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HomeMy WebLinkAbout09-28-11 1505610105 REV-1500 EX (oz-i i) (FI) ~ ' PA Department of Revenue OFFICIAL USE ONLY Pennsylvania Bureau of Individual Taxes °"^"^°^'°°°°°t^°° Coun Code Year File Number ~ h' INHERITANCE TAX RETURN PO Box zso6ot n 1 ~ I ~j~ C1 Harrisburg, PA 1128-o6oi RESIDENT DECEDENT d,l I ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 172-26-7600 03/10/2011 ', 09/18/1933 Decedent's Last Name Suffix Decedent's First Name MI _ Cosgrove Margaret ~ (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 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 Tax Return Required death after 12-12-82) ~ 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 David A. Baric, Esquire (717) 249-6873 First Line of Address Baric Scherer LLC Second Line of Address 19 West South Street __ City or Post Office State ZIP Code Carlisie ~A 1701 _. REGISTER OF WILLS USE ONLY' '~ . - _ ,-~ -' 'f , 1 ~.. ~ - -~ -~ DATE FILEQ~ -~ ; --t "--~ .. ? ~,• 3 ~') Correspondent's a-mail address: dbariC(C7barICSCherer.COm 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. SIGN F PERSy O~ESPONSIBLE FOR FILING RETURN T~/// 112 East ~ritryside,.grive,,.~oil~Springs, Pennsylvania 17007 `~ SIGNATURE F PAR O HF T A F CFNTGTI\/F _._ ADDRESS d 19 West South Street, Carlisle, Pennsylvania 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505610105 1505610105 ~~ J 1505610205 REV-1500 EX (FI) Decedent's Social Security Number Decedent's Name: Margaret J. Cosgrove 172-26-7600 RE CAPITULATION 1. Real Estate (Schedule A) .......................................... ... 1. 74,752.00 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. 4,521.00 o. Jointly Owned Property (Schedule F) O Separate Billing Requested .. ... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested..... ... 7. 88,900.00 8. Total Gross Assets (total Lines 1 through 7) ............. ..... ...... ... 8. 168,173.00 9. Funeral Expenses and Administrative Costs (Schedule H) ......... ...... ... 9. 19,027.00 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule 1)... ...... ... 10. 11. Total Deductions (total Lines 9 and 10) ........................... .. ... 11. 19,027.00 12. Net Value of Estate (Line 8 minus Line 11) .................... ...... ... 12. 149,146.00 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. 149,146.00 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_ 15. 16. Amount of Line 14 taxable at lineal rate X .0 45 149,146.00 16. 6,711.00 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X 15 1 g. 19. TAX DUE .. .. ............................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 6,711.00 Side 2 1505610205 1505610205 J REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Margaret J. Cosgrove STREET ADDRESS 58 Partridge Circle CITY STATE Carlisle PA ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 2, line 19) 2. CreditslPayments A. Prior Payments B. Discount 3. Interest 7,446.00 372.00 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. Total Credits (A + B) (2) (3) (4) (5) 6,711.00 7,818.00 1,107.00 Make check payable to: REGISTER OF WILLS, AGENT. 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 ................................................................................... ...... ^ b. retain the right to designate who shall use the property transferred or its income .................................... ...... ^ c. retain a reversionary interest ........................................................................................................................ ...... ^ d. receive the promise for life of either payments, benefits or care? ............................................................... ...... ^ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................................................ ...... ^ 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ........ ..... ^ ^ 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(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}]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. 'REV-1502 EX+ (01-10) ~ Pennsylvania SCHEDULE A '~ DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Margaret J. Cosgrove 21-11-0389 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 If more space is needed, use additional sheets of paper of the same size. • • REV-15o8 EX+ (u-io) ~ Pennsylvania .' DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS & MISC. PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Margaret J. Cosgrove 21-11-0389 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 disclosed on Schedule F. li more space is needed, use additional sheets of paper of the same size, ' ' REV-1510 EX+ (08-09) ~i1 pennsytvania !~ DEPARTMENT OF REVENUE: INHERirANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Margaret J. Cosgrove 21-11-0389 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE .NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDEM AND THE DATE OF TRANSFER. ATTACH A CDPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET °!o OF DECD'S INTEREST EXCLUSION (IF APPUCABLE) TAXABLE VALUE 1• DWS Balanced Fund-A IRA 25,430.00 100 25,430.0( 2 DWS High Income Fund-A IRA 12,232.00 100 12,232.0( 3 Zurich American Life Insurance Annuity 51,238.00 i 51,238.0( TOTAL (Also enter on Line 7, Recapitulation) $ 88,900.00 If more space is needed, use additional sheets of paper 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 ESTATE OF FILE NUMBER Margaret J. Cosgrove 21-11-0389 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT a. FUNERAL EXPENSES: I B, ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: $,$24.00 Name(s) of Personal Representative(s) Patrick M. Cosgrove Street Address 112 East Countryside Drive city Boiling Springs state PA ZIP 17007 Year(s) Commission Paid: 2011 Z. Attorney Fees: 8, 824.00 3, Family Exemption: (]f decedent's address is not the same as claimant's, attach explanation.) Claimant None Street Address. City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 331.00 5. Accountant Fees: 6. Tax Return Preparer Fees: ~ Comcast 67.00 8. Century Link 27.00 9. UGI 60.00 ~D. PPL 100.00 > >. Vascular Associates 162.00 12. Travelers Insurance 309.00 TOTAL (Also enter on Line 9, Recapitulation) $ 19,027.00 If more space is needed, use additional sheets of paper of the same size. Estate of Margaret J. Cosgrove File No. 21-11-0389 SCHEDULE H CONTINUED 12. North Middleton Authority $ 82.00 13. The Sentinel $166.00 14. Cumberland Law Journal $ 75.00 REV-1513 EX+ (01-10) " i Pennsylvania DEPARTMENT OF REVENUE ~!~ INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE ~ BENEFICIARIES ESTATE OF: FILE NUMBER: Margaret J. Cosgrove 21-11-0389 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).] i• Patrick M. Cosgrove, '112 E. Countryside Dr., Boiling Springs, PA 17007 son 50% 2. Michael L.Heishman, 108 Burnthouse Rd., Carlisle, PA 17015 son 50% 3. Michelle Randalls, 424 Mumper Lane, Dillsburg, PA 17019 granddaughter 5000.00 4. Christopher Heishman, 116 Willow View Dr., Carlisle, PA 17013 grandson 5000.00 5. Hannah Cosgrove, 112 E. Countryside Dr., Boiling Springs, PA 17007 granddaughter 5000.00 6. Grace Cosgrove, 112 E. Countryside Dr., Boiling Springs PA 17007 granddaughter 5000.00 7. Jack Cosgrove, 112 E. Countryside Dr., Boiling Springs, PA 17007 grandson 5000.00 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: i. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. If more space is needed, use additional sheets of paper of the same size. LAST WILL AND TESTAMENT OF MARGARET J. COSGROVE I, Margaret J. Cosgrove of Cumberland Courrty, Pennsylvania, being of sound mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRST i direct the payment of my debts and the e;~ensas of Amy {ate illness and fun..~'al from my estate as soon after my death as conveniently may be done. ff there be no cemetery lot available for my interment, owned by me at the time of my death, I authorize my personal representative to purchase such cemetery lot with a contract for perpetual care; using therefor funds from my estate, and I authorize my personal representative to cause title to or ownership of such lot so purchased to be vested in such person as my personal representative shall designate. It is my wish that a grave side service only be held in my honor. Further, in this connection, I authorize my personal representative to e~erxl funds from ~ my estate, in such amount as my personal representative shall consider necessary and desirable, for the purchase, erection and inscription of a suitable marker for my grave. SECOND I give, devise and bequeath my entire estate of whatever nature and wherever situate to my sons, Patrick M. Cosgrove and Michael L. Heishman, in equal shares. I, give devise and bequeath the sum of five thousand ($5,000.00) dollars to each of my grandchildren, the money to betaken from their respective fathers portion of my estate. In the event I am predeceased by my son, Michael L. Heishman, my entire estate shall pass to my son, Patrick M. Cosgrove except for five thousand i ($5,0'7.0.00) dollars which shall be paid to each of the then IMng children of Michael L. Heishman. In the event I am predeceased by my son, Patrick M. Cosgrove, his one-haft share of my estate shall) pass to his children in equal shares who are alive at the time of my death. THIRD In the event I am not so survived by my said sons, Patrid< M. Cosgrove and Michael L. Heishman, and a portion of my estate passes to an heir under the age of twerrty~ive (25), then that portion of my estate passing to the heir shall be placed with Patrick M. Cosgrove, as TRUSTEE. In the event Patrick M. Cosgrove is unable or unwilling to serve as Trustee, ! nominate and appoint Midiael L. Heishman as alternate Trustee under the following conditions:: 1. My Trustee shall pay principal and income to or for the benefit of the heir during his or her life as my Trustee, from time to time, shall deem advisable for the health, maintenance, support and complete education of such heir and the members of his or her immediate family. In addition, my Trustee in his sole discretion may advance principal to said benefiaary against the fractional shares to be advanced hereunder for the costs of manage, or the purchasing of a home or costs of entering a business or profession if my said Trustee shall deem such expense reasonably prudent 2. Notwithstanding the foregoing provisions, after attainment of twenty-one (21) years, each heir may withdraw onethalf (1/2) of the principal of his or her trust valued as of said birthday or the date of division into shares, if later, and after attaining age twentyfive (25) years, each heir may withdraw the remainder of said princpal and undistributed income. 