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Home My WebLink About07-28-11 1505610105 REV-1500 Ex (oz-i i) (FI) PA Department of Revenue OFFICIAL USE ONLY Pennsylvania Bureau of Individual Taxes 0..,4..,.x. o..E.F.~ Count Code Year File Number _ y__ INHERITANCE TAX RETURN PO BOX z8o6oi Harrisburg, PA 1'7128-0601 x Q RESIDENT DECEDENT ~1 U / U / D D ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYW Date of Birth MMDDYYYY 030-03-5954 ! 08/20/2009 05/04/1917 Decedent's Last Name Suffix Decedent's First Name MI _ Clifford __ A . ~ Marie (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 O 1. Original Return ~ 2. Supplemental Retum 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 Tax Retum 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 Schedule O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name _ _ _ Daytime Telephone Number _ Tricia D. Naylor, Esq. First Line of Address 19 W. South Street _ _ _ Second Line of Address City or Post Office State ZIP Code _. Carlisle PA 17013 REGISTER O ` I~ USE ONLY-" _) r _ - n C-l __ .I ~--- ~ c:v ~; ,~;; --; { ^~ . ;._.../ ;i..t .._. 'i JJ C±~ DATE~ED ~_ ~~ Correspondent's e-mail address: 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. SIGNATURE RSON RESP1]AISIBLE FOR FILING RETURN neY~ ADDRE~~ 206 Pond ne, Ne wn, PA 18940 SIGNAT OF PREP T THAN REPRESENTATIVE /~ DpA7 / 0 ADDRES 19 W. outh Street, , PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505610105 1505610105 J ~~ r',>> - ' _~ ~" ~ r'- ~ "-} ~: Z ~_~ ~`f~ f'- v'~ :~ 'T-t J 155610205 REV-1~OC EX (FI) Decedent's Socal Security Number Decedent s Name: M2r'ie A. Clifford 030-03-5954 RE CAPITULATION 1 Real Estate (Schedule A) ? 215.000.00 Z. Stocks and Bands (Schedule B) ~ 3 Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3 ~. tAortgages and Notes Receivable (Schedule D) .. 1 5 Cash. Bank Deposits and Miscellaneous Personal Property (Schedule E). 5 28,462.00 3 Jointly Owned Property (Schedule F} O Separate Billing Requested o Inter-`livos Transfers & Miscellaneous Non-Probate Property (schedule G) O Separate Billing Requested.. 3. Total Gross Assets ;total Lines 1 through 7) 9 243,462.00 3 Fuceral Expenses and Administrative Costs (Schedule H) 9 62,699.24 1 ), Debts of Decedent, P~tortgage Liabilities and Liens (Schedule I) 10 11. Total Deductions (total Lines 9 and 10) 1~ 62,699.24 1 Z Net Value of Estate ;Line 8 minus Line 11) .. 12. 180,762.76 1 3. Chartable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) 13 11 Net Value Subject to Tax ;Line 12 minus Line 13j ..... .... 1-1 180,762.76 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 1 ~. Amount of Line 1d taxable at the spousal tax rate,. or transfers under Sec. 9116 (a (1 2) X 0_ 15 1 3 Amount of Line 14 taxable at lineal rate x 0 45 180,762.76 10 8.134.32 1 ' Amount of Line 1~1 taxable at sibling rate X 12 17 13 Amount of Line 1~ taxable at collateral rate X 15 18 1 a TAx DuE 1y 8,134.32 2) FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~ Side 2 1505610205 1525610205 J REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: DECEDEN?'S NAb^E Marie A Clifford _. __ _ _ -_ __ STREET ADDRESS 1001 Hillside Drive CITY Carlisle STATE ZIP PA 17013 Tax Payments and Credits: ~~ Tax Oue (Page 2, Line 19) Cred!ts~ayr^erts A. P~icr ?ayments 14,514.27 B. D secant 3 interest -t f Line 2 is greater than Lane 1 + L'ne 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. f Line ' + L ne 3 is greater than Line 2, enter the difference. This is the TAX DUE. !' . 8 ,134.32 Total Credits ~ A+ B 1 ~ 21 14.514.27 iii ;=t; 6, 379.95 g~ Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS G d deceden; make a transfer and: 7~s No a retain the use or income of the property transferred .......