HomeMy WebLinkAbout08-31-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES REV-1162 EXIT 1-96)
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM: PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 014917
MISICKO BARBARA N
6 BRETZ CIRCLE
SHERMANS DALE, PA 17090
ACN
ASSESSMENT AMOUNT
CONTROL
'--'---- fold N U M B E R
ESTATE INFORMATION :
SSN: 206-38-9793
FILE NUMBER: 2110-0840
DECEDENT NAME: NACE ROBERT L
DATE OF PAYMENT: 08/31 /201 1
POSTMARK DATE: 08/31 /201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 08/06/2010
I OTAL AMOUNT PAID:
REMARKS: BARBARA MISICKO
CHECK# 171
INITIALS: WZ
SEAL
RECEIVED BY:
$600.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
150561010
REV-1500 Ex (oz-~~) (FI, ~rv^.._~ 5
PA Department of Revenue Pennsylvania
Bureau of Individual Taxes UEPAHTNENTUFNEYENUE OFFICIAL USE ONLY
PO BOX 28o6oi INHERITANCE TAX RETURN .County Code Year
Harrisbur , PA 17128-0601 le Number
RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW i~ ~~
Social Security Number ~'-~~
- _ _ Date of Death MMDDYYYY
206-38-9793 Date of Birth MMDDYYYY
............
08/06/2010
Decedent's Last Name _ _ _ __ 10/20/1949
Suffix _
NaCe - Decedent's First Name
Robert MI
(If Applicable) Enter Surviving Spouse's Information Below ~
Spouse's Last Name
Suffix Spous ' F•
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
O 1. Original Return
O 4. Limited Estate
O 6. Decedent Died Testate
(Attach Copy of Will)
O 9. Litigation Proceeds Received
-- es first Name
_ MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
~ 2. Supplemental Return
O 4a. Future Interest Compromise (date of
death after 12-12-82)
O 7. Decedent Maintained a Living Trust
(Attach Copy of Trust.)
O 10. Spousal Poverty Credit D
CORRESPONDENT - THIS SECTION MUST BE COMPLE Between 12-31-91 and ~-1 95)f Death O 11. Election to Tax under Sec. 9113(A)
(Attach Schedule O)
TED
Name . ALL CORRESPONDENCE AND CONFIDENTIA
L TAX INFORMA
..........
Barbara N MISICkO TION SHOULD BE DIRECTED T0:
Daytime Tele
ho
p
ne Number
._
__ __ _ _
_ _ _ _ _ _ (717) 610-4335
REGISTER C~ WILLS USE QN4Y
First Line of Address
_
,-... ,.
6 Bretz Circle - ~ ~ _
r . - ~, ~~.I
Second Line of Address t J ..,
~~ .~`: -=~ ~' _~ -~
_.
T7 ~."
.. '~..3
~ .. y ,,,
..-_ 1_
ity or Post Office ~
,
_ _.,,
~ -~, ...
_ __ r,,j ~-iT -w,, .
Shermans Dale State - ~_~
zIP code - D -FILED -
PA ' 17090
Correspondent's a-mail address: lightstreet comcast.net
Under penalties of perjury, I declare that I have examines t-,~~ ~o+...., :_
It IS~fT1Rl~rnrro..~ .._~ __ _ _.._ ..
PLEASE USE ORIGINAL FORM ONLY
s an statements, and to the best of my knowledge and belief,
.~,•..,:: ~: Nreparer other than the personal representative is based on all information of which preparer has any knowledge,
SIGN T E OF PERSON RESP 9(BLE F 1NG RETURN
A OA ~. a i_ 1
ADDRESS D ----'"'-
6 Bretz Circle Shermans Dale, PA 17090
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
ADDRESS
L.. 1505610105
O 3. Remainder Return (Date of Death
Prior to 12-13-82)
O 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
Fr.,
- ~' ~'
,.
~- - ~
Side 1
1505610105
J1\
~f'
J 1505610205
REV 1500 EX (FI)
Decedent's Name: RObert L. Nate Decedent's Social Security Number
RECAPITULATION 206-38-97Q'~
1. Real Estate (Schedule A).. , . „ ..
....... 1.