3. In the event of the death of a trust beneficiary prior to age twenty-five (25) then my Trustee shall distribute any remaining princpal and interest as such beneficiary shalt appoint by specfic reference to this power in his or her will, or if such power is not exercised in full, the unappointed principal shall be distributed to his or her issue, per stirpes, or in default of such issue, to my issue, per stirpes; I; provided, however, any portion of such principal, which would be distributed to any beneficiary for whom a trust is then held hereunder, shall be added to such trust 4. Should the principal of any trust herein provided for be or become too small in my Trustee's discretion to make establishments or continuance of the trust advisable, my Trustee may distribute the remaining principal and any accumulated or undistributed income outright to the beneficiaries in the proportions to which they are then entitled to. The receipts and releases of the distributees will terminate absolutely the rights of all persons who might otherwise have firture interest in the trust, wf~ether vested cx cor~iingert, ~wrthout notice to thzrn and without the necessity aF filing an account with the court. FOURTH I direct that no trustee, executor, guardian or other fiduciary named, nominated, or appointed by this my Last WII and Testament shall be required to post any bond or give any security of any type for any purpose whatsoever, any law or rule of the court of the Commonwealth of Pennsylvania or any other jurisdiction to the contrary notwithstanding. I direct that the law of the CommorNVealth of Pennsylvania shall apply to any interpretation or application of the validity of this instrument. FIFTH My executor and trustee shall have the following powers in addition to those vested in them by law and by other provisions of this'~II, applicable to all properly, real, personal or mixed and wheresoever situate, including property held for minors, whether principal or income, exerasable without court approval, and effective, with respect to each item of said property until actual distribution thereof. A) To retain, as investments of my estate or trust, any or all assets of my estate, real, personal, or mixed, without regard to any principal of diversfication, and to purchase and acquire real or personal property and to hold any or all of such real and personal property retained or acquired withart making the same productive of income. B) To permit the children, or any of them, to ooaapy any real estate retained or acquired upon such terms and conditions as my executor or trustee shall deem proper. C) To pay all taxes, charges and expenses of maintenance, upkeep, improvements, development, protection, preservation and investment of any retained or acquired real or personal property, such payments to be made from either prinapal or income as my executor or trustee shall determine. D) To retain or invest any and all funds, whether principal or income, in any real or personal property without restriction to legal investments; to purchase investments at premiums; to exerase all rights of a security holder or share holder in any corporation; and to lease, mortgage, pledge, give options upon or sell at public or private sale and without approval of any court, any real or personal property or portion or portions thereat, irrespective of the manner or the means by which the same was acquired by my said executor or trustee. E) To make payment or distribution herein provided for in cash, kind or partly in cash and partly in kind, at valuations fixed by my executor or trustee at the time of distribution. SIXTH Any and ail payment or payments of any sum or sums, whether in cash or in kind and whether for princpal or income, payable to an heir, or any of them, shall be made upon the sole receipt of the respective individual to whom the payment is made, and