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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 ~'~ ) i ~Yt.~ _. _,~ -Y 1 ioy __ ,~..i r ..-.' +w,~ .~ 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 ( ; ~ ~ (~ . , p~ ,~) 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. awJfwtabfa, D. 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 b , ,~,„a,un;,,d s ur g GgrJBao 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 • 21a IAatlnd d Diapoai0an Gamabn ~ Oonafon ^ Buvd ^ Romovr iwn Sldo ; w e C lb D MM 216. Dao d Dispoaifon (tbnlA, dry, roar) ~ 21e. Plea d OiaposiYOn (Nano d amaWy, aooutory «olha p{xa) ~ 21d. Loealon (City J bwn, alas, rip mdo) ,, or rana n « enafoa er4ad ^ ofax - fir: ; yfwerEaarn.aJe.ronall yore p N, August 14.2009 Conolite Crematory Sehaefferstown Pa. 17088 )~ • 22a. Sgna•ao Savior (« /r y-r~ aucA) tA. Lieonaa Numbw :~ ~~ ~ ~ /_~ ~ /~/~u~. FD~12662_I , 22e. Nana rd Aderwsa d Farigr Mvers Funeral Hnma Inew 3f F~e* Whi.. C.ree* ue..~.~..:..ea...~.. ow ~~nee 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! a pnraician is /wl «aiY6Y Y fnr d doaf~ b anfr eouao d doow. 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 curse nc neatu rs~ .....~....._~ .r _ __'"` ^ Ya No 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~ ~OQ Q~ ~~ ~i u, ~ SA« in~3~a9 ~,~~.~ ~~~. P~~r ~u~rt'N~~.~ ~~ ~ ~rTat~ AS~~s -t-o gs5~5'T ~n,~ 7Rro~.rSF~~ ~F ~~,,~sN~~ df ~jAwe~ o~C ~v~5~~ ~ p~1 ~~ ~l 4 c,4 c . R ~L~l~r~ v.~ tom. ~ i a~ ~ s _ - /Jav~~~R, ~~n~r~n~ ~S~ ~ ~ i ~ ~~MANo~~~~ ~F Nbt4-"fR~1~SF~b5cF / ES1/JT~ /06tKfi~ 'j0 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 Q~ (~Gb~7 AUK ES?AT6 a~~E~ ~.~~f 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, • _~-• ~ • ~~ • •~ , • ~ ' f~ y ~~ 1 ~ . . ' . • .• ~ ~ o ~~ ..•. ~' 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; Thursday is Tuesday at 5 p.m; Friday is Wednesday at 5 p.m Saturday is Wednesday at 12 Noon; Sunday is Wednesday at 5 p.m. If you have any questions regarding your Legal bill please call Classified Manager at 717-240-7176 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