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'
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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.
-~
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ADDRESS t ~~ ,
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~ 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$,672.59 601 Gtou amounl b aelW has (One 420)
1 000.00 602 Can ramxtlona A amount Bas as0ar {hom Nra s20}
135,872.59 eW 6th( )From (=)TO Balkr
133,419.71
58 667.87
74,751.84
Papa t all
tna4ls
700 Tatet satsttfawkera Comm basil on PAea: 171.900.00 ®~% ~ ~ 9/8J10 ParO From PaW Rom 700
GVrialanefCammtrJan(Erw70o)u.Wbws: Bo~vwh s.0.rs
rot 3,987.00 m ERA-NRT, INC. w,me.r wna. et Tor
rot 3,987.00 m REIMAX DELTA GROUP Bsmemene sentemeat r02
7W Ca+rsrtlaarott papa et sememmtt T, 914.00 ms
ro4 TRANSACTION FEE TO RElMAX DELTA GROUPIBROKER ADMINISTRATION FEE TO ERA•NRT, IN 300.00 195.00 ro4
oao Ibams:I'ayabeie~connecB:on_tMlhCoan3 _ =-;- "'
:., '-~ .
":`
ikatwrame a.oal __
Tarotrhsrpes,unneotthmu8naoa: -
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802 YauasditarhaRO(pohb)rar8arpedtbamisanlediosan 8 (hem GFE et) 0.00
807 Your aB,uwdorl8inatlon elvryea (8am 6FE 11)
804 Appralaal he m tham OFE p)
805 t,',rad8repaRm (hem GFEtJI
ace Ta sarvRe m {ham GFE a)
807 Fbed armtetlan io (ham GFE 83)
eae
coq:.;~temlERegy~ad,B)G:i~t~,nde~Ta_B$PaidltYgdvraltca '- _ _ - --- - -- - --
~, trar`aama.roaa xeJct-11 m ~o.oooao thamG~E.,o)
got t mmana PramLm for aam8u m (eom GFE q)
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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
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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
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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
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807
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805
808
807
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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