__.._ .. ...... .... ____ _ ... ___ - b reta~~n the right to designate who shall use the property transferred or Its Income . _. _ _ ' c retain a re~,~ersionary interest .......... _.. _ __...... .. _ ..._ . _ -J d receive t".e promise for !ife of either payments, benefits or care? ................................ _. _ . _. 2 If death occurred after Dec. 12, 1982, did decedent transfer property w~thln one year of death without receiv!ng adequate consideration? ............................................................................... .. 3 Did decedent own an "in trust for' or payable-upon-death bank account or security at h,is or her death?. _ J ~ Did decedent own an individual retirement account, annuity or other non-probate property, which conta!ns 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 fcr the use of the surviving spouse is 3 peroent ~`72 P.S. §9110 (a) (1 ~) (~~)]. 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 sun~iving spouse is 0 percent [?2 P.S. §91'.6 (a i (' .1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and ftirg a tax return are still applicable even if the surviving spouse is the only benelciary. 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 cr younger at death to or for the use of a natural parent. ar. adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(aj(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(aj(1 ~]. • The tax rate !mposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9' 16(a)(1 3j]. A sibling is defined. under Section 91x2, as an Individual who has at least one parent in common with the decedent, whether by blood or adopuon. ~~`~ Pennsylvania SCHEDULE A ,HERtrawce rax ~eruRV REAL ESTATE RE~iDENT SECEDE^iT ESTATE OF FILE NUMBER Marie A. Clifford 21-09-0900 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 procerty svct,lc be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable know =_dge of the relevant acts. 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 soil. ~, I' =~ ~ =rdude a copy of the deed showing decedent's interest if owned as tecar,t In common ' 'J.~~L`JE AT ~aTE PJUi~'B~R 0= C=dT~ DESCRIaTION - 1001 Hillside Drive, Carlisle. Cumberland County, PA Parcel No. 04-21-0324-031 215.000.00 i ~ (See attached Deeds for legal description) ', i i TOTAL (Also enter on L.ne 1, Recao t~latio^.! ~I $ 215.000.00 If more space is needed, insert add'tional sheets of the same size. REV-~5o8 =X+ (ii-.o) ail Pennsylvania SCHEDULE E ~ ~_~"=' ^=~~' of a=~=~~~r CASH, BANK DEPOSITS & MISC. :"HeR:rANCe TAx RET"R~ PERSONAL PROPERTY RESICENT DECEDENT ESTATE OF: FILE NUMBER: Marie A. Clifford 21-09-0900 I^c!ude the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. I'"E`~ ~1ALUE AT DATE NUMBER DESCRIPTION CF DEATu 1, USAA -subscribers account refund 1 135.94 ?. Omnicare, Inc. -reimbursement for overpayment (medicine) ~ 241.65 i 3. Armed Forces Insurance -insurance claim for hail damage on 1001 Hillside Drive. j 27,C84 41 If more space is reeled, use additional sheets of paper of the same size ~ Pennsylvania ,c~'dPT~'~EtiT JF RE'/_°'VLE :^1HER:TA~VCE TAX RETUR~~ Rc5_CENT OEC~DENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Marie A. Clifford 21-09-0900 IVame(s! or ~ersonai Kepresenrauve~;i ~.reet Addr=_ss ~ ------ - -__ _ -__ - ~I C~tY _ __ _ __ State _ ,,a _ ~ ~I Year's) ccmmiss~on PaiG: _ _ _- __ ~ artomev Fees: 3 =amity Exempt on 'f decedent's address is not the same as claimant`s.. attach explanathn.j ~ '. Claimant _ _. _ _. !, Street addr=_ss _ _ _ I - _ _ ~'i City -- - -- - - State _ -'--' ---- Rzlatio^~ ~p ~` Claimant to Decedent - , I I I ~ ' ?robate ~ees . I ~ ~ Accountant =ees: b. ~', ?ax Return ?reparer Fees: ~i ~ Register of Wills -inheritance tax filing fee s. I A Touch of Green -lawn care s. Herman Plumbing -repairs to 1001 Hillside Drive ~ o. Tuckey Restoration, Inc. -repairs to 1001 Hillside Drive (hail damage and sales agreement) ~ i Armed Forces Insurance -homeowners insurance ($819.22 paid - $49.35 reimbursed) ~~~ '2. See Continuation Schedule ~ ~~ 15 00 507 21 1 .430,00 29,204.71 769.87 30 772.45 TOTAL Also e~te~ on Line 9, Recapitulat o") j $ 62.699.24 Ir more space is needeC, use addit enal sheets of paper of the ;ame size Decedent's debts must be reported on Schedule I. REV-1513 X± ~.