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HomeMy WebLinkAbout10-21-11J 1505610101 REV-1500 °`IO1-'°' m OFFICIAL USE ONLY PA Department of Revenue pennsylvaMa Bureau of Individual Taxes "`""'"`"~~`"`~`"°` County Code Year File Number PO Box ~8o6ot INHERITANCE TAX RETURN Harrisburg, PA 1y128-o6oi RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY ~~,..~lle~l®~~1 C~ ~~T]]CT~ Decedent's Last Name Suffix Decedent's First Name MI ® ~ ~ (H 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 tip 1. Original Retum O 2. Supplemental Retum O 3. Remainder Return (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Retum Required death after 12-12-82) ijjjjp 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 Sch. O) CORRESPONDENT - THIS SECTION NUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name First Ilne of address Daytime Telephone Number ^ I REGISTER OF WILLSrt13E ONLY .- O ~ - C-1 m~1) C:.~ T ~~ _., • ; ''>C.>'i-I - Jr- -._ - ~_ `'. -SATE FILE. - _ v C.,i _~ Correspondent's rmall address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belie( It Is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE /~.a-fl~R V r ~.c _ ~R ar~~ i~ ADDRESS / ~ rv v~: /~ L mG2c; /Y/1J ~ Z SIGNAT E O~ P P ER~OTHERJTH ES NTAT~IVE ^ ,, /~ ~ ^~DAT~E~ AD REST ~, /~~/5 ~. c~/t. ~i.51 C%1~~~.n~ I ~~/T~'~~ Side 1 L 1505610101 1505610101 J~ J REV-1500 EX Decedent's Name: 1505610105 1. Real Estate (Schedule A) ........................................... .. 1. 2. Stocks and Bonds (Schedule B) ..................................... .. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 4. Mortgages and Notes Receivable {Sdredule D) ......................... .. 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5. 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... .. 6. 7. Inter-~vos Transfers & 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 (Schedule H) ................ ... 9. 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........... ... 10. 11. Total Deductions (total Lines 9 and 10) .............................. ... 11. 12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. 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. 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_ 16. Amount of Line 14 t~ able ak lineal rate X .0~ 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 15. 16. 17. 18. 19. TAX DUE ......................................................... 19. Decedent's Soaal Security Number 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 L 1505610105 1505610105 J REV-1500 EX Page 3 Decedent's Complete Address: File Number /) i~~ ~~ DECEDENTS NAME STREETADDRESS _ ~ ~_~~~~ CITY ~ ~ ~ ~~~ 'STATE ~ ZIP ~~ ~~ Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPaymeMs A. Prior Payments B. Discount ~..~~~!`3 3. Interest / e f Total Credits (A + B) (2) ~`r' ,3~~~ G 4. H Line 2 is greater than Line 1 + Line 3, enter fhe difference. This is the OVERPAYMENT. fftl in oval on Page 2, Llne 20 tb request a refund. (3) 5. If Line 1 + Lire 3 is greater than Line 2, enter the d'rfference. This is the TAX DUE. (5) 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: y~ ~ a. retain the use w income of the Property transferred :...................................................................................... .... ^ b. retain the right to designate who shall use the property transferred w its income : ......................................... ... ^ c. retain a reversionary interest; w ....................................................................................................................... ... ^ 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 w 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 stahrte 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 stiN applicable even if the surviving spouse is the onty 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(aK1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneflclaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)). • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Seclion 9102, as an individual who has at least one parent in common with tl1e decedent, whether by blood or adoption. ^^~~ ) !'. t I, KENNETH E. FANUS, of South Middleton Township, Cumberland County, Pennsylvania, declare 'this to be my last will and revoke any will previously made by me. I. I devise and bequeath all my estate of every nature and wherever situate in equal shares to such of my daughters, KATHRYN ARNOLD, JUDITH DAMS and LINDA DOYLE, as survive me by thirty days. II. Should any of my daughters, Kathryn Arnold, Judith Davis or Linda Doyle,.predecxase me or die on or before the thirtieth day following.,my death, I devise and bequeath the share of such daughter to her issue per stirpes living on the thirty-first day following my death; and should any of my said daughters leave no such issue living on the thirty-fast day following my death, I devise and bequeath the share of such daughter to my other daughters or their respective issue per stirpes living on the thirty; . M ~-, _~ first day following my death. ; _; ~ -• ~: ; _ .:_ `. ~-- - - ,.r_ ..:_ ,} f ,, ; ~, "'C=7 III. I appoint the PNC BANK of Carlisle, Pennsylvania, or its sus.~essor i~ -~~ business guardian of any property which passes either under this will o~,' ~' otherwise to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this appointment of a guardian shall not supersede the. right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor.'