HomeMy WebLinkAbout06-15-11J 1505610140
REV-1500 EX (°'_'°'
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN
Harrisbur PA 17128-0601 RESIDENT DECEDENT 2 1 1 0 0 8 3 1
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
1 9 4 2 8 7 8 7 7 0 8 0 8 2 0 1 0 0 2 2 8 1 9 1 9
Decedent's Last Name Suffix Decedent's First Name MI
H U T C H I N S O N M A R Y V
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE 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 (date of ~ 5. Federal Estate Tax Return Required
death after 12-12-82)
QX 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 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 TO:
Name
Daytime Telephone Number
W I L L I A M A D U N C A N 7 1 7 2,n4 9 7 8 0
~~ M
REGISTE ~ '~LLS USE~LY ~ yt
~~~ rte- '~ C.. ~. C~
First line of address ~ rT ,,
~~~~
1 I R V I N E R O W r~. , .-
Second line of address ~ ~..a -~.~ _ . '~t~
'~~
I ~ ---yl ~~ ~:~ ,-.
;. " .
City or Post Office State ZIP Code DATE FILED ~'` ~'
C A R L I S L E P A 1 7 0 1 3
Correspondent's a-mail address: B I L L D U N C A N a P A• N E T
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNAT E OF P S RE O SIBLE FOR FILIN~ E~ RN DAT
ADDRE S ~ ~~
245 MOORELAND AVENUE CARLISLE PA 17013
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610140 1505610140
J
1505610240
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: MARY V• HUTCHINSON 1 9 4 2 8 7 8? 7
RECAPITULATION
1. Real Estate (Schedule A) ........................................... 1. 8 4 5 0 0, 0 0
2. Stocks and Bonds (Schedule B) ...................................... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages and Notes Receivable (Schedule D) ..................... ..... 4.
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E).. ..... 5. 8 5 6 0 4 . 6 9
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested .. ..... 6
7.
Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property .
(Schedule G) ^ Separate Billing Requested .. ..... 7.
8. Total Gross Assets (total Lines 1 through 7) ...................... ..... 8. 1 ? 0 1 0 4 . 6 9
9. Funeral Expenses and Administrative Costs (Schedule H) ............. ..... 9. ? 9 6 0 . 9 4
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ......... .... 10. 2 1 9 2 8 . 3 4
11. Total Deductions (total Lines 9 and 10) ........................... .... 11. 2 9 8 8 9 . 2 $
12. Net Value of Estate (Line 8 minus Line 11) ........................ .... 12. 1 4 0 2 1 5 . 4 1
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. 1 4 0 2 1 5. 4 1
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) x .0 0. 0 0 15. 0 0 0
16. Amount of Line 14 taxable .
at lineal rate x .045 1 4 0 2 1 5. 4 1 1 g. 6 3 0 9. 6 9
17. Amount of Line 14 taxable
at sibling rate X .12 0 0 0 17. 0. 0 0
18. Amount of Line 14 taxable
at collateral rate X .15 0 0 0 1 g, 0. 0 0
19. TAX DUE .................................................. .... 19. 6 3 0 9• 6 9
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
1505610240 1505610240
~~EV-1500 EX Page 3
File Number
Decedent's Complete Address: 21 1,0 0831,
DECEDENT'S NAME
MARY V• HUTCHINSON
STREET ADDRESS
252 E• LOUTHER STREET
CITY
CARLISLE STATE
PA
Tax Payments and Credits:
~ ~ Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments 6, 0 0 0 • 0 0
B. Discount 315.6 0
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
ZIP
17013
6,309.69
6,315.60
5.91
0.00
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCK
S
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred; .........
............................................................. Yes
^ No
0
b. retain the right to designate who shall use the property transferred or its income; ............................... ^ 0
c. retain a reversionary interest; or ............................
... ... . ... .
d. receive the promise for life of either payments, benefits or care? ..................................... ^
..................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
. ...
without receiving adequate consideration? ................................................................................... ^ a
3. Did decedent own an "intrust for" orpayable-upon-death bank account or security at his or her death? ......... ^ 0
4. Did decedent own an individual retirement account, annuity or other non-probate property, which
contains a beneficiary designation? .................................................................................................. ~ ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is
3 percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(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 siblin s is 12 ercent 72 P.S. 9116 a 1.3 . A siblin Is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood[or adoption. ()( )] g
(1)
Total Credits (A + B) (2)
REV-1508 EX + (6-98)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC.