free from anticipation, alienation, assignment, attachment, and pledge, and free from cor~ol by the aed~ors of any such benefiaary. SEVENTH I appoint my son, Patrick M. Cosgrove, Executor of this my Last Will and Testament Should my said Executor fail to survive me or for any reason fail to qualify as Executor, then I appoint my son, Michael L. Heishman, Execrator of this my Last Will and Testament IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of five (5) typewritten pages, the first four (4) of which bear my signature in the margin for the purpose of identification, this ~ ~ f~ day of February, 1998. ~ (sue) MAR J. SGROVE Signed, sealed, published and dedared by the above named testatrix, Margaret J. Cosgrove, as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and pr?ser?cp, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. -~ ~~ ~' ~ ,~, '~ ~ ADDRESS t ~~ , f ~~I~~~ ~ ADDRESS ~~ 7 (~~~~~~ ~ D~rc.-a~a~ n ~ / 72 5~i'r COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. We, Margaret J. Cosgrove, ~~ ~ ~ ~%~~ and ~`~~ `'~ ~ ~ ~ ,the testatrix and the witr~esses, respectively, whose names are signed to the attad~ed or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument of her Last Will and Testament, and that she signed willingly and that she executed as her free and voluntary act for the purposes therein expressed, and that each of the witr~esses, in the presence and hearing of the testatrvc, signed the Will as witnesses, and that to the best of their knowledge, the testatrix was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. Sworn to and subscribed before me this r~l day of C~%~~~~'tc,C~ , 199 ~ . i t~Ja«riai 5eai ~ J~nrifiar ~. Calama~, ~Joiary ~ubiic i ~ ar!isle fora Cumberland Coun4y i ldv C~~m'usi~r Expr~c hJov 29 '9':19 1 1 2. FmHA 8 Fits Number - -- -- `^"~•• "°^'° n, perm n nuo -1 f ]. Conv. Unu+a. 7. Corn Nvrtd>or 8. barNa0s Inaurana0 t ) ~ VA RE3512 coat Numbar s. coop. I"'. ABSTC8680 C. Tnia corm is nanisbsd m give you a atuam.m ar adual aahlemsm raw. Mwunla ww to and ty tae whumam ^ nt aro ahawn. Oeme nuked • o.eP wero tha Basin aro Chown hers far:nformetional ua and are nol erdudsd to Ihs fowls, ~ ~• Pall outside of D. Name and Addroaa al Borrower. & Nang aM Addrou u Salter. BARBARA $. B. BARRY F. Nar,s• and Adarota of Leadar ESTATE OF MARGARET J. COSGROVE WA 7t6 OLSON DRIVE PATRICK M. COSGROVE, EXECUTOR CARLISLE, PA 17013 G. Property tautlan N. Sedkrronl Apart 58 PARTRIDGE CIRCLE, CARLISLE, PA iTDi3 F-otlver Law LLC NORTH MIDDLETON TOWNSHIP P4aeatse6lsmartL• CUMBERLAND COUNTY 10 West Hlgh Street .w arose nntarnt ow prom 9anawer tot Cantraq a:tea pr+cs 102 Paraanal prepsny 107 Satltamem d'rarpea hem Gate 1400) ,a4 t6s Settlement charges from Addendum Ad~aananfa,bdanrpaid Oyserbrh adrerrar to6 a~+wmw, Cases 788111 m +zro+m to7 county Coma 100 Masaamema 109 +tO Srllool ttoua 7128711 m8rS0112 nt nz ASSOCIATION DUES PRORATION 120 t2reasAmount tha Flem Bofrower 200 Ameuma Psld 6r Or In Bahap Of Banawer 201 Oepoa0 w aamsu morroy M2 Prbdptlamaudafmwban{a)-~ Ztl] F.tlwrp banal Uken sub)ect b 201 ms 206 207 208 209 AtQmer,artr Ibrllerrts uPddbyaa(rv 210 COylbwt facet trVt+ m 7rLBl1+ 211 Canny torso 2+2 Aawsunw 21] z+4 sdtaa+twaTrmt b7f261n :+s 2te 217 218 219 220 TofalPaW9ylFarBorrovwr 700 Gsh At 9aMarntrM FromRo Borterrer. 701 Groan amount duo Lam trerrawr (One 120) 702 V u anovnu paid byRor borrower (barn One 2201 70S Cash (71) From () Ta Benower Mauu 400 prow Ameunl qna To 8s0ar 131,900.00 Iot Confna salsa prlee f02 ParaoeW prepay z,ae7.