this ffem h required to ba reported and the IRS determYtes that R has not been reparhd. Thor Centred Sales Price descdhed on
fins ~Ol above tbnatitules the Giross Roaeads d tHa traneadian.
You are regaled by law>b preside the eettlenlent aappeerrrt (Fed. Tax ID No: 71-081108n with your correct taxpayer identification number. H you des nOt provide your Oarred ta~ay.r identification
number, you may ba suhjad m dNit ar oinivl psrtslliee Ynposed by trw. Under penafies d prkry, i artily that the nurlbar shown m 1Ns atffierrortt is ny carted ta~aysr idam rnxnber.
TN: / - - SELLER(S) SIGNATURE(S): / -
co , eo/ci w,^•• uul rwr. anl~ccc• __... _
SELLER{S) PHONE NUMBERS: {H) (W)
n
r
. Previous editions are obsdete form HUD-1 (386} ref Handbook 43052
U S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Fle Nurrlber: 2009100A6 PAGE 2
SFTTI FMFIdT STa,TF~IF1iIT raeLv...eo~ CsMe...e.,~ cti...fe.., b;..i...~ron~rnrvin..~ ~n.co non
L. SETTLEMENT CHARGES PAID FROM PAID FROM
700. TOTAL SALES/BROKER'S COMMISSION based on 'ce 000.00 6.000 = 920.00 BORROWER'S SELLER'S
Division of commis ' n in 700 as fatlows: FUNDS AT FUNDS AT
701. 485.00 to REIMAX A-1 R Inc. SETTLEMENT SETTLEMENT
702. 435.00 to REfYAXA-1 R Inc.
703. Commissron id at Setlement 4 920.00
7 Transaction F to REIMAX A-1 R Inc. 195.00 195.00
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
80 . Loan Ori 'nation Fee %
802. Loan Discount %
. A 'sal F
804. Crecit R
805. Lender's Ins tion Fee
806. M a e ication Fee
807. Assu 'on Fee
808.
809.
810.
811.
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From to
902. M e Insurance Premium for to
903. Hazard Insurance Premium for to
904.
905.
1000. RESERVES DEPOSITED WITH LENDER FOR
1001. Hazard Insurance mo. Imo
1002. M a e Insurance mo. Imo
1003. Ci P Tax mo. M1o
1004. Coun Tax mo. 34.95 Imo
1005. Schod taxes mo. 77.79 Imo
1009. A to Anal is 'ustment 0.00 0.00
1100. TITLE CHARGES
1101. Setlementordosin fee
1102. Abstract or file search
1103. Tile examination
1104. Titl insurance ti
1105. Document Pr lion
1106. No Fees to Carrie E. Cook x,00 20,00
1107. Att s fees ~ Pad Bradford Orr vine 2 ~g,46
Indudes above items No:
1108. Title Insurance ro Absolute A LLC 750.75
indudes oboe items No:
1109. Lender's Pd' 514.00 -
1110. Owner's Pdi 8000.00 - 750.75
1111. 100 No Vrol 300 S 900E to Absdute A LLC 150,00
1112. 810 Cando to Absdute At>stra LLC 50,00
1113. gosi Svcltr to Absdute A LLC x,00
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1 01. F D 50.50 ~ M 86.50 ~ Rel a 137.00
1202. Ci tax/sta Deed 0.00 ~ Mort 820,00
1203. Slate Taxlsta Deed .00 a 820,00
1204.
1205.