IN R SIDENT DECEDENT N PERSONAL PROPERTY
ESTATE OF
MARY V• FILE NUMBER
HUTCHINSON
21 10 0831
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be di
l
d
ITEM sc
ose
on Schedule F.
NUMBER DESCRIPTION VALUE AT DATE
~ C OF DEATH
. ORNERSTONE SAVINGS ACCT• # 5786-01
ESEE DOD LETTER ATTACHED71 13,644.31
2• CORNERSTONE C•D• # 5786-10
ESEE DOD LETTER ATTACHED] 14,185.12
3• WACHOVIA BANK CHECKING ACCT• #4224
[SEE DOD LETTER ATTACHED3 23,769.44
4• WACHOVIA BANK MONEY MARKET ACCT• #6578 25
367
56
ESEE DOD LETTER ATTACHED3 ,
.
5• 1990 TOYOTA CAMRY SEDAN 4D
700.00
6• (CARLISLE REGIONAL MEDICAL CENTER REFUND I 93.86
7• (NATIONWIDE MUTUAL INSURANCE COMPANY REFUND I 42.10
8• (UNITED CHURCH OF CHRIST HOMES REFUND I 6,429.7B
9• IU.S. TREASURY - 2010 TAX REFUND I 1,095.00
10• COUNTY TAXES PAID ON REAL ESTATE 239.12
[SEE HUD SHEET ATTACHED]
11. ASSESSMENTS PAID ON REAL ESTATE 38.40
[SEE HUD SHEET ATTACHED]
TOTAL (Also enter on line 5, Recapitulation) l a 8 5, 6 0 4. 6 9
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX+ (10-09)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
t5 I ATE OF FILE NUMBER
MARY V• HUTCHINSON 2], 10 0831
Decedent's debts must be reported on Schedule 1.
ITEM
NUMBER DESCRIPTION AMOUNT
A, FUNERAL EXPENSES:
1. EWING BROTHERS FUNERAL HOME 996.86
B
ADMINISTRATIVE COSTS:
~ • Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City State _ ZIP
Year(s) Commission Paid:
2. Attomeyl=ees: DUNCAN & HARTMAN, PC
3.
Family Exemption: (If decedents address is not the same as claimant's, attach explanation.) 5, 953.66
Claimant
Street Address
City State _ ZIP
Relationship of Claimant to Decedent
4. Probate Fees: REGISTER OF WILLS
343.50
5 Accountant Fees:
6• Tax Return Preparer Fees:
7. CUMBERLAND LAW JOURNAL - LEGAL NOTICE
8• THE SENTINEL - LEGAL AD 75.00
9• REGISTER OF WILLS - FILING FEE 176.92
10• HELD IN RESERVE 15.00
400.00
TOTAL (Also enter on Line 9, Recapitulation) $
If more space is needed, use addilJOnal sheets of paper of the same size. 7 ~ 9 6 O • 9 4
REV-1512 EX+ (12-08)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUMBER
MARY V. HUTCHINSON 21 10 0831,
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION TE
D
VA
OF DEAT
H
1. MILLENIUM PHARMACY
33.79
2. THORNWALD PERSONAL CARE
10,208.44
3. PPL - ELECTRIC BILL
62.83
4• COMCAST
67.14
5- UGI
29.96
6• PPL - ELECTRIC BILL
40.83
7- UGI
27.45
8• BOROUGH OF CARLISE - WATER & SEWER BILL 70.24
9• CRAIG ANDERSON - LAWN CUTTINGS
120.00
10• COMCAST
4.48
11• PPL - ELECTRIC BILL
25.96
12- UGI
38.81
13• CRAIG ANDERSON - LAWN CUTTINGS
125.00
14- PPL
21.67
15• UGI
122.35
TOTAL (Also enter on Line 10, Recapitulation) I $ 19 , 3 9 3 . 3 4
If more space is needed, insert add~onal sheets of the same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
MARY V. HUTCHINSON
Decedent's Name
Page 1 21 10 0831
File Number
Schedule I -Debts of Decedent, Mortgage Li abilities, & Liens
ITEM
NUMBER DESCRIPTION
16• BOROUGH OF CARLISLE - W/S BILLING AMOUNT
65.94
17• PPL
24.67
18• UGI
134.67
19• PPL
22.29
20• UGI
130.33
21• CARLISLE BOROUGH TAX ACCOUNT - 20],1 REAL ESTATE TAXES
432.08
22• PPL