$$ 4W 4a 555.00 Ios Ad~,ranarb Ardtema pW by sa~rh aaNrxe: 159.20 Ipe~+rrbaattuw7R6rt1 b+zntnt 40I canny Coons IOB Awaamama IOB 1,349.89 11o Seheett+>'ea7l28rt1 b8r]Olt2 Ott 10.82 412 ASSOCIATION DUES PRORATION 136,672.59 12o prosepmpumpuataBeWr -- -a=te -- 500 RaduNons H Ameuel brr Te 9a1Mt 1,000.00 sot FsoauaapaYt{aesbrbuctcns) 602 SslGmerd drerparr b sorer (mm 1400) 307 ba1~G) laluut armjact b 604 Prrell d flra ngrtoape but S65 PapM of aemnd ^~tBatN bur 506 s0T 508 1,000.00 --~___ ^--asaas w9 Settlement charges from Addendum C~,SOnv)},ItrrMrmupalrleynAsr S10 Crlyrtawe fan in/11 mTlLBrt 1 St t Canny taco, 512 Na0asmeNt sls St1 Sehmltmus 7rU11 b7~) s+s 6111 317 s+e Sip S20 Total Raduatoas t0 Amt pus 9s0er wu: 131,900.00 159.20 1.349.89 18.82 133,419.71 1 D,922.44 46,873.43 1,072.00 58,987.87 ._caooo_ 600 t:aah At Ssttlalr+em Ta/From Sa0er. 13$,672.59 601 Gtou amounl b aelW has (One 420) 1 000.00 602 Can ramxtlona A amount Bas as0ar {hom Nra s20} 135,872.59 eW 6th( )From (=)TO Balkr 133,419.71 58 667.87 74,751.84 Papa t all tna4ls 700 Tatet satsttfawkera Comm basil on PAea: 171.900.00 ®~% ~ ~ 9/8J10 ParO From PaW Rom 700 GVrialanefCammtrJan(Erw70o)u.Wbws: Bo~vwh s.0.rs rot 3,987.00 m ERA-NRT, INC. w,me.r wna. et Tor rot 3,987.00 m REIMAX DELTA GROUP Bsmemene sentemeat r02 7W Ca+rsrtlaarott papa et sememmtt T, 914.00 ms ro4 TRANSACTION FEE TO RElMAX DELTA GROUPIBROKER ADMINISTRATION FEE TO ERA•NRT, IN 300.00 195.00 ro4 oao Ibams:I'ayabeie~connecB:on_tMlhCoan3 _ =-;- "' :., '-~ . ":` ikatwrame a.oal __ Tarotrhsrpes,unneotthmu8naoa: - o.W ~ _~ _- -' - Bot ourertemeeonhe 8 - ttmmoFEn) 0.00 802 YauasditarhaRO(pohb)rar8arpedtbamisanlediosan 8 (hem GFE et) 0.00 807 Your aB,uwdorl8inatlon elvryea (8am 6FE 11) 804 Appralaal he m tham OFE p) 805 t,',rad8repaRm (hem GFEtJI ace Ta sarvRe m {ham GFE a) 807 Fbed armtetlan io (ham GFE 83) eae coq:.;~temlERegy~ad,B)G:i~t~,nde~Ta_B$PaidltYgdvraltca '- _ _ - --- - -- - -- ~, trar`aama.roaa xeJct-11 m ~o.oooao thamG~E.,o) got t mmana PramLm for aam8u m (eom GFE q) gas Maard tnaursna 1 yarn m {hem aFE n t) ao4 aamR~4enrvos,D,ep~gsit~,wtthe~+Eaer~ _~.~:~ .._ - - - _ - ~ ~._.._.i..~ _ toor maWaapoaottrryeureeamwaaormt (oan,cFEw- -_ ____.~--. - o.oo toa2 .r. to„o,,,a. moo. ® per msNh IoW Btaapapernsuwrco. mos. ® par month 1001 PApaly lass mos. ~ pormonat tool ealeotta.a moo ® wrmontlt tone mos. G permsian toot a0~opaeAa{uwrom . --._ s_ _ - _.--. ea: ~ ' - y. TlttaCfl 11eo r _ - • :-- ~, ~; .,.._~ - __ . . . g $ , _ ... - 1101 Title Servlcaa snd Wtdars 6t<e Ensurann (eom GFE ii) „e2 6emememerdeablpt'a. FLOWER LAW, uc s - 5T9.3e t1W owtahtf8.htwrmaa S 440.50 {ho,ncFEU) 440.80 na letmerattaerns,aenaa i _ t1 W armor. lace pa0ay Mdt s _ 1108 Orsah 8tte pa8ry leroi S 171,9a0.00 t for /laenre poNan o-laml ter. maurn+w pmndum s 308.36 t toe utmerwwft peruon armlet atte inaasioae ptarkam s 132.18 i~m)GovemmentReeot~dtng antt;~'F1~ansfar,Gh4~os: _ v ;:.. ~: ' - _ ~--,.--- 1201 Gasenatmnt Asoordtn0 Cturyss 1201 Deed =62.80 6tmt0aes 5 Rekaae 82.00 t2W TrwhrTws tea cib[mvraytu Deed Et,319.00 psao9sor. j 1,319.00 t2os slam taraonp: tsea 51,319.00 MonOspe: f t206 `.rioo aaak%KaiC"s~eaFam e:,c -.- _ _ . .-- - , _ ~tat~sa•_ _.____-~-- -- -- - . -> t7ot Raaulne SerNon tnwyw eu strop for {horns GFE fib) 1201 Peettnspwbn m t 7W Clannl Tula dw ham Baaavnaae8sr Do Rabin K SoOenherysr. Tu CoOaetar tso4 FINAL WATER AND SEWER CHARGES TO NMTMA -ACCT N0.1300003d 2,697.88 cot 802 807 BOe 805 808 807 eae 90, 802 ttos eo4 ;~aoc toot 1oa2 taW too loos lose 1007 :4L~ 1101 „02 t mss 1ta teas tree 1107 1168 'i~'i"e r20t 1,319.00 uos 1208 --- ... _ ~ lsat 1702 1,449.15 rocs 45.29 t7a4 tsos 10,922.44 5400 1 direct and authorize Frey 8 TOey to make diatrtbtrfions indicated for my atxount on the attt9rhed HUD-t Settlement Statement, approving the tax proratlons indicated therein, and understand that proretlons were based on Agures for the preceding year, or estimates for the current year, and in the event of any change for the current year, all necessary adjustments moat tse made between Seller end Borrower direct; likewise any DEFICIT in delinquent taxes will be reimbursed to Frey 8 Trley by Seller. 