1300. ADDITIONAL SETTLEMENT CHARGES
13a1. s
1302. Pestln lion
1303. ' ht Mai to Absdute A LLC 15.50 15.50
1304. wre Transfer Fee fo Absdute A LLC 20,00 x,00
1305. oc. Delnr Fee to Absolute A LLC x,00
1306. Tax Cert. Fee to Ba L. Hecka TIC x,00
1307. 2008 Deti ent Tax t0 Cumberland Co Tax Clakrt Bureau 1545.87
1 .Condo Dues -October to Portland Covet Cando Assoc. 80.00
1400. TOTAL SETTLEMENT CHARGES enter on li 103 ti n J end Section 35325 9824.83
HtA] c>xt>FlcnnON OF eUYER AND SELLER
1 have careirAy reviewed the HUD-1 Settlement Statanant and to the best of mmyy Iatawledpe and barsf, it fs a rue anti amxate statement of all receipts and d'sMxsemanta made on my account
or by me in thb trarawction. I further asrtly that I haw recehred a copy of the H(1D1 Satllernertt statement.
ry,
WARNNG: R IS A CRME TOIWOWNGLY MAKE FALSE STATBdFJVTSTO THE The HUD t Settlanran[ Staherrrrrt wlicti I haw p~p~,~ k a true and emirate octant of thb
l1NITED STATES ON 7FrIS OR ANY SIMILAR FORM. P9dALT1ES UPOIJ CONVICTION trarroactlon. I have caused ar veil cause ths fund- a to be dieburaed in amxdancs with thin atamarrerrt.
CAN NCLUDE A FNE AND ivIPRISOP1dBJT. FOR DETAILS SEE TITLE 18:
U.S. CODE SECTION 1001 AND SECTION 1010.
SETTLEMENT AGBVT: DATE
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS PERSONAL PROPERTY
TOTAL (also enter on line 1, Recapitulation) $2,450.00
ESTATE OF FILE NUMBER
Walter R. Stansbury 2009-00789
(All property jointly-owned with the Right of Survivorship must be disclosed on Schedule F~
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PAUL BRADFORD ORR
Arroarr~ AT LAw
SO EAST HiGx STx»' (717) 258-8558
CAxLISI.E, PA 17013 FAX (717) 258-5289
E-1~sAU. paulorr~a cmbargmail.com
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SCHEDULE H -
FUNERAL EXPENSES, ADMINISTRATIVE
COSTS AND MISCELLANEOUS EXPENSES
ESTATE OF FILE NUMBER
Walter R. Stansbury 2009-00789
ITEM DESCRIPTION
NUMBER AMOUNT
A. Funeral Expenses:
1. Myers Funeral Home, Inc. 7,747.50
2. Sale of Real Estate 78,269.89
B.
1.
2.
3.
4.
C.
1.
2.
3.
Administrative Costs:
Personal Representative Commissions
Social Security Number of Personal Representative:
Attorney Fees
Family Exemption
Claimant Relationship
Address of Claimant at decedant's death
Street Address
City State Zip Code
Probate Fees
Miscellaneous Expenses:
Cumberland Law Journal
The Sentinel
Register of Wills
1,000.00
75.00
208.78
265.00
TOTAL (also enter on line ~, Recapitulation) $87,566.17
Nov ,OS 2009 1:04PM _ p.1
i~/
11~yers ~u~eraY dome, Ins. •
' Boyd L. Myers .fir., Supervisor
37 Bast Main Street
M~cha~icaburg, PcTmsylvanta t705S .
(7 (7) 766.3421 Fax (717) ?95-7291 .
A eteadard of excellence in Central peansylvania Since 1910
Thursday; October 29, 2009
Lezah Dowhower
1523 Hickory Run Court .
Elizabeth , PQ 17.022
Dear Lezah, .
Thank you for ®electing our funeral home to provide services for your family dining your bereavement.
I hope that you found our services to be of the highest standards and that they met your needs and these .
of your family and friends. The following Is a summary of the service charges as previously explained and
provided In written form on the services for:
• Wal tvnabu •
SUMMARY 4F EXPLN9E$
TOTAL OF 6ERYICE RENDERED ST,74T.50 •
l_E86: Credits granted 1,64b.00
• LE38: Total Payments 3,246.00
CURRENT BALANCE SZ,967.B0
Cn9dib Orsnted: :1,545.00 Package Price Dlacount
• Interest 8t the rate, of 1.6 a6 per month (16 ~o per annum) will be added 1+o balance efler 30 days.