-1~„ ~, Pennsylvania SCHEDULE J D°P4R`MFNT ~F aE`/°N:;E INHERITANCE TAX RET,~RN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Marie A. Clifford 21-09-0900 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESL4TE I TAXABLE DISTRIBUTIONS [include outright spousal distributions and transfers under Sec, 9116 (a) (1.2).] I 1 Jane E. Clifford, 206 Log Pond Lane, Newtown, PA 18940 daughter ~ 90381.38 2. ~ Paul H. Clifford, 3355 Rocking Horse Lane, Encinitas, CA 92024 son i 90381.38 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LIVES 15 THROUGH 18 OF RE`/-1500 COVER SHEET, .45 4PPROPRJATE II NO^J-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1 B. CHARITABLE A.^JD GOVERNMENTAL DISTRIBUTIONS; TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $ If more space is needed, use additional sheets of paper of the same size. Continuation of Schedule H Estate of Marie A. Clifford File Number 21-09-0900 rrE~vl NUMBER DESCRIPTION AMOUNT 1. Robinson Lawn Care 429.00 2. PPL Electric -electric utility 548.50 3. UGI -gas utility 846.34 4. Borough of Carlisle -water (HUD-1) 86.67 ~. Borough ofCarlisle -water 110.83 6. 2010 County Real Estate Taxes 1,257.66 7. 2011 County Real Estate Taxes 500.48 ($1319.25 paid - $818.77 reimb from HUD-1) 8. 2010-11 School Real Estate Taxes - 2,542.97 ($2845.23 paid - $302.26 reimb from HUD-1) 9. Seller's Assists - 1001 Hillside Drive 10,000.00 10. Realtor's Commission 12,300.00 11. PA Realty Transfer Tax 2,150.00 Total $ 30,772.45 Sa.},.~. ~,1n~.2~. ~= ~ II~I~~IF.~` °~ ~~~~~~~~ ;~ A. Settlement Statement (HUD-1) R Tvn~ nF I Han 1~ ahd ~ OMB Approval No. 2502-0265 ' 6 Flle Number ! ~; F.-iA 2 ~' RHS 3 ~Conv IJrnns ~~~SON108-11 h~~./4 j~ C.,,,~ Ins oan Number 8 tv ..Cgag rs~ra^ce ";axe ..,.,1329465 0,,;- s- C„ I Numb=_- ) Note- Thrs 'orm ~; `urrlsheC fo grve you a statement of actual sefUement ::os(s 4 mounts nand rc a^d by rye settlement a9en are SYC.vc Hems marked ";p ~ s.)" were paid cuts~de the dosing, They are shown - P ~ ~nriormatleral purposes and a,~ mot r. ..dec ,n :' _ ..!a%s D Nane and address of Borrcwer CHAMf:O J~~N rA SODd 3rd .iEatiNH R SOM 19 ,.AR =.R PL A%E L,AR'J SL`= PA 1'0!3 - ~, E Name and dddrass of S21.er I ~ Name and ~~ :cr=s cr tender I ~ ESTATE OF MARIE >. CLIF ,.-. ' FRANKI IN iNE?ICAN MOR"S~ dt '001 iIL'_SIDE CR~VF "OMPANV .:AR~ISLE PA ?013 ~~C' CORPOR,=~? NT'RE OR " Si;1T= 400 ~'I ~ RANKL'~N T.`1 7,-LS? -F-- ------- G ~crer!q Lacaton 1001 r+.ILL3ICE CRIV[ CPPI L= ~, '. ' CL,P18 -^2l 4N1 u~urty o rs7r+an;a ' ~ ~ H Settlement Agent ~~ 3aL:enenl ~' JAN M V'IIL~Y ESQ ~ NORTH SALT P1r`RE S-RE= I - D!LLSBURG, PA „ 7 9 Ph - i '~. Place of Se!Y..e~T~ert _ - --- -- --.._ ' .', NOR^rl B.;LTIMCRc 6T?_Hf ~' CILLSBURG PA '~~C'9 Gate J. Summary of Borrower's transaction K. Summary of Seller's transaction ', 00 Gress Amount Due from Borrower 400 Gross Amount Due to Seller t01 Contract sales price 215.000.00 40'. :; on;ract sales pace 215 CCO .C __ ' 02 Parsonal property ~ 402 Personal oropeRV _ _ etlemenl Charges 'o Borrower (Line 1400) 'C3 S _ _ 11 4~9 91 403 ___ _ . _ _ _ _ _ 104 _ 404 - _ - ,,5 --- - - - 4os - Ad~ustmen[s for items paid by Seller in advance ___ _ Ad~stments for items paid by Seller in advance t06 C;b/(Town faxes 05/24/11 to 01.0' "~2 8`377 406 (,rbilTO~mo Taxes 051241'1 to ~ r -._-- ~ ------- 9'37' --- ;n ,- r „7 ~OUnty Tax25 O 407 ~ y ro~..n! Taxes - - ~~~-~ 108 SCHOOL TAXES C51241'.t to 0710! 