2. Stocks and Bonds (S
h 5,000.00
c
edule B) .. , ,
..... 2.
3. Closely Held Corporation
Part
,
nership or Sole-Proprietorship (Schedule C) .. , , , 3 i
4. Mortgages and Notes Receivable (Schedule D) ..
. , , _
..................... 4.
5. Cash, Bank Deposits and Mi
scellaneous Personal Property (Schedule E)..... , ,
5.;
..........
6. Jointly Owned Property (Schedule F
O Separate Billing Requested
Inter-Vivos Transfe
&
6
_. .
... .
rs
.
Miscellaneous Non-Probate Property
(Schedule G) _ _
O Separate Billing Requested........ 7, __ __..
8. Total Gross Assets (total Lines 1 through 7) ......
....
....... ......... 8.
9. Funeral Expenses and Administrative Costs (Sch
d
l 5,000.00
e
u
e H) .. , . , , ..
.. ........ 9.
10. Debts of Decedent
Mort
,
gage Liabilities and Liens (Schedule I).
.... .
......... 10.
11. Total Deductions (total Lines 9 and 10) ........ .
......... ..... 11.
12. Net Value of Estate (Lin
8
e
minus Line 11)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 12
an election to tax has
t - -
5,000.00
no
been made (Schedule J)
.. , , , ..
................. 13.
14. Net Value Subject to T
ax (Line 12 minus Line 13)
. -
....................... 14.
TAX CALCULATION -SEE INSTRUCTIONS FOR APpUCABL
15 A
5,000.00
. mount of Line 14 taxable E RATES
at the spousal tax rate, or
transfers under Sec. 9116
__
.............
(a)(1.2) X .0_ _ ...
__
............
16. Amount of Line 14 taxable 15.
..........
at lineal rate X .0 ____ ---
..........
__
Amount of Line 14 taxable - 16.
at sibling rate X .12 _
18. Amount of Line 14 taxable -- _ 5000.00 17.
at collateral rate X .15 -
__ 18.
___
9. TAX DUE ........ .
........................................ 19.
600.00
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
O
L 15~561~2~5
Side 2
1505610205 J
REV-150p EX (FI) Page 3
Decedent's Complete Address:
DECEDENT'S NAME
Robert L. Nace
STREETADDRESS
209 Hearth Road
CITY
_-_.
..........
amp Hill _ _
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 OVERPAY
Fill in oval on Page 2, Line 20 to request a refund. MENT.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
File Number
_-
STATE-... _ _ ;ZIP -
PA 17011
(1) 600.00
Total Credits (A + g) (2)
(3)
(4)
(5) 600.00
Make check payable to: REGISTER OF WILL
S, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY P
1. Did decedent make a transfer and:
LACING AN "X" IN THE APPROPRIATE BLOCKS
a. retain the use or income of the roe transferred ....................
b. retain the ri p p ~ Yes No
ht to desig .........................
9 Hate who shall use the """""""°~~••••••••••••~•
property transferred """"""'
c. retain a reversionary interest or its income ........................
....................
d. receive th ...........................
e promise for life .........................................................................
of either payments, benefits or care?
2. If death occurred after Dec. 12, 1982 """"""" ^
did de ....................
............
Cedent transfer property within one year of death
without receiving adequate consideration
...........................
3. Did decedent own ~ ~~~~~~~~~~~""
an "in trust for" ..................................
orpayable-upon-death bank account or security at his or her death?......, ^ ^
4. Did decedent own an individual retirement account, annuity or other non-probate ro
....... ^
contains a beneficiary designation? ......,,,.•, P pe-'ty, which
..........................
............
F THE ANSWER TO A •~•~~~~~~~~~••~~~~•~••~•••
NY 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. 1 199
is 3 percent [72 P.S. §9116 (a) (1.1) (i)j. ~ 5, the tax rate imposed on the net value of transfers to or f
For dates of death on or after Jan. 1, 1995, the tax rate im osed or the use of the surviving spouse
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surv v nets slue of transfers to or for the use of the survivin
filing a tax return are still applicable even if the surviving spouse is the onl benefici 9 spouse is 0 percent
g pouse from tax, and the statutory requirements for disclosure of assets and
For dates of death on or after July 1, 2000: y ary.