22.92
23• UGI
96.93
24- CARLISLE BOROUGH W/S BILLING
65.94
25• CRAIG ANDERSON - YARD WORK
110.00
26• PPL
20.42
27• VITAL RECORDS - DEATH CERTIFICATES FOR FATHER
18.00
28• UGI
62.98
29• LARRY~S TRADING POST - CLEAN OUT ATTIC
250.00
30• PPL
22.42
SUBTOTAL SCHEDULE I I 1, 4 7 9. 5 9
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
MARY V. HUTCHINSON
Decedent's Name 21 10 0831
Page 2
File Number
Schedule I -Debts of Decedent, Mortgage Liabilities, & Liens
ITEM
NUMBER DESCRIPTION
31• REAL ESTATE BROKER FEE - SALE OF REAL ESTATE
ESEE HUD SHEET ATTACHED3
32• STATE TAX/STAMPS - SALE OF REAL ESTATE
ESEE HUD SHEET ATTACHED3
33• HOME WARRANTY - SALE OF REAL ESTATE
ESEE HUD SHEET ATTACHED]
34• FINAL WATER/SEWER BILLING - SALE OF REAL ESTATE
ESEE HUD SHEET ATTACHED71
35• SELLER ASSIST - SALE OF PROPERTY
36. IBO KYLE - SELLER ASSIST - SALE OF PROPERTY
AMOUNT
5, 070.00
845.00
435.00
64.80
2,535.00
500.00
SUBTOTAL SCHEDULE I 9, 4 4 9. 8 0
GRAND TOTAL SCHEDULE I $ 21,928.34
REV-1502 EX+ (01-10)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
tJ I A I t UF:
FILE NUMBER:
MARY V• HUTCHINSON 21 10 0831
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
DESCRIPTION OF DEATH
1• 1252 E- LOUTHER STREET 84,500.00
CARLISLE, PA 17013
C EE HUD SHEET ATTACHED]
TOTAL (Also enter on Line 1, Recapitulation) I $ 8 4 , 5 0 0 • 0 0
If more space is needed, use additional sheets of paper of the same size.
REV-1513 EX+ (01-10)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
wir~~cu
MARY '
NUMBER
1.
2•
3•
4.
1
r:
J- HUTCHINSON
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
GARY A. HUTCHINSON
245 MOORELAND AVENUE
CARLISLE, PA 17013
JOHN J- HUTCHINSON
11 ANDREWS COURT
PARKTON, MD 21120
ROBERTA L- HUTCHINSON
459 VICTORY AVENUE
MOUNTAIN VIEW, CA 94043
VIRGINIA A. HUTCHINSON
3900 FAIRFAX DR, APT # 2008
ARLINGTON, VA 22203
FILE NUMBER:
21 10 0831
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
ILineal
~25i SHARE
ILineal
~25~ SHARE
ILineal
~25i SHARE
ILineal
~25i SHARE
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN:
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
TOTAL OF PART 11 -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I ~
)t more space is needed, use additional sheets of paper of the same size.
LAST WILL AND TESTAMENT
I, MARY V. HUTCHINSON, of 2S2 East Loather Street, Borough of Carlisle, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory and understanding, do
hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking
any and all other wills and codicils heretofore made by m~
F~
FIRST. I direct that all my just debts and funeral enses be aid rom
. ~p p f my estate as oon
after my death as practically and conveniently may be dons J
~~~-~
SECOND. I direct that my remains be interred within my family's burial lot in accor~ll~~
with my expressed wishes. p
x THIRD. I authorize my personal representative to expend funds rom m estate in
.f y such
amounts as my personal representah've shall consider necessary and desirable for the purchase,
erection and inscription of a suitable marker for my graves ~a-,~,z,eA~ c,..t-e...