If thc~c am any questions or concerns that remain unane~wered, plesac call mo.: •
Sincerely, •
_~-• ~ •
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PrevIWS edltlOrlB ere ObeOktB
A. Settlement Statement
A T~.rn n4 1 ..
form HUD-t (9/88) ref Handbook 1905.2
U.S. Depa-trnent of Housing and Urban Development
n~wn w~___.._ _ _ _.~-___
1. EIFHA 2. ^ FmHA 3. pCom. Unins. 6. File Number 7. Loan Number 8. Mo a Insurance Case Nurrlber
4. VA Ins. 2009100AB
C. Note: itenla r ~kad ypo~.)•°M:,. paid aumlda nor do~p~ ri.y era aho°wr~, here for kdam~lon p,rpo«s and era not hdndad in m. smak. TileExpress Setllement System
WARNNG: a i< a aYne ro Imowtgly make false W-t~rlanta,° tlw uniud staEas °n thk a any °Ihar simiar tam. Panallies upon
corMdion can include s ftr and t. Fa dshis see: Title 18 U. S. Code 9ectlon 1001 .,d Ssdion rota. Printed 09124/2009 at 10:58 CEC
D. NAME OF BORROWER: Jamie Carpenter •
ADDRESS:
E. NAME OF SELLER: Estate of Walter R. Stansbury, Jr.
ADDRESS:
F. NAME OF LENDER: Bank of America, NA.
ADDRESS: 6400 L ac Drive Plano TX 75024
G. PROPERTY ADDRESS: 130 W Portland St 910, Mechanicsburg, PA 17050
Mechanicsbu B h
H. SETTLEMENT AGENT: Absduts Abstract; LLC, TsMphone:7l7-432-7102 Fax: 717-432-1535
PLACE OF SETTLEMENT: 125 West Harrisbu Stree DiNsbu PA i70t9
I. SETTLEMENT DATE: .0912512009
J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION:
100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER
101. Contract sales 'ce 000.00 401. Contract sales 'ce 82 000.00
102 Personal 402. Personal
103. Settlement ch es to barroNrer ine 1400 353.25 403.
104. 404.
105. 405.
Ad~ustrnerrts for items b seller in advance Ad'ustmerds for items aid Geller in advance
106. G Rowe taxes 406.. CI Rowe taxes
107. Cou n taxes 09125109 to 12131/09 112.59 407. Coun taxes 09/25/09 to 12131!09 112.59
108. Scholl taxes 09/25I0'Jto06130/10 713.53 408. Scholl taxes 091251096D06130110 713.53
109. Condo Dues - tembaJ125/09 to09130109 15.99 409. Condo Dues - S ierrtbQ91251'09 tD09130109 15.99
110. Sewer -3rd 09125109 b 09130109 4.23 410. Sewer -3rd 09125109 ta09130109 423
111. 41 t.
112 412.
120. GROSS AMOUNT DUE FROM BORROWER 85199.59 420. GROSS AMOUNT DUE TO SELLER 82 810.34
200. AMOUNTS PAID BY OR ON BEHALF OF BOR ROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER
201. it a earnest roan 1000.00 1. D 't see ins
202 Princi amount of new loans 80 514.00 502. Settlement c es tD seler ine 1400 9 824.83
3. 'stln loans ken 'act to I s taken to
2.04. 504• atf:0003943266 05 210.57
Citlmo a e
205. ~.
206. ~.
207. 507.
208. 508.
209. 509.
A 'ustments for items un aid b seller Ad'ustrnents for items un aid seller
210. Ci /town taxes 510. Ci Rown taxes
211. Cou taxes 511. Coup taxes
212 Scholl taxes 512. Scholl taxes
213. 513.