1'1 30226 408 aC~fOOLTAXES OSi24 '0 0 -r"- 30226 109 409 X11 - 41' --- ----------- '~ 12 ~ - - 4.2 120. Gross Amount Due from Borrower 22' 6CC 94 420. Gross Amount Due to Seller 2'B '. ~ '73 200. Amounts Paid by or in Behalf of Borrower 500_ Reductions in Amount Due Seller: 2C] f oosit_or =wrest money _ _ _ _ 1 CCC u0 ~ ~ SOL Excess deposit (see ~ns:ructions) -- _ 202 Prn~'pal amount of r_w :pants? 209 Sag CO -----' 502 2ltlement charges !o Sel;er ~ re 1 a(`Oi 1 536 67 -- _.,3 ,c:,~mg =.c an a+er..u~t'o_ ---_--- ExiShn. c gloan(sj taken >ublect :o ?04 504 Payof! eirst i~tortgage 205 206 - - 207 __ _ - - 505 FaycR Second MoCgaae 506 - - - ~ -- - - 507 --.._._ _._.---------- ~:ecost dish as uroceeds) - - - 2pg _ 508 _ _ _ 209 SELLER CLOSING COS f HELP _ t0000.G0 509 SELLER CLOSING COST HELP __ _ __ ____ _ 1~.000.~0 Ad~ustments for items un aid b Seller Ad~ustments for items un aid b Seller _ _ __ _ _ 210 Clty/Town faxes to ~ -~~-~~~ 510 C'.!y/?own Taxes_ to _,____ -- 211 County Taxes to __ 511 ^ourty Taxes b 2;2 SCHOOL fAiCES to 512 SCHOOL TAXES to _- - -- 213 513 _ ~_ -- `[14 __ ~ 5'4 215 515 - - - -- __-_ p~6 ~.S 217 -- ---- 517 - -- -- - - 218 519 219 519 220. Total Paid bylfor Borrower 220.549.00 520. Total Reduction Amount Due Seller 24,536.67 300. Cash at Settlement fromlto Borrower _ 600. Cash at settlement [olfrom Seller __ 301 Gross amount due !nom Borrower (line 120) 22?,000.94 601 Gross amount due :o Seller (line 420) ___ __ _ 216.121 03 302 Less amount paid byifor Borrower (line 220) 220,549 00) 602 L=_ss reductions due Seller ;line 520) ( 24.536 67 303. Cash C From ~ To Borrower 7,051 34 603. Cash U To ~ From Seller 19'..584 36 Tne ardersgned hereoy ac dge rece!pl of a :ompleted opy of !His statement 8 dry attachments referred t~'nerein V Borrower Seller ESTATE IE A. CLI ~ H UN A 50 f j' ~ / i i JEAN A R. SOM" TO THE 9EST GF MY KNOWLEDGE, THE 1 SET. T2EMc~`17 STA TEM FNT WHICH I HAVE PRE?ARED I D A ATc 4CC~ ~R~F~ F~;NDS WHICH WERE RcCcNEG 4N6 HA`JE BEcN O WILL 9E DISBURSED By THE UNDERSIGNED AS PART F THE SE EN THIS NSAC- ON SE ~ r_cMENT ENT $arlemen'. Ager WA ~tiiVv IT A RIME TO KNO'NINGLY MAKE A SE 3Tq~ MEN'S ~ PE!1N1 J J A icy CN "115 OR AVV JIM L_.~R F ;R41 ~FNA± ^= -'K,N ~"ON`.i~CL CN ',.A.. +..~JCE 4 - NE ANE :MPRISONM ENT POR Ot AIDS StE CAE 13 ~ ~. CODs SEC .ON OOt 3 SECT'ON ~.OtO ~ -.~e `~~p f ~eC~rting a i r rs _ol ec~o~ ~~ ~IOrmaOOn s est ma[etl 3t ;5 .'ninu~es per r°spons. ollec'i~g. 'z wing. a oohing the Baia _ . syency .may ~o~ .^.ect 'nz~c~ - _ equireo'o Ompe ~nIP55 an.lsgays 3 -,. rx~9y valid ,^.MB'Oni 0. ~iumbPr `~~ „~nfitl2r L21 ry's 355u ed ~i5 ~~Stlos~~ees '~andalo^/ s S .,PS gne.l o .r„v tlP' a ,'Nit s 0 3 ~ ~ 4 ~.-r r~ac. o. nl~ " ... ~18~~ ..u.~n~'~e ~:ettlemenl J~a~?Ss Page '~ cf7 HUD-, L. Settlement Charges 700. Total Real Estate Broker Fees $ ~ 2.300 ii0 ~ivrsion ~f ccmmrss~on ,tine 700) as follows 70'. 3 6 150 CO to `TlOLFE .4ND COPAPANY REALTORS ___ 702 £ 6 150 JO to HELP U SILL DET4'iILER REALTY ____ - ~ ' d - °" ~~ °'°"' '-"' - '~`s -°-" " ~' -"'~" ^~ ___ '~"'ef"~"' 703. Commission paid at seGlement _ '2 30C 00 ____ 704. _ --{._- --- -- t 800. Items Payable in Connection with Loan 801 Oar originator charge _ $ 5.131 8~ (tram GFE 41 i i I 902 Your credit ar ,harge ;points) for the soecifc interest rate chosen 3 -3,794 93 Ifrom GFE #2) I 803 Your adjusted angrrahcn charges ;freer GFE #.41 ________ __:pe 37_' 804 Appraisal `ee to DIVERSIFIED APPRAISAL ~fram GFE #31 ~_ BG JO _ - 305 Credit Reoort to CREDIT PLUS `tom GE~ u3) ~ ~"~ 8C6 Tax serv,ca ro !