. s, support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, without fiuther responsibility, to the minor or to the minor's parent or to any person taking care of the minor, and shall distribute to the minor upon his or her attaining the age of 18 years the remaining balance, if any, of said share. IV. All federal, state and other death taxes payable because of my death, with respect to the property forming my gross estate for tax purposes, whether or not passing under this will, including any interest or penalty imposed in connection with such tax, shall be considered a pert of the expense of the administration of my estate and shall be paid out of the principal of my estate without apportionment or right of reimbursement. V. I appoi~ my daughters, KATHRYN A~tNOLD, JUDITH DAMS and LINDA DOYLE, or the survivors of them, executrixes of this my last will. Vt , I direct that my executrixes and my guardian or their successors shall not be required to post bond or other security for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 2 7~°~ day of /h¢,ccU~ , 2003 ~,<. i~~ ~ (SEAL) KENNETH E. FANUS 'The preceding instrument, consisting of this and two other typewritten pages identified by the signature of the testator, KENNETH E. FANL,iS, was on the day and date thereof signed, published and declared by KENNETH E. FANUS, the testator therein named, as and for his last will, in the presence of us, who, at his request, in his presence, and in the presence of each other have subscribed our names es witnesses hereto. /~ .. i /G~IO /hh<.-t~.w ~aL. 12~, . ~.~ ~~~- J 48500041046 REV-485 EX (05-04) SAFE DEPOSIT BOX INVENTORY PA Department of Revenue PLE/1sE USE OR161NAL FORM ONLY Soaai Security or Death Certificate Number Date of Death County Code Year File Number ~ 03°`! o '3~s/` "~3 3`a'2o=0 ~r ~~/ s o~L 0 a3 ~ Decedent's Lest Name Suffix First Name v t/ ~/ v v ADDRESS OF DECEDENT STREET: CITY: s ~J1/ ~ ,e ~ ~~ c+ , ` - c ~~ STATE: ZIP CODE: f NAME AND ADDRE O ~ ~Z F PERSON R EQ ~71NG THE OPENING OF THE 8 ~( ~~ A F E DEP O ` NAME: ~ / ~ ,, ~ Gvrl q..~ ~~ G//~YJI~GYL.S/ ~-r ~c//~• ~ STREET ADDR SS: ' ~~ CI TATE: ZIP C ~ ~is ~ N ODE: ~ 7~` ''77''~V~ AME, ADDRES9 AND RELATIONSHIP (IF ANY) TO DECED NT, OF PERSON(S) PRESENT AT THE BOX OPENING a. NAME UDY yA+,LJ RELATIONSHIP: STREET ADDR S: GITY• a ,~. ~~~. ~- x~ STA E: ~ ZIP CODE: - ~ b ~ S O. ~~a 5 . . NAME: RELATI MP: <J STREET ADDRESS: CITY: STATE: ZIP CODE: c. NAME: RELATIONSHIP: STREET ADDRESS: CITY: STATE: 21P CODE: NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEP081T BOX IS LOCATED ~ NAME: /~Il/C' ,Q/jl.~,~ S E T D SS: ~I- y CITY j/ ~ t:G.T STATE: ZIP CODE: r~ N E OF PERSON MAKING T ENTRY DA AND TIME OF LAST ENTRY DATE OF CON ~R~C? 70 RENT BOX NUMBER OF BOX I TITLE UNDER pl,H BOX IS REQUESTED `(~~ `~ NAME AND ADDRESS OF PERSON(S) HAVING ACCESS TO BOX s. NAA~E,~~ Fa.~la b. NAME: j ~~ xx ~ ~ .t_ SiR EETADD SS: "-` ~ ~~ll ~D ~~ n ' STREET ADDR 5: ~y1' 1GG~ b•~' ~l/. STATE: Zna DE;. CITY:/e~~~ ~ (, ~ E: ZIP~COpE,• NAME A a~ ND TITLE OF EMPLOYEE TAKING THE INVENTORY WAS A WILL IN THE BOX9 ^ YES NO H yerr, a. Data of will: b. Name and eddnea of personal npnwnbtNe, H named In the will NAME: STREET ADDRESS: CITY: STATE: ZIPCCDE: e..Name end addnae of attermy, H ' y r~ .. PIAME: .. ~ STREET ADDRESS: ~ • CITY: STATE: ZIP CODE: 4850D041046 48500041046 REV-485 Ex SAFE DEPOSIT Rnx ~tw~~-rnrw' Page ~. ofd - - -- --- INSTRUCTIONS (1) Cash: Report total only. (2) Stocks: List in detail every common or protertsd certif[cate, warrant or other rights found in box. Stocks aro to be designated by name Ot company, eerttl~ete number, date of oertlflcate, name In which stock is registered, and number of shams and desa of stock. (3) Obligatlons of U.B. Govemmeltt: Number of llama, date of Issue, face value, names in whk:h reglaterod and type of ownership , i.e., jointly held, peyebk on death, etc. (4) Bonds: Designate by name, amount, serial number, or other designetfon. (Bearer Bonds) (5) Bank and Savings and Loan Passbooks: State name of depositor, number of tx~ok, last date appearing In book name of bank , and branch, and balance. _ ; I ~.. •, ~ ~ .., , ,. ~,, . _. __ (S) Jswrelry, Coins, Stamps, Manuaeripfs, etc; Uat and deaaibe as fully as possible. ,(7) Deeds, Mortgages, Current Insuronos Policies or other wldsncea of indebtedness: us< and deaalbe ea fuly as possible. (S) All otMr oorltants. 4 (9) Return complahd form to: DEPARTMENT OF REVENUE , INNERRANCE TAX DIVISION ` DaPT.260e01 ;: . HARRtSBURO, PA 17128-0E01 , ' ` ; ~ - ITEM _ . NO. ~. .ITEM DESCRIPTION . r . ~~ • , Q / . ~ JvC N~ ' ~_~' 30O ~ 51 .-N ~ ~' ~r ~ /l z ~ ~a~~ ~/2 Wv.~ ..r.~,,e,,yr :. ~ ~ ; ~.~ y ~,: ~ ~~ ~ ~- J c ors , ~,~ ~~ ~ ..~• ~~/'1,r4 r z-s2., . , . ~- .. • r I CERTIFY UNDER PlNALTY OF PER.f AT THE ABOVE RECORD IS CORRECT AND C PLETE TO EST F MY KNOWLEDGE ANO BELIEF. PER ON RE EIVING COPY OF SAFE DEPOSIT BOX INVENtORY: BI ~ 610NATUR ` R ylr~y ~. lit/~/ ice, ~ ~ti/L~-G.~$' PRINT NAME D CNE APPROP TE b0X BELOW: .GOY L. ~RtJ PRINT TITLE ~ ' J ~ /~y~ pATE ~`~'N't CNECK APPROPRIATE BOX: a ~y /~•c~r C'f~ a-G/C iv.Y ~ ~~~ ^Exealtafuix) ^Adminbv~ror(Mx) . . .. K _'1 ^ EWIe Reprs~enlagve ~ Jdnt awNr dl uN d~poell Dox NOTE: Attach additional 8'h" x 11' sheet(s) R negssary or use duplicates of this page of form. ~ ~~ n~putl used by t ~42S.C. ~ (o)(T)(CKI), Oo retlvis dledoellrs of 3odsl Securlly numbers in mrxledion v~lh sdmkdsledlg std tax laws. The Departrront loss the dsrltlfl( penond ropreeerltatlws d the eetaoa. The Carrranwedlh may abo use the hllbrlrtetlort h sxchenpe d tax Inbrnlelion wltlf federal end bcd sutllDdtlee. The aGte law the CorrlmorheseMh'a Iran carlAdentld tax infametlon br oM{cW REV-1502 EX+ (tS-98) SCHEDULE A , COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERRANCE TAX RETURN RESIDENT DECEDENT . in more spay q IINOBO, aaert aOWaorN1 tttaaq at 91e gate alZe) ESTATE OF -- FILE NUMBER ~Gnt.