FOURTH. I give, devise and bequeath any and all tangible personal property owned by
me at the time of my death unto my children, Gary A. Hutchinson, John J. Hutchinson, Jr.,
Roberta L. Hutchinson and Virginia A. Hutchinson, in equal shares per stirpes.
FIFTH. I give, devise and bequeath any and all real estate owned by me at the time of
my death, unto my unto my children, Gary A. Hutchinson, John J. Hutchinson, Jr., Roberta
L,. Hutchinson and Virginia A. Hutchinson, in equal shares per stirpes.
SIXTH. I give, devise and bequeath all the rest, residue and remainder of my estate unto
my children, Gary A. Hutchinson, John J. Hutchinson, Jr., Roberta L Hutchinson and
Virginia A. Hutchinson, in equal shares per stirpes.
' SEVENTH. I direct that ony and all Inheritonce, Estate and Transfer taxes imposed upon
my estate passing under my will or otherwise, shall be paid out of the principal of my residuary
estates
EIGHTH. I hereby nominate, consh'tute and appoint my son, Gary A. Hutchinson, as
Executor of this my Last Will and Testomen~ In the event of renunciation, death, resignation
or inability to act for any reason whatsoever of Gary A. Hutchinson, I nominate, constitute and
appoint my son, John J. Hutchinson, Jr. as Executor of this my Last Will and Testament I
hereby relieve my Executor from the necessity of posting security in connection with his duties,
as such, in ony jurisdiction in fvh~ch he may be tolled upon to act insofar as I am able by law
to do so. In addition to the powers conferred by law, I outhorize my Executor, in his absolute
discretion, to retain in the form received, and to sell either at public or private saleony real or
personal property owned by me at the time of my death.
NINTH. I have made, or may from time to time make, a written memorandum expressing
my desire to give certain items of personal property to specifc persons I urge my Executor
and beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in
con,~unction with this Will
IN WITNESS WHEREOF, I have hereunto set my and and seal to this, my Last Will and
Testament, consisting of two typewritten pages this day of ~ ~ p 1995.
""~
MARY Y. HUTCHINSON
Signed, sealed, published and declared by the above named Testatntx MARY t!
HUTCHINSON as and for her Last Will and Testament, in the presence of us, who, at her
request, in her sight and presence and in the sight and presence of each other, have hereunto
subscribed our names as witnesses.
~~
COMMONN~F.ALTH OF PENNSYLVANIA:
ss.
COUNTY OF CUMBERLAND .
I, MARY V HUTCHINSON, Testatrix whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed
and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as
my free and voluntary act for the purposes therein expressed
~Y V HUTCHINSON
Sworn or off rmed to and
acknowledged before me, by
MARY V. HUTCHINSON this ~ ~ ay
J Urt~ 9S.
otary Pr~blic )
COMMONN~EALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
• ss.
We' ~'~i~~a~ ~ and
witnesses whose names are s ned to the att Q ~ the
g ached or foregoing instru nt, being duly quali ed
according to law, do depose and say that we were present and saw MARY Y. HUTCHINSON
sign and execute the instrument as her Last Will; that MARY V HUTCHINSON signed
willingly and that MARY V HUTCHINSON executed as her free and voluntary act for the
purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed
the will as witnesses; and that to the best of our knowledge, the Testatrix was at that time
eighteen (18) or more years of age, of sound mind and under no constraint or undue
injluenc~
Sworn or affirmed to and
subscribed befor me by
~~-'~- ~` ~~_ 'mac witnesses,
thi~;~~t. da of ~ l.~ c1~ ~ 1995.
/ /
4 ~ ~~ -
aaUth "'iG~,o.~~ ~a~; ±~,~'~r~ ~L~Ftr
C
ORNERST
ONE
P.O. Box 118 I , 5 East Gate Drive, Carlisle, PA 170 15
Federal Credit Union Telephone (7 17) 249- 1661 FAX (7 17) 249-8208
Member founded -Service based www.cornerstonefcu.coop
August 25, 2010
Duncan & Hartman, P.C.
Attorney At Law
One Irvine Row
Carlisle, PA 17013
RE: Estate of Mary V. Hutchinson
William,
~At the time of her death, Mary V. Hutchinson was the sole owner of account 5786 which
included a savings, and a certificate of deposit. As of August 16, 2010 accounts were closed.