• The tax rate imposed on the net value of transfers from a deceased child 21 ear
adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2 .
)jy s of age or younger at death to or for the use of a natural parent, an
• The tax rate imposed on the net value of transfers to or for the use of the decedent's line
• The tax rate imposed on the net value of transfers to or for the use of the decede 'al beneficiaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1)j.
under Section 9102, as an individual who has at least one parent in common with the
nt s siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined,
decedent, whether by blood or adoption.
REV-1502 EX+ (11-08)
~ pennsylvania SCH
DEPARTMENT OF REVENUE
EDULE A
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF
Robert L. Nace FILE NUMBER
All real property owned solely or as a tenant in common must be reported at fair market value. F ~ 2 ~ -~ 0-0840
would be exchanged between a willing buyer and a willing seller, neither hainn ~„m...,~~,.~ ~_ ~ .. .. .
air market value is rlafina~I ~~ ~~,,. __:__ .
b~
0
I
~ n
O JW
Abstract Land Associates, Inc.
3912 Market Street
Camp Hill, PA 17011
(717) 763-1450
B. OMB ADProval Np. 2502-0265
TYPE OF LOAN
1. FHA 2. RHS
4. ~ VA 5- ~ CONV. INS. 3• CONV. UNINS.
6. FSCRnw ni ~ .
~....~o`rc' 7. LOAN NUMBER:
01115810-001 MAZ 0287305171
8. MORTGAGE INSURANCE CASE NUMBER:
FINAL
C. NOTE; This form is tiimished to give you a statement of actual settlement costs. Amounts
Items marked (P.O. C~. we2 i~id outside the c/osi the are shown here /~ inJbr~mrab'ona/ du Y the ~n/ement agent are shown.
D. NAME OF BORROWER: ~~ Y p rposes and are not included in the Iota/s.
Mark L. Wetzel
ADDRESS pF BORROWER: 5146 EfbS Bfldge ROad
Mechanicsbur PA 17050
E. NAME OF SELLER: Estate Of RObert L. Nace
ADDRESS OF SELLER:
F NAME OF LENDER: WeIIS Far90 Bank, N.A.
ADDRESS OF LENDER: 101 NOrth PhIIIIpS AVenUe
Sioux Falls, SD 57104
G. PROPERTY LOCATION:
209 Hearth Road
Camp Hill, PA 17011
Cumberland County 13-25-0010-028
H~ SETTLEh1ENTAGENT: Parcel #13-25-0010-028
PLACE OF SETTLEMENT: Abstract Land ASSOCIateS, Inc. (717) 763-1450
3912 Market $tfeet
Camp Hill
PA 17
,
,
I~ SETTLEMENT DATE: 7/15/2011 PRORATION DATE:
/15/2011
~• SUMMARY OF BORROWER'S TRAN 011
DISBURSEMENT DATE: 7/15/2011
SACTION
100, GROSS AMOUNT DUE OMB R
101 K- SUMMARY OF SELLER'S TRANSACTION
'
"
. Contract Sales Price 400.
GROSS AMOUNt DUE TO SELLER:
102. Personal Property 180,000.00 401. Contract Sales Price
t 03. Settlement charges to Borrower (line 1400) 402• Personal Property 180,000.00
104 5,042.42 403.
105 404.
AD.II tST~ecurc ..,,...___ __ _ 405.
106. City/Town Taxes ~ - """"n AuvANCt
107. Count Taxes 07/15/11 to 12/31/11
108. Assessments
109_ Schooltaxe 07/15/11 to 06/30/12
110. Sewer 07/15/11 to 09/30/11
111. Trash 07/15/11 to 09/30/11
112.
113.
114.
115.
120. GROSS AMOUNT DUE FROM BORROWER:
200. AMOUNTS PAtD BY OR IN BEHALF OF BORROWER: '
201 • Deposit or earnest money
202. Principal amount of new loan(s)
203. Existing loan(s) taken subject to
204. Borrower Deposit- Orig Charge
205.
206.
207.
208.
209.
FOR REMS PAID BY SELIER IN
364.79 ~ 407. County Taxes 07/15/1
1,556.66 409. School taxe 07/15/11 to 06/30/12
42.19
45
52 410.