~.S, ti5.nn4~-Eh E. ~I -~L- U3~y All reel property owned wNly or as ~ tenant In common moat a sported at hlr tnerkat velw. Felr market value is defined u the wim m weld, ereev~nv wevJA nn A a.VLV V B. TYPE OF LOAN: U.S. DEPARTMENT OF HOUSING ;URBAN DEVELOPMENT 1' FHA 2. FrrtFiA 9. X CONV. UNIN$, 4. VA 5. [~CONV. INS. SETTLEMENT STATEMENT e. FILE NUMBER: 7. L A ~;MBER: 47b42 E 8. MORTGAGE INS CASE Nl1MBER: C. NOTE: 7TYs Iprrrr b 77rnhfled fo Olw you s afefsmsM Gaqual ss(lkrranf oosfs. Amount paM b and by dN aaHYmarrt aOsrK aro drown ' aeman,arNad l~r»•r•w+dwrsrd. uaaa.rp:uar.f.anownnerenrhto/maaonarPurposaa.ndannor++cwwhuaeorsfa D. NAME AND AODRE33 OF BORROWER: 1a Las ~1a~2JMON1Naa E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: ELSIE RENEE ALLEN KATHRYN ARNOLO, EXECUTRIX FOR BANK OF AMERICA 786 BULL VALLEY RD ASPERS PA 17301 THE ESTATE OF KENNETH E. FANUS 1400 BEST plA7A DR, SUITE 101 , 120 FROST RD RICHMOND, VA 23227 GARDNERS,PA 17324 G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 23.2386180 120 FROST ROM I. SETTLEMENTOATE GARDNERS; PA 17324 '. RoaltySalOemenlServiwa.lnc.'~' - CUMEIERLAND Cotrnly, Pennsylvania PLACE OF SETTLEMENT SePbmber 8. 2008 120 FROSTROAD SOUTH MIDOLETON TOWNSHIP ~ • 266 THIRD ST CUMBERLAND COUNTY, PA ~ ~ HANDVER, PA 17331 J. SUM F B TRA T I ~~-' ; 100. OROSB AMOUNT DUE FRAM BORROWER: , ~ ~At~! 400. GR I!OUW7 DUE T08E1 101. Cm4ac1 se Pdw 140 000.00 401. o Intl d4sl Pdw 702. Parsanal property 140 000.00 402. Pan one~q onsfty 703. 5atbarrrant C b Borrower Ura 1400 14 277.52 ~ _ 40.1. tot. ~a. 108. 106 AOIIIa1RN/da FofOemsPald Y Ia! n adva+rce 108 Gt7+rTOwnTaxsa 11G08 Ad fof aPa /K n aWance . N6 b Ot/OU07 107. Cam Taxes 0&OAgb b 01/OtA)7 111 20 , q pan a~ b OtA1AY/ 107 ~ tOB. AseeesRlBnls b . . 7(aa 01A11N7 AtMaalrnNtb 61.28 4011 109. LlbnravTax010Sg61o01NtA)7 s.oz . b IOe.uaara r.xoiY0Bro8bo1ro1A)T Ito. s.o2 a 171. 111 112, .. ... _ 41 .. f20. GROSSAMpUNTDUEFROMBORROWER.'' 1b4,318.28 120. OROSSAAlDUHTDUE~lOSELLER 200. A 8 D BY E BO R• 110,070.71 201. dtaaamaal R• 202. Prlnd AmaatldNsw a ~ 133000.00 a 602. M 1400 103. ExbWa ban(s) taken autrMd tp Exh 29080A7 104. 205. s a b SDI. Pa (Io! hd 206, a 0 508. 207. 2A8. 507, alt , as d< 200. SELLER CRE01T 4200.00 600. 600. L 0 Ad MrsMaFofOamaU 1d8 Sa/ef 210 CI own Taxes 4200.00 Ad sFofOams kiS Sblsr . b 211. CounlY Taxaa Ip b1 I arw p '12. Asaasarronte to 511. Cam xq b ~t3. 512. Asasatmenb b ?14. 513. 275. 614. 218. b15. 217. 618. bt TAXCERT 2~ . IFICAT bJUDYACAMPBELL 5Op I _ ?19. 518. 510. ?20. TOTALPA/DBYrFCRBOQROWER 137,700.00 520. TDTALREDUCT1pN~MOUNTDUBSELLER 100. CA8H AT 8E LE TF ? R R: 33,673.41 101. Gross Ampmt pus kan B r Una 1 161 318. A9 T NT R 8 L R: 801 G T 102 t PsW B Fa wr L na 220 ..~ 137,700.00 . o Una 120 .802. Lwa RaducBaW Dw Ssla Una b20 140 070.71 ip,. C'ASH(XfROM)( TO)BpRROW64'...... -- 18,&8.28 33,873.11 00.1. CASH(XTO)( fRO1N)SELlJf34 ,r 108,107.33 1 NAVE CAREFULLY REVIEWED TI ACCURATE STATEMENT OF ALLF THAT I rIAVE RECEIVEQ,P CpPY EL IE ~~! - - __ - 7t1THE BEST OF MY KN LE PONDS WHICH WERE R TRMISACTION. ;x~ n WARNING: IT IS A CRIME TO I(14O' CQNVICTION CAN INCLUDE A FINf 7. •., k. . ~...,.. •^ • ,,,•,,t,,•~~ w+r w papw 7GL tN mr wWneM; any aaaatnrrw Harrod b Mrai7. 'HUD-i SETTLEMENT STATEMENT ANO TO THE BEST OF MY KNOW LEpGE ANp gEUEF, IT IS A TRUE ANO CEI S ANO DISBURSEMENTS MADE ON MY ACCOUNTOR BY IN IS TRA SAGTION.~ 1 FURTHER CERTIFY UO.ISETT ST TEMENT, Selef '. THE EST. OF KENNETH E. FANUS [ O.1~fIETTLEMEN7 STATEMENT WHICH I NAVE PREPARED IS Ai TRUE'AND ACCURATE ACCOUNT OF THE IPII BEEN OR WILL BE DISBURSED BY THE UNDER81¢NEO AS PART OFTHE SETILEMENr OF THIS ~Y MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON IMPRISONMENT. FOR DETAILS SEE: TITLE /8 U.3. CODE SECTION 1001 ;SECTION 1010. /®r; ~~- ~~~ hp0l L.acllLtmtNf GRARGES 700. TOTAL COMMISSION Basadon Prlce i 1A0 000.00 8.0000 % 8400 00 . mon Non as owr PAOFaOM PAnFapM 1. 4, to eoraavexs aeu.ars 2. 4, t0 NNm AT PUNm AT 7 erl a a 011 enl BeRIMENi eE7TLB,lNT 704. 800. ITEMS PAYABLE OJ CONNECTION WITH LOAN 801. Loan d Inallon Fos to 802. Loan 04munl % b 803. al ee to L IL 804. redit Rs rt to I 805. AX to ~ BROKER FEE b MORTG ONE LLC ; 7 to 1 ~ ~ to 8 I Ip 870. MINI RA E o M I 811 4 . 812. ' 813 . 814. LL I to 815. I p 151. 81 8 817. 818. 1 820. 800. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 907. Inlergt From 0&08108 b 10/01A16 i 24.B000OOka 23 de s % e nwrerrm nm mon o 585.80 903. Hazard Inaaana Premium for 1 0 nt b . 904. 905 . 1000. RESERVES DEPOSITED 1MTii LENDER 1001. Hazard Irwaancs 4.000 rrrand7t S 55.73 rl10ntl1 222.92 1002. s Ineuranm 0.000 mon0ls 88.4b mon01 7003. CI ownTarars 8.000 monlhe. 18.88 rtlantll 131 04 . 1004. Caun Tsxee 0.000 rrrOnBM mon97 _1005. Aessesmenls .1.000 1170119N S 82.98 mOntl1 331.84 1 p~ 1 1008. AGGREGATE ADJU TMENT rtlonlha 1100 TITLE -75. . CNAROES 1101. SeIe9menlM Clog Fee b 1102. AbWnd or TBe Search b 1103. I R F b Real 6etden7enl Sardms Ine. 15 50 t tad. CLOSING PR ECTION LETTER b LD REPUBLIC NATIONAL TITLE . 1105. Document Po radon (p 35.00 1108 Fees C . b LERK 7107. Atbme s Fees b NUMER b DANIELS POC 2500 a s sm rs: 1108. TI n EAL Y RVIC lndudea above 1em mmrbers: .75 ti 9 en a r . 1710. vne s Quota a 14 , 7111. ndOrlielMnlt 1 to L 1112. 111. ' 1200.OCNERNMENTRECORDING AND'TRANSFER CHARGES r 1201 Recor P : O d • . rose se S 98.80 Ma s S 84.60• Relwse 1202. Wn e 103.00 e 1203. State Taa/Sla Revenue S 140D.00; Mor s 4 ~ 7204. 1100.00 1206. 1700. ADDITIONAL SETTLEMENT CHAROEE 1301. Surv Ie 1302. I'sel N7e Oon Ip 7303. SEPTIC INSPECTION b PECKS IC SERVICES 1304. SEPTIC SYST M b PETE TOGS 1 077.60 ~ 1305. 