Listed below is the additional information requested:
(1) Type of Account:
Savings and certificate of deposit
(2) Account Numbers:
Savings account number 5786-01
Certificate of deposit account number 5786-10.
(3) Name:
Mary V. Hutchinson, single owner
(4) N/A
(5} Principal and interest balances as of date of death.
Principal Interest
Savings $13,644.31 $ 53.56
Certificate of Deposit $14,185.12 $185.52
If you require any additional information, please do not hesitate to contact me at 717-249-
1661 ext 240.
Sincerely,
Donna J. Mickey
Financial Services Administrator
MEMBER SAVINGS ACCOUNTS FEDERALLY INSURED TO $2SO,OOO BY THE NATIONAL CREDIT UNION ADMINISTRATION
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~VIII'ilU~' ii I iati~t
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I' (I I tux ~it)(121i
ltoanukc, VA 2=tU22
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SUBJECT: Verification ! Confirmation of Account and Balance Int'ori(>at.ion provided tor:
Customer; MARY V HIITCHINSON {SSN# XXX-XX-7ti77)
Date nt Death: AN~ust ~, 2tl1(1
Deposit Account Information
••~~Yiunt A~tit~unl I)~ate ui~llrath Averagi lialsina: Ikst~: Maturity Intc~resi Acc•-u~;d Y'!'D
' I'y~• N umh:;r I is lun~a: Hate
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Page 1 of 2
t~~\
` t ,, ~,~ih • \~I
A. Settlement Statement (HUD-1)
OMB Approval No. 2502-0265
by RLM "~ ~~
too, Grop M101."; OW k01R ~MNt
101 tones
salts Wife ~ 40l. Menu ~~.,....r ea._ ~ ~._._
Prevbus editions are obsolete
Page 1 of 4
HUO-1
702. 60.00 to rrudential liomesals Services
703. Commission aid at b
P settlement
800. Rena P able in Connectlon vdllt Loan
801. Our origination charge Qndudes Originatlon Point 0.000%ar 50.00)
802. Your credit or charge (pdnta far ~ 5315.0
) sPeciAc interest rate chosen 5
803. Your adjusted originatlon charges
804. ApjNaisat tee
805. Credit report to s 1 st Federal Credit Uni
806. Tax service b A1er-rbers 1st Federal Credit Unl
807. Flmtl r.nM,.ew,~ ~
901. Daily interest ahargea from -- -- ....•,••«~~•
from 06/1312011 to 07/01/2011® ;
902. insurance urn
903. months to
Ftonbownera insurance (or ors to Sta1s Farm
904. Flood Insurance ~
905. months to State Farm
~ months to
1000. Reewq rl4tlt LendK
1001. Inltlal depoatl far your escrow account
1002. FtwrbaN,rrer's insurance
3 -nonths S 43.33hr
1003. insurance ~~ 5
1004. Scholl Taxes ~
1005. County taxes 13 months s 64.90hn
1008. Flood Insurarwe 5 months 5 38.Ot/m
1007. 3 months 5 70.081rt~
Aggregate Adjustment
1100. Title Ch M
1101. Title servkxs and tinders title insurance
1102. Settlement or dosing fee ~ 'd Land Transfer l
1103. Owner's title Inaurarke ~
t 104. Lerxbrs title Insurance
110s. Lenders tiib pd>cy limit 581,985.00 Lenders Potlcy
1108. Owner's title potlcy IkrAt 684,500.00 Owners Pdiry
1107. Agent's portion a the total title inaurarrce pnunium
1108. Ur~yritars Patlw- of the total title insrxancs prerntum
1109. Cioaing Protection Let1x
~ d Land Transfer, LL
1200. (iowrrutten! R and Transfer Ch
1201. Governrrbnt recording charges
1202. p~ 554.00 5
1203. Trarutfer taxes ~.~ Relea~
1204. CirylCounty taxlstampa 5
1205. State Tax/starrpa Deed 5845.00 ~
1208. p~j 5 Deed 5845.00 a
1207. Part~l Certl6catbn ~.~ Releas
530.00
1208. Assi9rxnent of Mortgage
sso.so
1300. Addllbnal SettlMneM
1301. Required services that ~ can shop fa
1302.