~~pm GFE !131 307 F'.ood cercfirauon to 'from GFE ~3; _~ 9C8 FINAL INSPEC FIGN FE Ip 809 ---- ----_ 81C -- - ------ If,cm GFE #3) _~rrom GFE#3; -r- :_.. _ ', `:cm GFE x3) ~_ - -~ ' -~---_.. i ' 811 (tram GFE ~3) ' 900. Items Required by Lender to Be Paid in Advance 901 Daily interest r.^.a~yes from 05124111 to C6;G111 t 8 @ $25 8348001cay ~ tram GFE u10) __ 2^6 58I 302 Mortgage n.~~a~c° premium for months fo FPANKI_IN AMERICAN MORTGP G- "~arn GFE a3j _t _ 'S 90 ;cmeaw er ,~.:.ance `or 1 Oyears ;o LIBERN Pr1UTUAL -- -- 904 - - --- - - 905 ~~~ GF2®SSN36-288 0598~:~ ~~' „F~ 4111 - --- r m .,FG p111 _ ~ _.., ---- ~--- --~ 1000. Reserves Deposited with Lender 10Gt hdial dep~s~t'nr ycur ascrow account .- GFE ~9) ' 2 9CJ 30 1002 tiorneowners ~ns~.,rance 3.000 monttis a $ 46.00 oer month 'c 138 00 ' - -- --- - 0.000 months @ $ 15446 cer mcnth___ ~= 10C3 ~^dortgage s rar ~ -~ _________ _ ~ - - _____ _ _ 1704 P'Operty Iax2S~_ - ~ - __-__ ,dyl?own Taxes monttrs @ $ oer month r Assessments menlhs @ $ per rnan'h _,_ _ _ 1005-~ ---- ~ -----------> ---- -f ~OUNTYIiOV~lNCRIP T4XES 4.000 mccths @ $ 112 18 per month ~^C6 '. JC' SCHOOL rAX:?~ 12 000 ~no~~hs @ a 241.94 oer month tOCg- ---- - -~- _- 5 448 72 _ _____ ' ? 9C3 ~3 _- - --~ =- I ---- tOC9 AGGREGATE ESCROb'~i ADJUSTMEI S -586 70 1100. Title Charges 11 `itle services 3rd' nd r" title insurance 11-2 `iettlementor o~ing ee -- ..ram GFE fk4! ~ _, 91 n! - ------ 11 3 ~vner' t suene'a ~ mGFE~p' '~. 11 4 rders h e ns.:ranc ~o ~ a 305 ~~ + ~ 00 3 1 _ 11 0 ~ nder t2 Fo cy ,im t _ _ 3 _ 2n9 549 CO __ ~~11342 0024~Si_ ., Amer', de na : ~ d $ 2 ~~ 5 000 00 __ _ 1, _ _ _ "71 1442 ~ ~'33E _ _ _ to JAN M V/ILEY. E30 __ 110' agent's par°ion of the total atle ~nsura r,ce premium 3 318 75~ _ 1103 '.,'nderwnter'S Oart;or of :he ;ofal title lsurance ~rem~~um 3 --- ?1~J~ -- -- ' -- ---- -_----~-- -------- --- - 1 ~ __ -- - - --... - --~ --- - -- -- ------ ~ ~ --. ; _ ___ fi- -- _-_.- 1 ? 1 2 _ - i _._____- ,.__.__ _______-_-._T_- -__._.- - _- 1113 1 1200. Government Recording and Transfer Charges 1 Z01 Gavernmen( racarding charges to RECORDER OF DEEDS _ :`tom GFE #71 ~ _ 155 SOI 1202. Deed $ 63 50 Mortgage $ 92.C0 Releases $ Other "a ~ _ _ 1203 Transfer taxes to RECORDER OF DEEDS firorn GFE #8i 2 ta: J0~' 1204 Cdy/Cauntytaxlstsmps $ 2,15000 $ 2,15000 ?205 State taxlstam FS $ 2 15C 00 $ _ _ _ _ ____ _ -~ 12C6 _ __ __ 120 1300. Additional Settlement Charges 1301 Requred services 'hat yeu can shop for `from GFE #61 1302 _ _ _+ _ -___~__ 1303 I 1304 FINAL V`/A. ER 3',L~~ to CARLISLE 90ROUGH X012939-001 --- - _ ~__- 66 67 ----- 1305 i 1400. Total Settlement Charges (enter on lines 103, Section J and 502, Section K) ! t' 4'3 91 ?4,536.67 ~~3ning ~2ge ± ~f :n:5 ~t~tPm Cnl. N? .ignd:ones ack"OVAPdge I¢C¢i Dr ~~ 3 .om p'C[Ea dopy ~f oagC 2 3 3 ~I'"is'"~2C JdgE SIdR~'ent SETT! EMENT AGEUT Settier^ent agent CER~ IF;ED TRUE AND CORRECT ?age 2 of 3 .; D Comparison of Good Faith Estimate (GFE) and HUD-i Charges Good Faith Estimate HUD-~ .. - _ - _ - - Charges That Cannot Increase HUD-1 Line Number ' 1 fur ongmanor charge x 801 ^ '. 9 5.' 31 35 Four c~adit or charge rpo~ntsl °or the specific Interest rare chosen # 802 __ _ -3 ~>a a3 ~ _ _ J ?9a 93 ~ 1 four adiusted cng;rat.on _a ges' `~ansfer '.axas That in 7o[aI Cannot Increase More than 10°/ ,oven r^„ni record ny .~a: as ~_aapraisa `>_e _ _, __ __ :refit repcC _ - ---- =1NAL Nan ECTiON 'vlorlgage Insurar..e 'r~ra _ dle seruces and lender ; :. ~ nsurance Jwner's 'itle ~,nsuranc=_ tc I ;harges That Can Change cd!al .''.e~osd for yo.,r es„ =-- a.; ~.ount I, 7a~ly c~erest ::harges Loan Terms ' Good Faith Estimate ~ HUD-1 #1201 ~ --- ~5 50 - -- -. x 804 ~~ 1,C 7C -0~0 ~ # 805 u r 7p'~~. -----_ . x aca ' _ x 902 2°~ 2,..,4?~ --- _ , x1 101 t 3 ~~ _ -__ -.. _- _ 1 9 t 9 ~0 . _- f _ _ _ _ _ x1103 '. 