2 0 0 81200 7 SCHOOL TAX DUE b JUDY A CAMPBELL, TAX COLLECTOR 7/1/08.6IJOr07 804 ~ 18600'00 1400. TOTAL SET7LFJNENT CHARGES Enhr on UnH 103 S~eBon J and 502 Seetlon M . 190.91 ev rbNro roa.ram.rwn.N.tw'L.' ..y.~raral tIdIMlYapp rmrlN W a mwYtrl mwd roro f ei u~ ~....~.r....__~. 14.277.52 29868.41 Really SetBsmenl SarNms, Inc. Seldemenl A71ent l IrNi/176~7176) TAX PARCEL NO. 40-41-2676-005 DEED MADE THE -' day of r9-t in the year of our Lord two thousand and six (2006) BETWEEN KATHRYN F. ARNOLD, Executrix of the Last Will and Testament of Kenneth E. Fanus, late of South Middleton Township, Cumberland County, Pennsylvania, Deceased, party of the first part, hereinafter called GRANTOR, AND ELSIE RENEE ALLEN, single woman, of 785 Bull Valley Road, Aspers, Pennsylvania 17304, party of the second part, hereinafter called GRANTEE, WHEREAS, the said Kenneth E. Fanus died a widower on the 30th day of March ,2006, seized in fee of the hereinafter described real estate, and by his Last Will and Testament dated March 22, 2003, which since his death has been duly proved and remains of record in the Office the Register of Wills in and for Cumberland County, at Carlisle, Pennsylvania; and filed to Estate No. 21-06-0379, provided, inter alia, as follows: "V. I appoint my daughters, Kathryn Arnold, Judith Davis, and Linda Doyle, or the survivors of them, executrixes of this my Last Will. VI. I direct that my executrixes and my duardian or their successors shall be required to post bond or other security for the faithful performance of their duties in any jurisdiction." WHEREAS, Letters Testamentary in the Estate of Kenneth E. Fanus, Deceased, were issued by the Cumberland County Register of Wills to Kathryn F. Arnold on the 28th day of April, 2006, without the requirement that any bond be posted by her, which Letters Testamentary remain in full force and effect; and WHEREAS, Section 3351 of the Probate, Estates and Fiduciaries Code (20 P.S. § 3351) gives a personal representative power to sell at public or private sale any property not specifically devised; and WHEREAS, the hereinafter described premises were not specifically devised. NOW THIS INDENTURE WITNESSETH, that the said Grantor for and in consideration of the sum of One Hundred Forty thousand and No/100 ($140,000.00) Dollars lawful money of the United States, to them in hand paid by the said Grantee at and before the sealing and delivery hereof, the receipt whereof is hereby acknowledged have granted, bargained, sold, aliened, released and confirmed, and by these presents, do grant, bargain, sell, alien, release and confirm unto the said Grantee, her heirs and assigns, ALL THAT CERTAIN lot or parcel of land with improvements erected thereon situate in the Township of South Middleton, County of Cumberland and State of Pennsylvania, bounded and described as per the magnetic bearings of 1951 as follows, to wit: BEGINNING at a point in the center line of the Frost Road, said point being also a corner of land now or formerly of Donald Haskell; thence South 8~ degrees West a distance of 6.1 rods to a point in the center line of said road; thence by other land now or formerly of Edwin T. Fanus et ux, of which the herein described premises was a part, North 74 degrees West a distance of 12.2 rods to an iron pin; thence by the same North 8~ degrees East a distance of 6.0 rods to an iron pin; thence by land now or formerly of Donald Haskell South 74~ degrees East a distance of 12.2 rods to the place of BEGINNING. CONTAINING 73 perches, more or less. BEING improved with a one-story residential dwelling known as and numbered 120 Frost Road, Gardners, Pennsylvania 17324. AND BEING the same premises which Kenneth E. Fanus and Helen C. Fanus, husband and wife, by their deed dated November 5, 1966, and recorded on the same date in Cumberland County Deed Book D, Volume 22, Page 1040, granted and conveyed to themselves. Helen C. Fanus died December 29, 2002, thus vesting all right, title and interest by operation of law in her surviving spouse, the decedent herein. TOGETHER with all and singular the buildings, ways, water, water-courses, rights, liberties, privileges, hereditaments and appurtenances whatsoever thereunto belonging, or in anywise appertaining, and the reversions and remainders, rents, issues and profits thereof; and also, all the estate, right, title, interest, use, trust, property, possession, claim and demand whatsoever, of the said Kenneth E. Fanus at the time of his death, in law, equity or otherwise howsoever, of, in, to or out of the same: TO HAVE AND TO HOLD, the said hereditaments and premises hereby granted and released, or mentioned and intended so to be, with the appurtenances, unto the said Grantee, her heirs and assigns, to and for the only proper use and behoof of the said Grantee, her heirs or assigns, forever. And the said Grantor does covenant, promise and agree, to and with the said Grantee; her heirs and assigns, by these presents, that the said Grantor has not done, committed, or knowingly or willingly suffered to be done or committed, any act, matter or thing whatsoever whereby the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged or incumbered, in title, charge, estate, or otherwise howsoever. AND the said Grantor covenants and agrees that she will warrant specially the property hereby conveyed. WITNESS the due execution hereof the day, month and year first above written. Wi~ness: "~~ r~. C~rL~t V SEAL ~ ) KATH YN F. ARNOLD Executrix of the Estate of Kenneth E. Fanus, Deceased Commonwealth of Pennsylvania ) ss. County of Cumberland ) ON THIS, the ~ "- day of t 2006, before me the undersigned officer, personally