214. 514. 09 Taxes Coun ISchod 1 394.78
215. 515. HOA Resale Cert. 50.00
216. 516. HOA Dues 310.00
217. 517. Sewer Lienl2007 700.80
218. 5t8. Sewer tien12009 619.87
219. 519. Del. Saver Che es .04
220. TOTAL PAID BYIFOR BORROWER 81514.00 520. TOTAL REDUCTION AMOUNT DUE SELLER
300. CASH AT SETTLEMENT FROM OR TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM SELLER
301. Gross amount due from borrower ine 120 85199.59 601. Gross amount due to seller ine 420 82 846.34
302. Less amounts id b liar borrower ine 220 81 514.00 602. Less reduction amount due seller ine 520 78 269.89
303. CASH FROM BORROWER 3685.59 603. CASH TO SELLER 4 576.45
SIbS`rITUTE FORM 7099 SELLER STAT9iAENT: The ktforrnatlon e°ntsinad hereMl k inparlarrt tax irlfotrrlstlon and is belnp fumlehed m the kltamal Revenue Service. If you are required t° file a realm,
^ riednenca parrlry a dher aandm rrN be Mrpoaad m you M 1Ms Nam k required fo 6s nparpd and the lRS deWlMnas riat ft has not bean reported. TM Contrail Sslss Prior ds:aibed on
ine poi above ems~ess rie G,roes Proceeds d rite lranadfan.
You aro requked by law to provide the settlement aap~serrl~l (Fed. Tax ID No: 71.091708 rritl~ your correct taxpayer iderltifxstion number. tl you do not provide your oared to identHicaticn
rniimber, you may be suhied to civil a airrinal penalties knposad by law. Urder pens~es d perNry, I cartily that the rsmlbar shown an 1Hs statement is ~~
my tarred tal~ayer idantlAcatlon rssrrier.
TN: - - / SELLER(S) SIGNATURE(S): /
SELLER(S) NEW MAILING ADDRESS:
SELLER(S) PHONE NUMBERS: (H) (W)
Prev4ous edi!ons are obsMe'e form HUDt (9/a6) ref Handbook 43052
U S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT File Number: 2009100AB PAGE ;?
CGTTI CIIlIG1~IT CTATG~AGhJT T:a_r.,____ ~_W ____. ~.._.__ .L:_._~,,,,,,,,,,,,,,,,, ~ .,,.~~ ~.~,.
L. SETTLEMENT CHARGES PAID FROM PAIID FROM
700. TOTAL SALES/BROKER'S COMMISSION based on 000.00 6.000 = 920.00 EtORROWER'S SE:LLER'S
Division of commission in 700 as fdlows: FUNDS AT FUNDS AT
701. $ 485.00 to RElMAXA-1 R Inc. SETTLEMENT SETTLEMENT
702. 435.00 to REfMAXA-1 R Inc.
703. Commission id at Setlement 4 920.00
704. Transaction F RE(MAX A-1 R Inc. 195.00 195.00
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Ori 'r~6o Fee %
802. Loan Discount %
803. A aisel Fee
804. Credit Re
805. Lender's Ins 'on Fee
806. M a e icafon Fee
807. Assu 'on Fee
808.
809.
810.
811.
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From to
902. M a e Insurance Premium for to
903. Hazard Insurance Premium for to
904.
905.