1 have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and beliaC it is a true and accurate statement of all receipts and distsursements made on my account or by me in this trensadion. I further cattiy that i have received a copy of the HUD-1 Settlement Statement. BARBARA S. B. BARRY ESTATE OF MARGARET J. COSGROVE PATRICK M. COSGROVE, EXECUTOR To the best of my knowledge, the HUO-1 Settlement Statement which 1 have prepared is a true and accurate account of the funds which were received and have bean or will tse disbursed by the undersigned as part of the settlement of this Uansaction. JuN 26 2011 Frey 8 Tlley, Settlement Agent Pa8e2ois Date . _-.. CopparlsoiT:af Gocd~F' _ :ii_ . ttgµmate'.IaFE)eftdHUD-I:GF1arBes. ... ,:_ ._ ,, ttood:FNth.t?auinitte-.. .- -,--HUD~1~--,- . Charges That Cannis! Increase HUO-Z Llne Number Our origination charge • 80f 0.00 Your credit or charge (points) for the spedBc interest rete chos ~ sot 0.00 Yauradjusted origination charge sao~ 0.00 Trarrefer taxes s +~ 1319.00 _. - ..-. _ _ _,. ~lia_t~~s ~htit:ltl~T9~~C_gi6ttatltscreaas~Ytare_~an~?o~:.a:.~~ ~.. -- - :~ aood F~tw esttmet - --"-i±uo:t ..i°; Gorvemment recording charges a +strt 62.00 Appreisal Fee sea Crod'lt Report ~~ Tax Service Fee sae Flood Certifica0on ~~ s s 0.00 62.00 62.00 AFOIVI01 - .- - :Cbartlas?~tlaCCanChatt9a,_ -~ ~ -; _ DoodFjilthEsttmote_ .;=,HUO.1 - _-' Initial deposit for your escrow account - - - - o toot - Dal(y interest dtarges s oo+ ~ o.aooto lday Homeowner's insurance a eon TNe Services and Lenders Title Ins. r rot Owners Coverage n tta an Terms Your inltltt Loan amount Is g Your roan term h ears Your [nitlal Inta-ast rate h Your Gtttlal monthly amount owW far prtndlpal, Infareat, artd Indudes arty mortgaas trnuranes Is ~_ Prindpei _X_ Interest Mort a e insurance t~++ your intorost rato+lse~ _ No _ Yas, it can rise to a maximum of %. The first change will be on and can change again every after . Every change date, your Interest rate Can increase or decrease by _%. Over the fife of the loan, your interest rata is guaranteed to never be lower than % or hi her then 4'0. Even H au males meats on ttm can our loan balmoe rtes? No Yes it Can rise to a maximum of S Even if you msko Payteanb on tirt+s, un your montl+ly _ No _ Yes, the first increase can tie on and the monthly amount arno+stt owed for nci totems and m rneuranca rtsoT owed Can rise to S The maximum it can ever rise to is S Does torn here a _ No Yes our maximum re e ment anal is S Does your loan have a ba0oon paymont7 _ No _ Yes, you have a balloon pahment of b due in ears on 7a1a! monthly amount awed MWUdlnp escrow account paymanb _ You do not have 8 monthly eaCraW payment (ar items, such as property taxes and homeowner's insurance. You must pay these items directly yourself. You have an additional monthly escrow payment of 50.00 That results in a total initial monthly amount owed of S .This inGudes prindpal, interest, any mortgage insurance and any items checked below: Property taxes _ Homeowners insurance Flood Insurance Note: It you have arty questions about the 5el0ement Charges and Loan Tenns listed on this form, please contact you lender. vase ~ or • r+uo-i St MEMBERS 1St FEDERAL CREDIT UNION REGULAR SAVINGS ACCOUNT: Account Number/Suffix 101155-00 Date Account Established 