appeared KATHRYN F. ARNOLD, Executrix of the Estate of Kenneth E. Fanus, Deceased, late of the South Middleton Township, Cumberland County, Pennsylvania, known to me to be the person described in the foregoing instrument, and acknowledged that she executed the same in the capacity therein stated and for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my ha and official seal. GPI/ ~ ~ ~ (SEAL) Notary Public NdW11Al ~61-L wuw~ s ova liaay rublo c~u ~o~awi+, a~w c~ouMv MCI Ca1rNMon bq~M Ocf 19, ZOOe CERTIFICATE OF RESIDENCE do hereby certify that the precise residence and complete post office address of the within named grantee is Dated: ,2006 Attorney for Grantee CERTIFICATE OF RECORDING SCHEDULE E coMMOtm~xntoFrEartsvw,aw CASH, BANK DEPOSITS, 8~ MISC. ~ r~x `~" PERSONAL PROPERTY ESTATE OF FILE NUMBER 4'GAI,tS ~~nn~~h E. ai- ot~-o3~y Indude fhe prooeeda of tlapatlon and the date the ptoceede were roceived by the estate. AU P-oWKN le~Y wah 1M rlpM of wnivontitdp must M dkcbeed on ticheduN F. ITEM VALUE AT DATE NUMBER ~ DESCRIPTION OF DEATH t. ' ~~ C C D ~ 3 is no 1 S~ ~,~ y ~ ~ 1. s 93, Sy 3 PrJG C-~~~~^S accol~k ~ SI - ~"yo_3~s'c, ~.oGS Ct~~rol~~- Sfdan vs~l ~~.~i W~saEosSi~s~,~ y ~~n~ Pro~(~ _ _ .., ~~k»~(+_ ,G,.ry~tY lZrd+t L'V w,„. i, fl.~:lMi <•~- P~~~ -rG~c ~-~ . ,. 1~, ssv.ll l0~ GDD ~ GD ~~ ~,~.fl, ao pV I 7o,~ys ';~~3C5; `z'~- ,... TOTAL (Abo enter on INte 5, Recapidtladon) i ~~ ~.x(.,~~/X~ _ (If more apace i>s needed, Npert aOdWon~l eiteeb of the carne size) PNC Bank For 1Hse od 03/23/2006 tto 04/20/2008 ~ KENNETH s~--------.--- HELEN C FANUS x 120 FROST. RD tiARDNERS PA 17324-9019 PNCBANK Primary account number: 51-4040-3656 Page 1 of 3 Number of enclosures: 0 For 24hourbanking, and transaction or interest rate information, sign-onto sa Account Link® by Web on pncbank.com. For customer service call 1-888-PNC-BANK between the hours of 6 AM and Midnight ET. Para servicio en espariol, 1-866-HOLA-PNC Movin6t Please contact us at 1-888-PNC-BANK ~, ~ ®Write to: Customer Service _ PO$ox 609 . -. Pittsburgh PA 15230-9738 _ -- _ - '-' - ` "~l/isk ua at pncbarik:com -__ ®TDDterminal:l-800-531-1648 . .. ... For heartng impoired client. only R~Isdonship OMM~i~MI _ ^wwk De~w6it Aoc~untr Description ~ Account Numtrer ~ ~L~ 6 '9 ~ O~ . . Deposit Bslance / Intrmat Chrc:king 51-40408656 - __] lfi 841.64 V r_'trtificate(S) Of Deposit Total of 1 ~ Z ZL ~~~C/ 1,593.54 ToW Depoaite -. 18,435.18 r For information on exciting offers and promotions for our free Online. Hill Payment service, stop bpy~,~a~ny~,,P,NC Bank office, visit pncbank.com, or call 1-800-PNC-DANK for further details: ""'^1 SO plus Kenneth E Fanus ilntt~r~st Ch6oking Aooouiint SIONIImary Helen C fanus Account number. 51-4040-3658 Bilswoe :mwmary Beginning Deposits and Chooks and other Ending ---babnce_ ..,_.-___ otharaddlNons... ... _ ,deductions balance -. 17.648.68 4,575.61 9,182.65 16,841.64 .~. ---- - "'"Ave'~(tiiiionthfy..._....... .___T-._.Cltirgee'_ ._,.._.. baAnce and fees 18,195.80 .nU TtrawtNavflion summary. " , Chocks geld/ Check Card P03 Check Card/Bankcard withdrawals signed transactions POS PIN tpnsactions 5 p p Total AT.M PNC Bank Other Bank • transactions ATM transactions ATM transactions U p p Ialer~st stummary Annual Percentage NumMr o- days Average collected Interest Eamw Ylsld Earned (APYE). In interest period balance for APYE this period O.lOi 29 18,]95.80 1.49 Please see the Activity Detail section for additional information. Aa of 04/20, a total of $SAO in interest was earned this year. FORM963R-7005 Total Banking Statement p For 24hour information, sign-on to Account L1nk ® ~ ~ pfd 03/Z3/2008 to 04/20!2008 8 KENNETH E FANUS by Web on pncbank.com. ~ Primary account number: 57-4040-3656 Account number: 51-4040-3656 • continued Page 2 of 3 Actlvity Detail I tvvpoeRe ana valor Additions Dab Amount Description 04/03 1,563.18 Direct Deposit • Civil Serv • US Treasury 312 A 2294026 0 CSA 04/03 811.00 Direct Deposit • Civil Sere , US Trea 312 F 27 There were 3 Deposits and Other Additions totaling =2,376.81. Bury 93622 W CSF 04/20 1.43 Interest Payment ,, .. . Checks and Substitute Checks Check Data ~ ^ Amount paid Retennca numtar Cheek Data Reference 37.95 03/31 56 52 03/31 o25a7912a o nu r Amount 27.00 paid 04/11 number o27eoa9at . 32 200.00 -04/03 2so64oao oY4ssas75 3380 485.00 04/ 12 026541490 "Gap in check sequence vnatoe ana alecrtronlts sankinB Deductions D Amount I7•scripllon 04/05 2.00 Direct Payment -Apr Priority 50 Plus XXXXX4819 04/ 14 1,563.18 Direct Payment -Reversal US Treasury 312 A 2299026 0 CSA 04;/14 811.00 Direct Payment • Reversal US Treasury 312 F 2793622 ~V CSF There were 5 checks listed totaling ~ee.47. There were 3 Online:or Electronic Banking DtldttGtiona totaling :2,378.1 i. Daily Balance Detail _ __ .. Date Balance Date Balance Date 03/23 17,648.68 04 03 19 728.39 Balance Date Balance ' 03/31 17,554.21r~ 04%05. 