2~ ~5 ;3 75 __ - _- Total I a ? 7 4 rg . ~nc:aase between GFE and HUG t .harges ~~i 3 -422 t3 ;r _ 8 98 l ~. Good Faith Estimate HUD-1 - ~ x10C1 ~ 9~ 2,9r;^ 30 ~ _ ~ 901 3 2 --1300lday I _- _ 3 ~ ?~ ~ _ _- ~6 38 : x 903 I - X52 CC j I~l Your Initial loan amount is I Lour !oan term is Your ~niti al interest rate !s 30 years 4 SGCO -i i '. Your :mhal monthly amount owed For principal, interest and ' any mortgage insurance ~~s :an dour interest rate rse~ Even if you make payments on !irne, can your loan balance rise'? ~, even if you make payments on 6me, can your monthly ~'~ amount owed for principal, interest, and mortgage insurance rise? ~~. Does your loan have a prepayment penalty? ~~~ Does your loan have a balloon payment? total monthly amount owed including escrow account payments 3 1 2'0 2'~ ~noudes '~ ~ 7crapai i uj Interest ~, Mortgage Ins~..rance I i - - 1 ~. ~ No ~ gas t can ~~se m a max;m~m ~f ~ .. -.rs; I charge Nall be on _ and pan mange agar. ~~. - _ _ ~ cnths attar '~ Ev ~ _`'ange daL° /our - .wrest rate ar sa -r ]e~rease by _ % Over the rfe ~f the loan, your r terast ~~ : _> ; aranteed ~' to never'ce bw?r '^.ar 6 or a~. g= er ~har .._._--- _---1 ~' Xf No ~ Ls . ~-an ~ -o a 'n,tx ir~cm ~f 3 ~X No ~ ~a~.:he flit rc case uer be or _ - > > t ha rnortr'ry amount owed can nse to 3 Tne maximum it .an ever nse ~o s 3_ +--- ~X No ~ Yas. your maximum prepaymerf penalty s ~. _- ' - ----- - -- ~i' I ~ No I~ Y s, you have a balloon payment f $ _ _ ~, due n _ year ~ ~,~ You do ^.ot Sava a n onthry escrow payment c tem, ~ ., as prop r'o taxes and homeowner, ~,nsurerca Ycu must oay !hese :er^s : redly I yourself j C YbU have an aCdiltOnal mDn[hly ESC JW payment ~1 5=~1) ? l•^31 'esul(S I ~ in a total Initial month4y amount owed cf 31.615 33 T`s ,re:uc:es pcncipal, nteresl. any mortgage nsuranc2 and any lem5 -.^ec.:ad below ~, I Property taxes ~X Homeowre su: ante road ~nsurence ~~ ~ ^ __ vote fi ,ou nave any ;ues,;ors about the Settlement Charges and '_can Tarms'.isted cn 1vs form. please corlact your lender ~ 2C9 Sag F0 -- # 803 _-_-.--- ~-- _ '. 3d6 92 ~ _-.. ___1 38E 32 x1203 2t ~.i0 ~ 2 SC; ~C ?age 3 ;,f 3 H'~JC-1 ~~~ Sch~l,~.~{~ 101. DttO • Shan torte l.KVli.o Sol., Co., M4bd.IPhlo, io. 0 > 1 A v~ fl / ~ / '^ J ~ J ... sr .Made tTte ~1 / day of J.~ ~-• in the dear ~Yiraeteen hundred and seventy-one Sfitftvten PETER P, NARSAVAGE and EMILY T. NARSAVAGE, husband and wife referred to as of Carlisle, Cumberland County, Pennsylvania, hereinafter Cratttars and WILLIAM E, CLIFFORD and MARIE A, CLIFFORD, husband and wife of Carlisle,! Cumberland County, Pennsylvania, hereinafter referred to as Cranlce s C ~I7itnts~etll, tlt¢t in consideration of Forty-six Thousand and no/200--------- - ($$46,0.00.00)----------Dollars, in hand paid, the receipt te:Itereof is lterebd ack~aowled6eil, tlae said C, rantnr s do 1lerehd Brant and ro~t!•ed to tlac s¢id Grantees their /tcirv and a.vsidus, ALL THAT CERTAIN tract or parcel of land, situate in the Borough of Carlisle, County of Cumberland and State of Pennsylvania, being Lot L7o. 41, Section C, on the Plan of Rooky Ridges, said Plan being recorded in the Cumberland County Recorder's Office in Plan Book I8, Page 80, more particularly bounded and described as follows: r~~ BEGINNING at a point at the Northwest corner of Orang Street and Hill- , side Avenue, as it appears on said Plan; thence alor. the west side of , Orange Street north 0 deg 4 min West, a distance of 104 feet to a point on the dividing Iine between Lots Nos. 40 and 41, on id Plan, which point is also at line of land now or formerly of Gallagher; thence along; the dividing line between Lots Nos. 40 and 41 along sai3 property now or formerly of Gallagher South 89 deg 56 min West, a