1303. Peatlnaoectlon to
(from GFE
(horn GFE
(from GFE ari 1
(hom GFE #11
(from
(from GFE #7)
(from GFE #8)
GFE
~Peld outside of ~n9 by (e)orroMror, (S)eNer, (L~nde f, (t~Ve~, l1rO(Kkr. "Credd by tinder shown on
Page 1 • Credit by setler shown on page 1.
5129.99
5843.70
s1
52
5.799.55
5
~_
s726.ss
5610.08
588.48
575.00
Paid From pa- I- d-Front
Borrower's Seller's
Funds at Funds at
841
Prevbus editions are obsolete
Page 2 of 4
HUD-1
of F HUD~4
~ Catntot < ' _
`
t3ood F'atkh
our ortpfrta~in
M HUEI~i
Your erodt or )16r tl1a ' itillrellt raM 1#togrl ~: ~t
~ ~ 375.00 375
00
Your O~pMIiM9rl tdWf4M: .
0
00
.
T-an~r taaii
aS ~ .
0.00
375
00
~ 1209 .
375,00
t~laroa 111Th Teh1C~^...w-r..~..~_ ^~° ~: - ..--- . ~~
845.00
Yea irtldal ban amount N
Your ban Nn~ N
Your hYtlp1 Mperat raM k
Your h~Nlal npn~y anOW1t owed fof pdndpal, Int)eteal; ~ aMr
inelrrarice is
~ l~olr hNlrNtrrll! ruer' -
Even N you mtioe paytrwib qt ~ ~ 1~ brM1 tialleloe rhre7~
Even It you ~ paym«~ on tM11e, air gout irtwtaN Owed lb-
PPM, krlwek and nlaipap~ N1surOna rtte~
Doer ~ br- haw a OroPMrMrd p«
Ooea your loan hwe a haNoon payrrlettt?
Tod mortlfi~r amoud owed including eaxow account
LX J No. U Yes, it can rise to a maximrxn of S
l`lo• ^ Yes, the first increase can be on / I and the monthly
amount owed can rise b 5 ,
The rtlaxirrnwn it can ever rise b fa S
X~ No. ~ Yes, your maximum prepayment Penalty is S
l`b• ~ Yes, you have a balloon Payment of 5
Imars ~ / / due in
You do not have a morindy esrxow payment for items. such ~
and homeowners insurance. You must pay these items d' P-oP«ty taxes
~Y Yo~ssH
X~ You have an additlonal monthly escrow Payment of 5262.13
that results in a total inNial madhly amountowed o/ 5727, 52. This Indudea principal, interest, any
mortgage insurance and any items checked below;
~PedY taxes
Flood insurance ~ Homeowner's insurance
Note: if you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender.
581,985.00
30. years
5.5000X
5465.39 includes
XO Prinr9pal
Xn Interest
^ rNortpape Insurance
~• ^ Yea, It can rise to a maximum of X. The fist change .
w~ bs on I 1 and can change again every
date, Yoe interest rate can increase a dec Years alter I I .Every change
rease by
interew rate is guaranteed b never be bwer th X. Aver the Nfe p f ~ loan, gar
an X ar hlpher than X,
Previous editions aro obsolete
Page 3 of 4
HUD-1
• HUD CERTIFlCATION OF BUYER AND SELLER
I have arofuay reviewed the HUD-1 Setdsment 3letsment end to the best of my knowledQs end belief, it is a bue and accurate statement of ell roaipts and
disburaments made on my account or by me in this transectlon. I further artily that I hwe roaived a copy of the HUD-1 Settlement Statement.
:i---
Bo K. Kyle
Estate d Mary V. Hutchinson
The HUD-1 8eglement gfate~t ~~ I haw preparod is a true end axunte acaunt of this trmsactlon. I haw aused or wi11 cruse the funds !o be
dlsbuned in eccordarwe with this stetemsnt.
SETTLEMENT AGENT
DATE
WARNING: IT 18 A CRIME TO KNOWINGLY MAKE FALSE 3TATEMENT8 TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIE8 UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS 8EE TITLE 18: U.S. CODE SECTION 1001 AND SECTION 1010.
Prevbus editions ere obsolete
Paye 4 of 4
HUD-t