1,726.39 0%12 19,214.39 04%20 16,84.64 ~---- Are you Renting? Take a look around. ' Wllat would it take to replace your valuables2 Learn about Renters Insurance today. Visit rentersins.com/pnc Product not available in FL, NC and NJ. ' Certificates of Deposit ' Helen C Fanus Kenneth E Fanus Investment Description Matun number ty date Interest Orlyfnal or urrent 31200152824 Rcady Access CD • a rate renewal value ~ value 04/12/2007 2.75 % 1,592.58 1,593.54 ToW owront tralue 1,593.54 MOTOR VEHICLE BILL OF SALE KNOW ALL MEN BY THESE PRESENTS, that the undersigned for and in consideration of Ten Thousand and No/100 ($10,000.00) Dollars, the receipt and sufficiency of which is hereby acknowledged, does hereby grant, bargain and sell, transfer and convey to LINDA FANUS DOYLE, her heirs and assigns, the following motor vehicle: one 2005 Chevrolet sedan, Vehicle Identification Number 2G1 WFS2E059125729. TO HAVE AND TO HOLD the said motor vehicle unto the Buyer, her heirs and assigns, to and for her own proper use and benefit forever. AND the Seller warrants that she is the true and lawful owner of said motor vehicle, has the full power and right to sell the same and that it is free and clear of all liens and encumbrances. AND the Seller and her heirs hereby covenant with the Buyer, her heirs and assigns, to warrant and defend the title to the motor vehicle against the lawful claims of all persons. IN WITNESS WHEREOF, I have set my hand and seal this day of January 2007. THE ESTATE OF KENNETH E.. FANUS, DECEASED Witness: STATE OF MARYLAND ~J l~`ti`CX ~EAL) KA RYN F. ARNOLD Executrix SS COUNTY OF I~ a l -I- ~ rn o ~ ~ ) On this l 6~' day of January, 2007, before me, a Notary Public, the subscriber personally appeared, known to me to be the person described in and who executed the foregoing instrument, and acknowledged that she executed the same as her free act and deed. Notary Pudic My Commission Eatpires: ~~ ~ 1 aoc, 7 (Notarial Seal) N 07 ~A CJ1 N ~% f /moo F~~~°• ~ ~,.:= ------ _ . d .:. _ ~~ ~ ' ~ _ .~- ,, ~ `~~~~ ~ /lam /~ ,, ~ , :_ -. ~~ __ _ _. .,, . __ . _ __ ~~ .~/ f n __. _.'.__ ._ _ // ___ _-- ~ --_..._. ..~_~..~~1.//. _.__- _ _ ~~ r / .....~. ., A..~~._.. -- I ___ ~ .,_ - ~ _ _.v~~ r ~1i i ~'~f~/~/Lt i 1. .'i ~ ~ t S t'f _____-_ ' r .,. -i -, i ---- r ~ ~ ._-.__ ~ ~G__ -- - --- _. -- _.__ ~,~._ _ _ . . .._ . __..~__---_--------_-__ _ -cam ---~ L_~.~"---"---- --~~. .._.. ----------...----------_--__-_._- _-l___rJ_ ~~ r ,rr~ ,, _. _ __.. F~~~s ~-M._ .... , ~' ~ae•oo+ 98.00+ 1,298• ~ - --- --- - ~_ .. . . .:. . ,~- , -~' _ 9 0~ ~ - _. __ _-- OMB NO. 2502-0285 A 8. TYPE OF LOAN: U.S. DEPARTMENT OF HOUSINr3 6 URBAN DEVELOPMENT 1.QFFIA 2.QFmHA 3. X CONV. UNINB. 4. VA S. ~CONV. INS. 8. FILE NUMBER; 7. LOAN NUMBER: ~ ETALEMENT STATEMENT 47642 86u236160 8. MORTGAGElNSCASENUMBER: C. NOTE: [fqs form !s hanfslred f0 pHs you a defemenf of atfud sefflernenf mats Amounts peH b and by the aeffNmeM sysnf ere afgwn. Hems nwrbd (ADC/' wore pdd oufsMa fire cfwhp; fney ere shown hoe for hformdbnd purposes and en not hcfuded h Nre bfda D. NAME AND AODRI ELSIE RENEE ALLEN 785 BULL VALLEV RD ASPERS,PA 17304 KATHRYN ARNOLD, EXECUTRIX FOR THE ESTATE OF KENNETH E. FANU3 120 FROST RD GARDNERS,PA 17324 SANK OF AMERICA 7400 BEST PLAZA OR, SUITE 101 RICHMOND, VA 23227 G PROPERTY LOCATION: 720 FROST ROM - GARDNERS; PA 77324 CUMDERLAND Couny,PennsyNanb 120 FROSTROAD SOUTH MIDOIETON TOWNSHIP H. SETTLEMENT AGENT: 23-2386: ReeltySel6emenlSerNtes,lnc,' PLACE OFSETTLEMENT 25B THIRD ST HANOVER, PA 17331 I. SETTLEMENT DATE: September 8, 2fX)8 9~ 120. GROSS AMOUNT DUE FROM BORROWER 164.348.28 ~ ~ 420. SELLER l ?20. TOTAL P~ BYiFOR BORROWER 137,700,00 320. TOTAL REDUCTION AMOUNT DUE SELLER 1 33,873.11 100. CABH ~ ETTL ~! F ,BORROWER: 800. CA A L El~~ T R BELLE 101. Gross A~~ t Due Rom Borrower Une- 1T 28T"~ 164 3 ,28 801. O A s To 8N W Lln 420 W2. Less A ~ a BerlONer M 220 137,700.00 802. Loss Rs aM Due Soler UM 620 140.070.74 103. CASH (:E ' ~, ROM) ( T0) flORRQW64 33 873.11 16,848.28 60.7. CASH(X70)( FRQN)SEf1.E74 108,197.33 The undersp hereby edulowbdpe raospt of a mmplela0 oopY al popes 1 b2 of Nb sle7emenl b eny slletl7menle retorted b hsreln. I HAVE C lLV REVIEWED THE HU0.1 SETTLEMENT STATEMENTAND TO THE BEST OF MY KNOWLEDGE ANO BELIEF, IT IS A TRUE AND ACCURATE. TEMENT OF ALL RECEI SAND DISBURSEMENTS MADE ON MY ACCOUNT OR BY M IN IS TRA SECTION. 1 fURTHER CERTIFY THAT I hIA CEIVEL],(7CQPY QF U0.1 SETT S TEMENT. Bo ' Selef ` ELSIE q ' THE EST CF ~_ IX TO THE SE MY KNQ~LE D•i SETTLEMENT STATEMENT WHICHI h1AVE PREPARE0IS A TRUE ANO ACCURATE ACCOUNT OFTHE TU~NOS~WH ,WERE R9~ • ~ SEEN OR WILL BE DISBURSED BY THE UNDER&QNEp AS PART OFTHE SETTLEMENT OF THIS MANNING: A CRIME TOIPIOWINGLY MAKE FALSE STATEMENTS TO THE UNITEp STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON :ONVICTI INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE: TITLE 18 U.8. CODE SECTION 1001 6 SECTION 1010. YiQq ~' L. SETTLEMENT CHARGES ,,,~ r..~.r ...,....,.._._.. _ ---.._..-~__•••••~....... wrwrvn nn:w~ i 140000.00 B.DOOD 96 3400.00 Oltrs PAID (1081 PADP on On p OWY WM 7D7. f 4. Ip aDNIdYE/r9 BELLDi'8 7 2. 4, 10 rurwa AT Pinata AT 7D3. Comm lion ald at e3 and aemEAe:nT aemeranT 704. l0 ,4 . 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Or lion Fes % to 802. Loan DNO0un1 % b ~3• f° ~ to L IL 804. r t IN N 805. AX o A 7. 3 808. BROKER FEE to MORTGAGE ONE LLC 5. 807, MORT A BR to MO N 9 i 330'0 0 2 808. LOO RT to L I VI 809. PRO EBBING FEE to M A N , LL t ' 810. ADMINI TRA IVE E to N AM I 85. 311. 4 812. 813. 814. C LL I ID 315. C LL I o 1 816. 2008 T U til JU A L L , 317. 313. 819. B . 900. ITEM9 REQUIRED BY LENDER TO BE PAN3 NV ADVANCE 901. Inlerpl From OGO3108 b 10/01/08 S 24 800000Ai . a ( 23 da s % 90 585 80 • nwanos lsm Or mon o . 903. Hazard lrlaasnca PrerNtvn br 1 0 are b . 904. 905. 1000. RESERVES DEP081TE0 WITH LENDER 1001. Huard kmuancs 4.000 nto1t81a 55.73 rrlonlh 1002. s Inaulanos 0.000 mon ~A5 1rDIttl1 222.92 1003. G Tarp .000 mon3ls, 18.88 r11Dr18t 1004. Coun Tatra 0,000 mon3q 131.01 It10nw 1005. Asasaamenla 4.000 ntonels S 82.88 mon3t 331.34 100. monllu r moral 1 7 1003. AGGREGATe ADJUSTMENT mon8la O r mon t 1100. TITLE CHARGES -75.72 1101. Stlltlarttenl rr Cba F'ee b. 1102. Abalrsdor Tige Saan:h b 1103. C F b Real SslOanwnl SeMnos Ire . 