03/30/1988 Principal Balance at Date of Death $251.71 Accrued interest to Date of Death $.02 Total Principal and Accrued Fnterest $251.73 Name of Joint Owner None CHECKING ACCOUNT: Account Number/Suffix 101155-11 Date Account Established 03/30/1988 Principal Balance at Date of Death $3,770.55 Accrued Interest to Date of Death $.Og Total Principal and Accrued Interest $3,770.63 Name of Joint Owner None M ERS 1lSTw1FoED^ER L T UNION l~/~ Danielle A. Kline Lending Insurance Support Specialist August 4, 2011 Estate of: Margaret J. Cosgrove Date of Death: 03/10/2011 Social Security Number: 172-26-7600 ~20~ i 5000 Louise Drive P.O. Box 40 1~fechanicsburg, Pennsylvania 11055 (800) 283-2328 wwwmemberslst.org Daniel W. Stott 157 South Hanover Street Carlisle, Pennsylvania 17013 Phone (717) 243-8077 Fax (717) 243-1748 StottD(c~~-IDvest. net Baric and Scherer C/O David A. Baric 19 West South Street Cazlisle, PA 17013 (717)249-6873 September 20, 2011 RE: Estate of Mazgazet J. Cosgrove S.S. # 172-26-7600 Date of Death: March 10, 2011 Dear David: As of March 10, 2011, Mazgazet J. Cosgrove had 3 accounts with my office. The first account titled in her name only, with the fund name: DWS Balanced Fund-A was an IltA. The NAV (Net Asset Value) was $9.23 a share and she held 2755.16 shares, equaling a $25,430.13 DOD value. The second account titled in her name only, with the fund name: DWS High Income Fund-A was an IRA. The NAV was $4.90 a shaze and she held 2496.526 shazes, equaling a $12,232.98 DOD value. The third account titled in her name only, was a Non Qualified Annuity through Zurich American Life Insurance Company. The DOD cash value was $ 36,274.81. The DOD Death Benefit value was $51,238.43. If you have any further questions please contact me by phone or in writing at (717) 243-8077 or 157 S. Hanover St. Carlisle, PA 17013. Thank you. Sincerely, ~~~~~.~ Daniel W. Stott Securities offered through H.D. Vest Investment Services, 6333 North State Highway 161, Fourth Floor Irving, TX 75038, (972) 870-6000 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 ,lournal, 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, vlz: Apri18, Apri115, and Apri122 2011 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. Cosgrove, Margaret J. a/k/a Mar- garet Cosgrove, decd. Late of Cumberland County. Executor: Patrick M. Cosgrove. Attorneys: David A. Baric, Es- quire, Baric Scherer, 19 West South Street, Carlisle, PA 17013, (717) 249-6873. ~~ ~~. ~ ~- ~,is Marie Coy11e, Ed~ or SWORN TO AND SUBSCRIBED before me this 22 of April 2011 Notary NCiTARiNL ~ERL DEBuRAH A COLLiNS Notary Pubii~ CARLISLE BOROUGH, CUMBERLAND COUNTY My Commission Expires Apr 28, 2014 PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Iackie Cox, Retail Sales Manager 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 13th, 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): April 1, April 8 and April 15 2011 COPY OF NOTICE OF PUBLICATION i ESTATE NOTICE ; Letters Testamentary in the Estate of MARGARET J. COSGROVE a/k/a MARGARET tiOSGROVE, late of Curriberland County'we~e granted to' Patrick M. Cosgrove on March 24, 2611. + All persons knowing themselves to be indebted to said Estate are requested to make immediate payment and those having claimswill present them,' without delay, to the undersigned: David A. Barid,'Esquire 8ai•ic Scherer 19 West South Street Carlisle, PA 17013 (717)249-6873 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 publication are true. and subscribed before me this Notary Public My commission expires: NOTARIAL SEAL BAMBI ANN HECKENOORN Notary Public CARLISLE BOROUGH, CUh16ERLAND CNTY ivly Commission Expires .Ian 27, 2014