411 Sewer
07/15/11 to 09/30/11
. .
412. Trash 07/15/11 to 09/30/11
413. --.
414. ----
415.
187,051.58 420. GROSS AMOUNT DUE TO SELLER:
500. REDUCTIONS IN AMOUNTDI~ TO SELLER: .
2,500.00 501. Excess deposit (see instructi
144,000.00
502. ons)
Settlement charges to Seller (tine 1400)
503. Existin loan(s) taken subject to
385.00 504. Payoff of first mort age loan ~-'
505. Payoff of second mortgage loan ~-
506.
507.
508.
509.
1
42.19
182,009.16
210 - - - ~ ~ '"~cn
City/Town Taxes ADJUSTMENTS FOR ITEMS UNPAID BY SELLER:
211. County Taxes 510. Cit !town Taxes
212 Assessments 511• Coun Taxes
213. 512. Assessments - ----.-_
214. 513.
215. 514.
216. 515.
217. 516.
218. 517.
219. 518.
220. TOTAL PAID BY/FOR BORROWER: 519.
300. CASH AT SETTLEMENT FROMlTO BORROWER; 146,885.00 520. TOTAL REDUCTIONS IN AMOUNT DUE SELLER:
301. Gross amount due from Borrower (line 120 s~• CASH AT SETTLEMENT TOIFROM SELLER:` 3.652.70
302. Less amount paid by/for Borrower (line 220) 187,051.58 601. Gross amount due to Seller (line 420)
303. CASH (®FROM) ( ^ TO) BORROWER 146,885.00 602. Less reduction in amount due Seller (line 5201 182,009.16
:
The Public Reporting Burden for thi
40,166.58
603. CASH (^ FROM) (®TO) SELLER: 3,652.70
178
356
46
.
.
s collection of information is estimated at 35 minutes per response for collecti
agenry may not collect this information, and you are not required to complete this form, unless it displays a cun'
n9
revtewing, and reporting the data. This
confidentiality is assured; this disclosure is m
tl
d
an
atory.
settlement process.
`
en
y ~ralid OMB control number. No
This is designed to provide the oartiPS rn ~ ar:coe __._
Prev.ni~c °•lilinne ern nhenlnln
1 n/ •
HI
• ~ L. SETTLEMENT CHARGES
e
700. TOTAL REAL ESTATE BROKER FEES: ESCROW FILE NUMBER:
• DIVISION OF COMMISSION (LINE 700) AS FOLLOWS: 01175810-OOt iv1AZ
P• .C.
701. S to
702
S t PAID FROM PAtD FROM
80RROWER'SFUNDS
'
.
o
703. Commission paid at settlement SELLER
S
AT SETTLEMENT
FUNDS AT
704. Broker Fee to Cavalry Realty SETTLEMENT
705. 225.00
800. ITEMS PAYABLE IN CONNECTION WITH LOAN:
801. Our origination charge P.O.C.
802. Your credit of char a 5495.00 (rrom GFE "1)
g (points) for the specific interest rate chosen
803. Your adjusted origination charges to Wells Fargo Bank, N.A. (5540.00) (from GFE "2}
804. Appraisal fee to RELS Valuation (from GFE A)
~5' 00
805. Credit report to RELS Credit (rrom GFE "3) -
380.00
806. Tax service (rrom GFE "3) 14.84
807. Flood certification (from GFE "3)
808. (from GFE "3)
809.
810.
900. ITEMS REQLIRED BY LENDER TO BE PAID IN ADVANCE:
901. Daily interest charges P.O.C.
from 7/15/2011 to 8/1/2011 a (from GFE "10)
~ 518.2500 /day /. (17 days) 310.25
902. Mortgage insurance premium for 0 month(s)
903. Homeowner's insurance for 1 year(s) to Erie Ins. (from GFE "3)
904. (from GFE "1 ~) (386.00)8
905. '-'-----
1000. RESERVES DEPOSITED IMTH LENDER:
1001. Initial deposd for your escrow account
1002. Homeowners insurance (from GFE AKJ)
4 months (~ S 32.17 per month 5128.68
1003. Mortgage insurance 477.58
months
1004. City property taxes ~ 5 Per month
months ~ 5 per month
1005. County property taxes 7 months ~ S 85
8
.