1104. CLOSI PROTECTION LETTER b LD REPUBLIC NATIQNAL TITLE 15'50 1105. Doc - PIS soon b 38.00 1108. Nolar s to CLERK t 107. Alloma a Fees to HUMER 8 DANIELS 25'00 i a above Ism n rs: POC 1108. T I RVIC S Ind/Msa shove Iem rNlnbara: L TI 1 058.75 110. en r s 1110, rm 1 t 111. ndorae111an1a i o 1112, r ; 1113. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES , 1201. Recur Fps: Llsad S 38.50; Mor e S 84.50; Releaaea S 1202. a 103,00 t 4 1203. SIaN ~ e 1 4 al1W 8 1 400 00 Ma e . 1204. 1400 00 / . 1205. t;1, t 300. ADOI110NAL SETTLEMENT CHARGES 1301. Surv b 1302. Peel Ina Don b 1303. SEPTIC: SPECTION b PECKS SEPTIC SERVICES 1304. SEPTIC TEM b PETE BRIG 1 077.50 ~ 1305.200 7SCHOOL TAX OUE b JUDYACAMPBEL L TA)(COLLECTOR 18300.00 ~ , 7/1/08.8130/07 1400. TOTAL lfETTLEMENT CHARGER Enly on Llnp 103 S B J 301,53 190.91 / ec on and 302 Ssctlon K 4 MB~V roar YMwnnr.MayrobMraWnMalBO rarer ela mnltelil unrd wmaau~r.n ~..,..w..Y., 14,277.52 29.838.41 ruaaraet i~~ u~P'~' ~ ` . .. REV-1511 EX+(10-OB) ~ • COMMONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN RESIOI.NT DECEDENT a SCHEpYLE H FUNERAL EXPENSES 8- ADMINISTRATIVE COSTS cv ~ n ~ c yr FlLE N1 ~M~ER ~AntnS, ~5n~tkh ~. ~)-bG-b3~y Debt of dsoedent must bs reported on Schedule L ITEM , A. FUNERAL. EXPENSES: ~- kospJJ~'Ft~t i-~L.~ Y B. 1. ADMINISTRATIVE COSTS: •Pereonal Repreeentatlw's Commisabne Name of Personal Representadw(a) Street Address ~j, ~YI,Op ~f~-l,ov NDNE State Zip Cily Year(s) Commission Paid: 2. Adomay Fees /~~l ~~ /C~- r~S~~~ilfY~C'~~ // ~I (a 30 ~ 00 3. Famiy EXempdon : (it decedents address b not db name ae daimenre, attach s>~lanatbn) N O rl Claimant Street Address • Gty C Stela Zip Reladonahip of Claimant to Decedent 4• Probate Fees .~s ijisl~-..y- .~ ~y~ ~~ u/~ ~CrC.>(3~G s. ~ --~ - ~~is~ ~1-5 '~i~S s. { --~ ^ Shot-l- c4r~li~cw~- y~. oo ~. y~. ap` _ 'ct r rf ' Cbt rrt I1Gl (k r~ G~ ~.G. bJ JQ (.~! (1(,r;~ " ~o. ~~yC~~.l~/~ Q~prc~uc~~ f~~ 7 5. D O //. , ..:. fit. S~ /~~ic,~. (~ obtr~C. ~ SS,oo . 1, D ~ TOTAL (Also enter on fine 9, Fiecapftuladon) s ~ 9, ~~.;. (I} more epaoe is needed, insert adddbnal alteete of db came size) ~. ,> REV-1512 EXt (12-03) cor~tfroNwEAUN of aENNSnvaNu a1NERITANCE TAX RETURN RESI~NT DECEDENT ESTATE OF " SCHEDULE 1 DEBTS OF DECEDENT,` MORTGAGE LIABILITIES, & DENS TtepoK debts incuned by the decedent prior to dealt(which remained unpaid as of the date of dba~ inclu ITEM JMBER DESCRIPTION ,. pct 8~c ~ s ~ s, y,~.~~: ~~ ~,r~.. FILE NUMBER unnimbursed medkal •xae~ _. •. s-: - ~~ - ?, ~• ~ y 14~. 9/ .~ -G. ~' ~~ ~~ ,~ ~~, (If nwre space is needed, Insert addftlonal sheets of the seine size) /~ Grj'D. D6 1~,~,~ ~, ~c ~~ .~3 ~, cn ~~~~~ .. REV-1512 EX~ (7•B9) COMMONWEALTH OF PENNSYLVANIA SCHEDULE "I" INHERITANCE TAX RETURN • ~ - ' DE6TS OF DECEDENT, RESIDENT DECEDENT MORTCiA(3E LIABILITIES, AND, LIENS ESTATE OF FILE NUMBER i • ITEM NUMBER ~ DESCRIPTION AMOUNT ,, - G~ ~~. f ~ ~ . ~~- 3~ x%31, ~ ,. ((, nar..V~w ~. R..d.d I~wrt WdlgonN N,~. of am. w~ .. , .. pUr,-3C-200Ef(0E0) !!1;~p GEORGE E6E~'JER & A550C;FTES ~ (FAK1717245b69° P OC3 ~ 08/29/2096 22'07 x863531 /.OA PECKS SEPTiC SERV1C;t rHtaG r~ coda FOR SERVICES RENDERED -^~ --- ~ rvgri v7JJ ~~-~~ FU,-3f~-2dd5("~`_d? Id; Sr GE7Rr,E ~ EBENER & A550~=IATES (FRX;717~~50649 08/39/2806 22:07 4663531 PECKS SEPTIC SERVICE pmck'a Septie 8ervica 68 p3ao BcY~oo1 Road Gardners ?a. 17374 (?17)-4s6-5698 aII,LI2QG FOR S11LE OF PR0A8RTY Att: Order Number #:4168 EBNER QEORCiE a. & ASSOCIATES REALTORS 139 W. HIGii STREET CARLISLE PA 1?013 REALTOR EBIKER GEORGE L. & ASSOCIATES REALTORS 120 FROST ROAD GARUNERS PA 1732A 9IT8 AL)AR,838 BILL2t~T0 =ND'ORI~TIOtQ pate Furnped: silling Date: Se~n-ice Charge Date: pumping Charge: Labor Charge: MaCerial Charge: Service Charge: TOtaZ Due: 10~C 71.ddad After 30 Dsys EvaI. Pagsing Status Yea Cr NO: F.dd2/dd4 FAGS 01 8/30/X06 e/ze/2cos ~~ e/so/zoab ~~~ 5120.00 5492.50 $3$5.00 $80.00 $1079.50 ~,~Pass or Fail) ) C1~nssr 1-rr~ Reevonsibl' for Pavaae~C e! Bi7.1 WORIt OOt15i •*******+****• PERFORMED SEPTIC SYSTEM INSPECTION ******" *w*-R~~~A'~D AT, 120 FROST ROAI], GARDNERS'~*"'*'"*'"******+e,r****r*+ 5/06 DUG EXPLORATORY DIG FOR DRATNFIELD,(NO DRAINF'IELD), UNCOVERED SEPTIC TA1~K TOP,CESSPOOL,5/30/Ob FTLEA APPLICATION FOR NEW SYSTEM,DUG PR08E '~E3T IiOLES,DUO AND PREPED 6 PERK HOLES DESIGN FOR NEW BYSTEM,PCIMPEJ7 SEPTIC TANK,B/06 NEW SYSTEM INSTALLED. THANK YOU. P8C'1C' f3 88PTIC 9ERVSCE, SRRVIliC# T8s COisOfWiITY SINCE 1968 o~~~ TRl1p![ YOQ FOR LETTING 'Q3 88RVE YOII. ~•~ F1 - waee 8. TYPE OF LOAN: U.S. DEPARTMENT OFNOUSING d URBAN DEVELOPMENT 1,QFHA 2. FrtIHA 3. X CONV. UNINB. 4.~VA 5. CONV. INS. SETTLEMENT STATEMENT 6• F1LENUfdBER: 7. L OAN~'MBER: 4764z ~ B. MORTGAGEIN3 CASE NUMBER: C. NOTE: T7ds kfm k+ 4nlblrsd b 9Ne you a sfslmrlsM d adual seflNmeM ODala. AmooMa pskl b arrtlOY OM selft.msM apart are lows 8 ' ' ems nterNSd (POCI wsro pdd oufs/ds . flts cbeip; fMy are shown Itme 11)f h/amaf6nal puryoasa and aro rb(hcided h fM fofNs D. NAME AND ApDRESS OF BORROWER;, E. NAME AND ADDRESS OF SELLER: F. NAME ANp A tODRE39 OF LENDER: ' ELSIE RENEE ALLEN ~ KATHRYN gRNOIp, EXECUTRIX FOR BANK OFAMERICA 785 BULL VALLEY RD ASPERS PA 17304 THE ESTATE OF KENNETH E. FANU8 1400 BEST PLAZA DR, SUITE 701 - , 120 FROSTRD RICHMOND, VA 23227 GARDNER3, PA 17320 _ G. PROPERTY LOCATION: H. SETTLE MENT AGENT: 23-2385180 120 FROST ROM I. SETTLEMENT DATE: GARDNERS; PA 17320 Really SelBement SexNoea, Inc.~~ CUMBERLAND CoImN, PenneyNanle PLACE OF SETTLEMENT 3eplember B, 2008 120 FROST ROAD SOUTH MIDDLETON TOWNSHIP 250 THIRD ST CUMBFJtLAND COUNTY PA HANOVER, PA 17337 J. M TRANSAC I MARY R 100• GROSS AMOUNT DUE FROM BO OWE R' ~ TIO ORB AA U N tot. Conhad eaPdoe 140 .00 . ~ N TO SELLER: 107. Carib ,1 ~ rl 102. Personal _d PorsanN Pr t '- 140 000.00 703. 