1000. RESERVES DEPOSITED WITH LENDER FOR
1001. Hazard Insurance mo. !mo
1002. M a e Insurance mo. Imo
100(1. Ci P Tax mo. Imo
1004. Coon Tex mo. 34.95 Imo
1005. Sdwd taxes mo. 77.79 Imo
1009. A to Anal "s ustment 0.00 0.00
1100. TITLE CHARGES
1101. Setlement or dosin fee
1102. Abstract or file search
1103. Title examnefon
1104. Titl insurance tai
1106. Document Pr ion
1106. No Fees ro Came E. Cook 25.00 20.00
1107. Attorn 's fees to Paul Bradford Orr Es uire 2 258.46
indudes above items No:
1108. Title Insurance to Absdute Abstra LLC 750.75
indudes above items No:
1109. Lender's Pdic 80 514.00 -
1110. Owner's Pdic 8000.00 - 750.75
1111. 100 No Yd 300 Surve 900 E ro Absdute Abstra LLC 150,00
1112. 810 condo ro Absdute Abstra LLC 50,00
1113. gosi SvcUr to Absdute Abstrac LLC 75,00
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Record Fees Deed 50.50 ~ M a 86.50 ~ Release 137.00
1202. Ci ICoun taxlsta s Deed $820.00 ~ Mort a 820,00
1203. State Tax/sta Deed 0.00 ~ Mort a 820,00
1204.
1205.
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Surv
1302. Pestlns cion
1303. Ovemi ht Maf to Absdute Abstra LLC 15.50 15.50
1304. Wire Transfer Fee ro Absdute Abstra LLC 20.00 25.00
1305. Doc. Deliv Fee to Absdute Abstra LLC 35.00
1306. Tax Cert. Fee to Ba L.. Hecker TIC 25.00
1 07. 2008 Deli ent axes to Cumberland Coun Tax gaim Bureau 1545.87
13 Dues -Oct Portland Court Condo Assoc. 80.00
1400. TOTAL SETTLEMENT CHARGES enter on line 103 Section J and 502 Section K 35325 9 824.83
HlA GERTIFIC/1TION OF BUYER AND SELLER
r have ceretay rwiewed the HUD-1 SettienrerR Statement and to the best of mmyy Isrowledpe and beret, k k a true and aczararo atsaemertt of ar raoslpts srd dkbrxsements made on my account
or by me in this transaction. l furlhar certlfy that t hew received a copy of tits HUDt Saatement 9tatamant.
e a er ns ry, r.
WARNNG: R IS A CRME TO KNOWNGLY AIAIO= FALSE STATEMENTSTO THE The HUD t Seftlwnant Sfaterrerd wMch I haw pe~~ed fs a true and amaata accorad of ltik
UNrTED STATES ON TiMS OR ANY St~AILAR FOrirl. PBdALTIES UPON CONVICTION traraaetlon. I have ®wad a ail rauaa the ford- s~o be diebuned In amadance wllh this etatsrtrnt.
CAN INCLUDE A FNIE MID MPAIaOPMB~rT. FOR DETAILS SEE TTTLE /8:
US. CODE SECTION 1001 AND SECTION 1010.
SETTLEMENT AGENT: OATS
',~ .
~'~
Walter K. Stansbury Estate
RE:
.~ . v
.~.
~ ~~ B Y: ------~~---------
Assoc~
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
Tele: (717) 249-3166 Fax: (717) 249-2663
September 25, 2009
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Paul Bradford Orr, Esquire
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on the following dates:
September 11 September 18, and September 25, 2009
Advertising Cost $ 75.00
Proof of Publication $ 0.00
Second Proof Request $ 0.00
Payment received $ 0 .00
Total Amount Due $ 75.00
Payment received by
4
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
viz:
September 11, September 18 & September 25, 2009
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are true.
,.-
Lis arie Coyne, Editor
SWO TO AND SUBSCRIBED before me this
25 day of September, 2009
A
Notary
Stansbury, Walter R., deed.
Late of Mechanicsburg Borough.
Executrix: Carolyn S. Stansbury,
130 W. Portland Street # 10, Me-
chanicsburg, PA 17055.
Attorney: Paul Bradford Orr, Es-
quire, 50 East High Street, Car-
lisle, PA 17013.
NOTARIAL SEAL
DEBORAH A COLIINS
Notary Public
CARLISLE BORO, CUMSERLAND COUNTY
My Commission Expires Apr 28, 2010
~ .