8 per month 5459.62
1006. Annual assessments
months ~ 5
1007. School Taxes per month
2 months (~ S 140.95 per month 5281.90
1008.
months (~ S
1009. Aggregate Acct Adj. Der month
months ((~ S per month -5392.62
1100. TITLE CHARGES:
-
1101. Title services and lender's UUe insurance P.O.C.
1102. Settlement or Dosing fee (from GFE ~M4) 1,428.75
1103. Owners UUe insurance to Abstract Land Associates, Inc.
75 (from GFE "5)
1104. Lendefs title insurance • to Abstract Land Associates, Inc. 51
078 180.00
,
.
1105. Lender's UUe policy limit
1106. Owners tine policy limit 5144,000.00 -_
1107. A ant's 5180,000.00
9 portion of the total UUe insurance premium
1108. Underwriters portion of the total UUe insurance premium 51,197.44 to Abstract Land Associates, In c.
00 5288.31 to Old Republic National Title Ins. Co.
1109. Ends. 100, 300, 8.1 • to AbsVact Land Associates, Inc. 5150
.
1110. Insured Closing Letter • to Old Republic National Title Ins. Co. 575
00
.
1111. Notary fees • to Settlement Officer 545.00
1112. "See attached for breakdown 580.00
1204 GOVERNMENT RECORDING AND TRANSFER 10.00
CHARGES::. -
1201. Government recording charges
10.00
P.O.C. .
1202. Deed E62.00 Mortgage 590.00 Release 50.00 (from GFE +in)
152.00
1203. Transfer taxes
1204. City/County tax/stamps Deed 51,800.00 Mortgage 50.00 (rrom GFE "e) 1,800.00
7205. State tawstamps Deed 51,800.00 Mortgage 50.00
1206. 1,800.00
1207.
1300. ADDITIONAL SETTLEMENT CHARGESi
1301. ReQuired services that you can shop for ~ - ' P.O.C.
1302. Sewer 7/1/17-9/30/11 to Lower Allen Twp Sewer Authority (tram GFE "6) 119 00
1303. Trash 7/1/11-9/30111 to Lower Allen Twp Sewer Authority
1304. Tax Service Fee • to WFRETS 5700.00 50.00
1305. Flood Certification • to WFFS 519.00 53.95
1306. "See attached for breakdown
1400. TOTAL SETTLEMENT CHARGES (Enter on line 103,SecUon J -and -line 502, Section K) 1,728.75
I have carefully reviewed the HUD-1 Settlement Statement and to the Dent of my knowledge and ttelief, it is a Vue and accurate statement of aY r
y52 70
account or by me in This Vansac on. I further certify that I have received a
i
2
dopy of the HUD-1 Settlement Statement
~~~ ece
pts and disbu
rsements made on m
~
Mark L. Wetzel ~
to Robert ac
~V~
• •
Borrowers
The HUD-1 Settlement,Statement which J,11ave pre is a
state)nent G /~~ accurate account of this transacti Severs
( have caused or wig cause the funds to be disbursed in accordance with this
~. (fir` ~lz-Ct
~ '
.
Abstract Land Associates, Inc. Settlement Agent ~/(~ /j ~
Date
WARNING: It is a crime t0 knowingly make false statements to the United States on this or any simiar form. Penalties upon convicti
Title 18 U.S. Code Section 1001 and Secion 1010
. on can include a fine and imprisonment For details see:
Pre';i,;uS e0,ticns rife OCSGIelB
Pant: 2 Gi a
uy`,.
Escrow Number. 01115810-001 MAZ
~ Comparison of Good Faith Estimate (GFE) and HUD-1 Charges'
Charges That Cannot Increase
HUD-1 Line Number
Our origination charge #801
Your credit or charge (points) for the specific interest rate chosen #802
Your adjusted origination charges
#803
Transfer taxes
#1203
Good Faith Estimate HUD-1
495.00 495.00
0.00 -540.00
495.00 -45.00
1,800.00 1,800.00
Charges That in Total Cannot Increase More Than 10°~
Government recording fees Good Faith Estimate HUD-1
Appraisal fee #1201
264.00
152
00
Credit report #804
395.00 .