distance of 156.25 feet to a point on the dividing line between Lots Nos. 41 and 42, on said Plan; thence along said dividing line between Lots Nos. 4I and 42 South 6 deg 18 min East, a distance of 149.31 fee*_ to a point on the Northern side of Hillside Avenue; thence along the Northern side of Hillside Avenue North 72 deg 26 min East, a distance of 146.91 feet to a point at the corner of Hillside Avenue and Orange Street, the place of BEGINNING. SUBJECT, NEVERTHELESS, to all building and use restrictions imposed thereon, as we 11 also to all easements of record. BEING the same premises which R, D. Thorpe, Inc. conveyed to Grantors herein by Deed dated 'February 8, 1468 and record ~ ed February 8, 1968 in ~ Recorder of Deeds Office for Cumberland County i n Deed Book 22 Q 847. rTV 1~ L ~C~Y.~: S~ ~ ~: K d . .,,, roug . 'I Culnb. Co., Pa. ;e~onl afsf. Cutn~, CIO., Pa. i z a.a ~,,.r. U.~+{., T.. G ~h~ ~~ EN.h Tre.,l.r Tsw D. ~ .t. ~ z Imo W~.u. Co. 0..1, Cel, Ay1, ..~w-. G. OIN. Col. Aql., ' ' wsna moo I~ ~ ~i ? p~O ~ ~~~~ ~ooT ~ n suo.~i it I I ~ >°mo sv~ ~ gym I i' T',~ ` , f ` `~' YtA Y ~ ,r~.,NG'~,~ ~~0~, r .1 ~ P ~ ~CtiL4M1...' ,C 3 S " a `,"`~ s ' a I j ~ Cc"r~-~ ~ ~~~' I i r"~'~y~~ ~ ~~'~~ ~i: c ~ 1 ~r i ~LY~yt.,; \T~~r ~ ~..._E ~ G ~~~ 4 ~- y r {, l ~ -{ ii ccc!~24P~cE 424 ll ~' x711 flee sairl Grantors IP'ill {Yarrwct generally tlee property hereby corcve~ed. ;Ytlltercuf tlce said C;raretors have lcereru,to set their 7aarrc~ j ;~~c ~Ilik-tr:~s , and seals tkc dad is+xl Vicar /irsG above writf r ,~P~~ ,Si6rtcrl, .Scaled ttud De(iuered irr. flee ~ esr +.ce aj PETER P, NARSAVAGE i~ ~~~ ,_ ~ i `~ ~~ ~/i ~CVt.Ja.r.-Q ~, <: ~n~ ~'- ., I ((;auemonwtaltlz of ~cnns~alvaitia • ~ )} as. ~i.yittstu ilf CUMBERLAND 1l '2,1 daU o/ `J 1M..1L 13 71 be/ore rrr r. On ybiA, 1ler. 113nda K. Hunter the undervi~ned ojJtcer, peraareallg appeared ~ i PETER P. NARSAVAGE and EMILY T. NARSAVAGE knorcn to rne(or eatia/aeCOriZU pronerc) to br Lice perxore S who.ve name9 are Aub>,cribad to tare rcithur. is HlrrrmereC, acrd ackrcowledQed that dart execrcted the +rarae /or Ur.e pmrposv Llrrr;~pp~rnnl,Uj,rrrd. ,~~~d~~~~•.. !.1' iPlT.Ph.'SS iV'llb'REOF, I Have lrare«uya xrt mg Irwu! mul notarial •x~:",~ ~ ,, NOTARY PUBLIC ~i =.~j-''" ~',~ -_ ~, Cdy Commission Expires Oao~er 8 ~~~.~'~ ~~ ~ ,~ ~ a w . :,.;,, ~ : ; Culisto, Pi Cum0ecland Couoly ._ ~ , ;~:~ ,,~ ~~ ~ '. g ~',~,~.~~ ..gyp ~tsreb~a (~ertif~ t"ie~a"t the precise address o the ra,ay~e herelvz~ ~~i.. J ~~ G~~~t~ C~ ~` ~'. r ~ ~~ ~~ L ~`~, F (~ommanwcafkh of '~lcnicsg[uaisicx sa, ~etarDcD iw tJ~ce O~ice jor Recorrline of Deeds is and jor ~«,~, ~.~~~-.~-rt% i Page ~°~ ~ Eta ~ ~iFncsyF mJ haud and seal of O)ji.ce Llcis ~~~ _ ~ daU of ;~_ .q,crco Do,rcirci 19 7~ BCC3~'ti~~PAGE r'~2rJ ~~ _ Recorder ~i~~r~ Sc~,i~d,~.~~ ~ UPI # 04-? 1-032=1-031 This Deed MADE TKIS l; day of i " ~ ~~' ~'''' in the year two thousand and eleven (2011). BETWEEN JANE E. CLIFFORD, EXECUTRIX OF TIIE ESTATE OF MARIE .~. CLIFFORD, deceased, of Carlisle, Cumberland County, Pennsylvania hereinafter called Grantor, and CH.~vIROEUV A. SOM and JEA:ti'NA R. SOM, husband and wife, of Carlisle, Cumberland County, Pennsylvania, hereinafter called Grantees. WHEREAS, Section 33~ 1 of the Probate, Estates and Fiduciaries Code (20 P.S. 33~ 1) confers upon Executors the power to sell at public or private sale any real estate not specifically devised; and WHEREAS, the hereinafter described real estate was not specifically devised; WHEREAS, the Executrix was not required to file any bond to secure faithful performance of his duties; and 64'HEREAS, the parties heretofore entered into an agreement for the sale and purchase of the hereinafter described real estate. WITNESSETH that, in consideration of Two Hundred