LAW OFFICES OF PAUL BRADFORD ORR
ESCROW ACCOUNT - IOLTA
50 EAST HIGH STREET
2315
60-1503
CARLISLE, PA 17013 I O I ~ 313
DATE l
~V
um U ~ ~7 5. o o f
DOLLARS LJ
ORRSTOWNBANK
A T3~adition ofExcallar~cs
n'00 23 L511' x:03 L315036~: 108 ^ 573hn~
RETAIN THIS PORTION FOR YOUR RECORDS
{:cMITTANCE ADDRESS BILL TO
THE SENTINEL - LEGAL PAUL BRADFORD ORR
P.O. BOX 130, CARLISLE, PA 17013
AD NUMBER CLASS SALESPERSON BILLING DATE LINES
374139 10 PUBLIC NOTICES kamok 09/16/09 38 * 2
AD DESCRIPTION START DATE STOP DATE
ESTATE NOTICE LETTERS TESTAMENTARY 09/02/09 09/16/09
PUBLICATION INSERTIONS RATE NET AMOUNT GROSS AMOUNT
3 THE SENTINEL - LEGAL 3 LGL 201.78
TOTAL AD CHARGE 201.78
3 PROOF OF PUBLICATION
OlPRF
7.00
DAYS RUN
PURCHASE ORDER pAY THIS AM 0 U IVT
Est. Walter Stansbur
208.78 I 250.54*
* AFTER 10/16/09
MESSAGE:
Thank you for advertising with The Sentinel.
Deadlines for in-column legal advertisements: Monday is Thursday at
5 p.m; Tuesday is Friday at 5 p.m.; Wednesday is Monday at 5 p.m;
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If you have any questions regarding your Legal bill please call
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Fax your legals to 717-243-3754 attention Classified Manager
You can also EMAIL your legal to Classified ads: classifiedCcumberlink.com
Please send a cover letter including your name and address as an attachment
~'~ •
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
fames IQeinklaus, Advertising Operations Director, of The Sentinel, of the County and
State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper
of general circulation in the Borough of Carlisle, County and State aforesaid, was
established December 13,1881, since which date THE SENTINEL has been regularly
issued in said County, and that the printed notice or publication attached hereto is
exactly the same as was printed and published in the regular editions and issues of
THE SENTINEL on the following day(s):
September 2, 9 & 16, 2009
COPY OF NOTICE OF PUBLICATION
Affiant further deposes that he/she is not
interested in the subject matter of the
aforesaid notice or advertisement, and that
all allegations in the foregoing statement
as to time, place and character of
publicati~re true. ~ _ ~-
Sworn to and subscribed before me this
~~
~N~JU'1, CSI 1 L/~-~
Notary Public
My commission expires:
NOTARIAL SF.At. ._ .._
BAM81 ANN~HECKEI~ORI~ Noler)- PuC;
Camp NNIBc~ro.., C~urr~beilerb
M C0 Jan 27, 1 U
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH Receipt Date: 8/21/2009
Cumberland County - Register Of Wills Receipt Time: 13:01:08
One Courthouse Square Receipt No.: 1057950
Carlisle, PA 17613
STANSBURY WALTER R
Estate File No.: 2009-00789
Paid By Remarks: LAW OFFICE OF RETURN PAUL ORR
CJ
----------------------- - Receipt Distribution --------------------- ---
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS ADM 210.00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 40.00 CUMBERLAND COUNTY GENERAL FUN
JCP FEE 10.00 BUREAU OF RECEIPTS & CNTR M.D
AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN
Check# 2272 ----------------
$265.00
Total Received......... $265.00
r
N
REV-1513 EX+ {01-10)
~ pennsylvania SCHEDULE ~
DEPARTMENT OF REVENUE '
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Walter R. Stansbury 2009-00789
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
1• Carolyn S. Stansbury '.Wife '100%
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is needed, use additional sheets of paper of the same size