380
00
Tax Service Fee #805 14.84 .
1484
Flood Certification #1304 100.00
100
00
#1305
19.00 .
19.00
Total
Increase between GFE and HUD•1 Charges 792.84
$
665.84
-127.00 or -16.0184%
Charges That Can Change
. ._ ,
Initial deposit (or your escrow account Good Faith Estimate'' HUD-1
#1001
Daily interest charges 230.00
477
58
Homeowner's insurance #901 S 18.2500 /day
x•75 .
#903 310.25
Title services and lenders title insurance 360.00
386
00
Owners title insurance #1101
607.60 .
1
428
75
#1103
1,259.00 ,
.
180.00
Loan Terms
Your initial loan amount is
Your loan term is
Your initial interest rate is
Your initial monthly amount owed for principal, interest, and any
mortgage insurance is
Can your interest rate rise?
$ 144,000.00
30 years
4.6250%
$ 740.37 includes
Q Principal
Q Interest
Mortgage Insurance
Q No. ~ Yes, it can rise to a maximum of 0.0000%. The first change wilt be
on and can change again every after . Every change date, your interest rate
can increase or decrease by O.Q000%. Over the life of the loan, your interest rate
is guaranteed to never be lower than 0.0000% or higher than 0.0000°k.
Even if you make your payments on time, can your loan balance rise? XD
No. Yes
it can rise to
Even if you make your payments on time, can your monthly amount
owed for principal
interest
and ,
a maximum of $ 0.00.
x^ No. ~ Yes
the first i
,
,
mortgage insurance rise? ,
ncrease can be on and the monthly amount owed can
rise to $ 0.00.
The maximum it can ever rise to is $ 0
00
Does your loan have a prepayment penalty? .
.
Q Ne. ^ Yes
your maxim
Does your loan have a balloon payment? ,
um prepayment
penally is $ 0.00.
x~ No. ~ Yes
you hav
b
,
e a
alloon payment of $ 0.00 due in 0 years on .
Total monthly amount owed including escrow account payments ~ You do not have a monthly escrow
payment for items, such as property taxes
and homeowner's insurance, You must pay these items d!rectly yourself.
^x You have an additional monthly escrow payment of $ 238.78 that results in a
total initial monthly amount owed of $ 978
1
,
5. This includes principal, interest,
any mortgage insurance and any items checked below
.
x~ Property taxes xn Homeowners insuran
ce
^ Flood insurance
^ ^
Note: If you have an
y questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender.
P~ev!pus ed~por: are cCSO!ete
Paae 3 a! 4
H! ! r;-!
Escrow Number 01115810-001 MAZ
HUL' 1112 DETAILED BREAKDOWN OF ADDITIONAL TITLE CHARGES
Description Detail Seller
1113. Doc Trans/Vl/ire Fees • to Abstract Land Associates, Inc. Amount Amount
1114. Overnight Fees • to Abstract Land Associates, Inc. $50.00
1115. Tax Cert Fee to Abstract Land Associates, (nc. $30.00
Total as shown on HUD page 2 Line #1112 - 10.00
10.00
HUD 1200 DETAILED BREAKDOWN OF GOVERNMENT RECORDING AND TRANSFER FEES
Buyer Seller
City 8 County Tax/Stamps Amount Amount
City Tax/Stamps: Deed $1,800.00
Total as shown on HUD page 2 Line #1204
1,800.00
Buyer Seller
State Tax/Stamps Amount Amount
State Tax/Stamps: Deed $1,800.00
Total as shown on HUD page 2 Line #1205
1,800.00
HUD 1306 DETAILED BREAKDOWN OF ADDITIONAL SETTLEMENT CHARGES
Description
1307. 2011/12 School taxes to Bonnie K. Miller Seller
Amount
1308. Attorney Fee to Craig A. Diehl 1,618.75
Total as shown on HUD page 2 Line #1306 110.00
1,728.75
P~~"~"Q:JS P.ddtO~~s are npSn~P~P
Pane a of d
N. if._ .