Fifteen Thousand and 00/100 ($215,000.00) Dollars, in hand paid, the receipt whereof is hereby acknowledged, the said Grantor does hereby grant and convey to the said Grantees, their heirs and assigns, as tenants by the entireties: ALL THAT CERTAIN tract or parcel of land, situate in the Borough of Carlisle, County of Cumberland and State of Pennsylvania, being Lot No. 41, Section C, on the Plan of Rocky Ridges, said Plan being recorded in the Cumberland County Recorder's Office in Plan Book 18, Page 80, more particularly bounded and described as follows: BEGINNING at a point at the Northwest corner of Orange Street and Hillside :venue, as it appears on said Plan; thence along the West side of Orange Street North 0 degrees 4 minutes West, a distance of 140 feet (erroneously shown as t04 on prior deed) to a point on the dividing line between Lots Mos. 40 and 41, on said Plan, which point is also at line of land now or formerly of Gallagher; thence along the dividing line between Lots Nos. 40 and 41 along said property now or formerly of Gallagher South 89 degrees ~6 minutes West, a distance of 156.2 feet to a point on the dividing line between Lots Nos. 41 and 42, on-said Plan; thence along said dividing line between Lots Nos. 41 and 42, South 6 degrees 18 minutes East, a distance of 149.31 feet to a point on the Northern side of Hillside Avenue; thence along the Northern side of I-Iillside Avenue North 72 degrees 26 minutes East, a distance of 146.91 feet to a point at the corner of Hillside :venue and Orange Street, the place of BEGIN:v'ING. SG'BJECT, NEVERTHELESS, to all building and use restrictions imposed thereon, as well also to all easements of record. BEhVG the same premises which Peter P. Narsavage and Emily T. Narsa~ age, husband and wife, by deed dated June 21, 1971 and recorded in the Office of the Recorder of Deeds in and for Cumberland County in Deed Book "D", Vol. 24, Page 424, granted and conveyed unto William E. Clifford and Maria A. Clifford. The said William E. Clifford died December 10, 2007 and therefore by operation of law Marie A. Clifford became sole owner thereof. Marie A. Clifford died August 20, 2009. The Register of Wills of Cumberland County on September 2~, 2009 granted Letters Testamentary to .lane E. Clifford, Executrix of the Estate of Marie A. Clifford, with full power to convey and is Grantor herein. AND the said Grantor hereby covenants, promises, and agrees to and with the said Grantees, and Grantees' heirs, successors, and assigns, that the said Grantor has not heretofore done or committed any act, matter or thing whereby the premises hereby granted, or any part thereof, is, are, shall, or may be impeached, charged or encumbered in title, charge, estate, or otherwise howsoever. IN WITNESS WHEREOF the said Grantor has hereunto set his hand and seal the day and year first above written. In the presence of Signed, Sealed and Delivered ESTATE OF ~1ARIE A. CLIFFORD -7 J, ne E. Clifford, Executrix COtiIMOiV~EALTH OF PEN1stSYLVA:~iIA SS: COL~TY OF Qh ~ ~ ~ ~~ h' ~- r'~- On this, the ~ day of"~U- ~ 201(, before a notary public, the undersigned officer, personally appeared Jane E. Clifford, known to nle (or satisfactorily proven) to be the person whose name is subscribed to Che within instrument, and acknowledged that he executed the same for the purposes therein contained. I:V WIT~~'ESS WHEREOF I hereunto set my hand and official seal. Notary Public M ONWEALTH OF PENN Y VAN A Noraria{ Seol Martha E. Kaplan, Nornry Public City of ~hlladelphio, Philadelphia Comity My Commission Erapiros luFy 14, 201 I r PMMY~11e ktibt'uUOn ~~ tortes I do hereby certify that the precise residence and comp ee post office address of the within named Grantees is 2011 Attorney for