3eltkrroM Chmtwa b Borrower (Uns 14001 14 277.52 103 104. ~ . ~ 105. ~ Ad sfntsMSf0f6errNPaldB IMAWVmIC9 108. G own 7axa OW09N8 b 01/01 7 ! fr7mna B Ss/aNaadvance 406 CI 707. CounNT~asa 09109A6 b 01/01!07 108. Assessments a 87.26 . b 01AD1 107, Ilp OtA1l07 81.26 109. UbraravTax09/08/081o0/p1X17 5.02 408. Aa w b b 409. Ubran Tax 09iDW06 b 01/01A7 Ito. 4 5.02 Itt. 111 112. . 412. f20. GROSSAMpUNTOf/ER40MBORROWER ~ 151,34!1.28 120. OROSSAMOUNTOUE•lOSELLER 200. AMOUNTS PAID BY OR IN B u~r a K ~neR 140,070.71 201. Osooalt arsameat mousy '- 500.00 D ETO EL R: 301. Ex s t bone 202. Prlnd Artqunl d Loan a ?03. Exb loans taken a d b 133 000.00 5112. 3el6erlre b SM Uns 1400 29886A7 ?~' 609. Ex ban ^ taken s d b ?05. 304. Pa o1 Orel M ?~ B 0 eeC Olt a ' 207. ~' 208. 307. alt tssb. u M 209. SELLER CREDR 4 200.00 ~' L Ad),x/meMaPorOsmsUrroskl ySslar 2t0.CiMTownTexa 4200.00 Ad s f/femsU Salm b ?71_Coun~l Taxas b 610. CI OWrt allae tp X12. Asaesamanls b 511. Coun Taxes b .13. 312. Agee as la b '14, 313. ?1S. 31 . ?t6, b75. ?17. 16. b 7 ?16. 1 . TAX CE F CATION b JUDY A C/1 ELL 5.00 ~ ?19. 816. ~ 519. ?20. TOTALPA1p 8YiFORBQRR0111:R ..737,700.00 520, TOTALREpI/C71pN~M0UNTINIESELLER 100. CASH AT SETTL NT FR RO ~'~'41 101. Gross ArtgOnt Due Ram Borrower Uns 120 734 8 28 S AT SETTLE TTCVFROM 6EL R: W2. Leas Amaatt Patl ht'Far Borrosar (UM ~ . - 137,700.OA 607. Gross Amount Du To SNbr Line 420 602. Lns Rstludara Dus Sesm Uns 520 140 070.74 i03. CASH (X FROMI (.701 BORROWER , ,.. ' 18,846.26 33A79.11 009. CASH(X TO) ( FROMI SEerm TAn .u.ArL...r ,.~_~.. _~._~.._~__ 708,797.33 --°-~- . ~--~^ •^ ~ •^^„r~...e u+pr o, papas 1aa or u1u wrsmenl d arty tt6adtmsn4 rafegad b Iterskl. I HAVE CAREFULLY REVIE WED THE HUD•1 SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE ANO BELIEF, IT IS A TRUE AND ACCURATE STATEMENT OF ALL RECEI S ANU DISBURSEMENTS MADE ON MV ACCOUNTOR BY -IN IS 1RA SACTION. I FURTHER CERTIFY THAT 1 FIAVE RECEIVED~A COPY QF Up-1 SE~TEMENT. Borrower ~.. L ~IE AL ~ ~ Seim N ....'..., THE ESTA OF KENNETH. E. FANUS TO THE BEST OF MY K IJe ~~ E t•1 SETTLEMENT STATEMENT WHICH 1 RAVE PREPARED IS A TRUE AND ACCURATE ACCOUNT OF THE FUNDS WHK:H WERE R ~ BEEN OR WILL SE DISBURSED BY 1HE UNOER816NE0 AS PART OF THE SETTLEMENT QF THIS TRANSACTION. Dl COs. nC. .. WARNING: IT IS A CRIME TO KNOW IN Y MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE: TITLE 16 U.S. CODE SECTION 1001 6 SECTION 1010. ~a~ /~ %mL a.. at 1 I LCM ENT GHAROES 700. T07AL COMMI831DN Based On Prlw 140 000.00 5.0000 % 5400 00 -A , q-pM PAgfpM iw an omm av1 as owa• Ot. 4, to aoiwavatra aeuarcs IO . (p FlUltla AT -UNM AT 7 3. omm on ai • s mans aeTnta~at^ eamleexT 704. ;'ti i' to 800. ITEMSPAYABLE IN CONNECTION N7TN LOAN 801. Loan inallon Fes % Ie 802. Loan Die7qunl %: b 803. Appra a ae to IL 804. Cr t (p N N 805. TAX S VIC to AX 7 806. BROKER FEE 1o MORTGAGE ONE LLC 807. MO TGAGE to M F 1 330.0 0 806. LOOD CER to L I 8 C IN to N 11 810. MINIST I to A I 95. 617. 612. ' 813 . 814. LL I 815. COL ION to 1 t. 616. 008 PIC U J A AAI L 8' 617, 616. 619. 820. 900. REMS REQUIRED BY LENDER TO BE PAID IN ADVANCE - 901.InterestFrom 034)8438 b 10/01108 S 24.800000Poa ( 23 s % a slnwtencs nlrn moo slo ~~~ 903. Hazani Insurance Premium for 1.0 A b 904. 905. 1000. RESERVES DEPOSITED 1MTH LENDER Io01.HazaM~tt7wrsnce 4.000 81a 38.73 rrgll 222.92 1002. a Inw as 0. mnn 88.43 InOr1M 1003. CI aAm Taxis 000 lrlarttlls 18.88 b 131.W 1004. C Taxes 0.000 1nor1tlls mon01 1003. Psesssmenls 4.000 monlM i 82.98 ntot181 331.84 100 ' nil a r moot 1 7 7008. AGGREGATE TMENT months month -75.72 1100. TITLE CHAR(iE8 1101. 3eltlettlsnl or Cbs Fee W 1102. Abak orTNleSeemJt b 1103. CO b Roal SsWmnenl Servicsa Inc . 1104. CLOSING PROTECTION LETTER b OLD R BIJC NATIONAL TITLE 15.50 1105. Oxumenl PreOwafbn 3300 b 1106. No Fess b CLERK ~ 1107. Albms a Feea to HUMER 8 DANIELS 2500 POC odes seovs em nlxnbsrs: 1108. TiB LTV CES 1 odes show lam ntmdlsnr: t .7 11 .Len va7 r 14 , 1117. ndortemenls , 8.1 to 111. ~ :r1'c_ - :1713. .~..,:. 1200. GOVERNMENT RECORDING AND'TRANSFER C ARGES 1207. Rs Feer. Deed S 98.30: Mor • 3 84.50; Releases S 1202. s 4 a 1~'~ e 1203. Slab u Ravrlw 3 14 /~ t 400.00: Mor s 1204. 1 400.OD 1203. 1300. ADDI71pNAL SETTLEMENT CHARf3E3 1301. Serve d' b 1302. Peal lion b 1303. SEPTI- INSPECTION b PECKS SEPTIC SERVICES 1304. SE SYSTEM b PETE BRIGGS 1 077.50 / 1305.200 7SCHOOLTAXDUE b JUDYACM4PBELL TAXCOLLECTOR ~ 76800'00 ~ , 711/06-.8/30107 1400. TOT LEMENTCHAROEB Enlsr on tJnss 103 Section J and 302 8sedon R 804.58 190At / MxWe~O xxunne,n•eypsnir ~dvodxq,rm.lxei•m«nxw,lmwd xrm]ai u~~.,....,,. m..~.. 11.277.52 29,fi66A1 i~ R7wllySa nl SeMcos, Inc. -~,"~` Selllemenl AOenl • v}+^ ;:T Y . ,S ., 1' 6s{A +.5 5 IneuaTeaznea "b`f. i/'~, ~ N p~~ ~~-~_~ /Y^ "' September 7, 2006 Property Address 120 Frost Rd. Gardners Pa To Whom It May Concern: Buyer and Seller hereby agree that seller is paying buyer $800.00 outside of Closin(gyto~wards buyers closing costs~r ~~-/es ~,~~.~ ~'~rt1-L~-~,r'~ Seller ~'lF~~~,~~ // _. Buyer ~ ` -~sZGe, %~ ~~' CSC ~:E~G!Z ~. ESTATE OF I FILE NUMBER ~i:ar.c YSU~AC~ti ~': ~lt'n1,-034 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Tivs e) OF ESTATE [ TAXABLE DISTRIBUTIONS (indude outrlpM epoueel distritwtbns, and transfers under Sec. 8115 (a),(1.2)) 1. hr~Y, ~:= ~rr~vtd~. • lNt~ gol-fvn St, .~UGI.-'~-h ~;' ~v is 'Dau. h~tC . ~' ~.iva Ch4.S~nw~ Or: _ _ `~ ~ 3 ~IAc~Sb~~ ; V Kl ~ ~~p Li~nct.c~ +an,~s ,Ooy~t ~~Da~~~fi~t Q,n, bpx # y~ G rc~ ~ , ~- E ` O yv'3~,. ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIAT NON•TA)(ABLE DISTRIBUTIONS: . A. SPOUSAL D18TRIBUI'ION8 UNDER SECTION 8113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE ~, ~ . ., ;., ;z ~ , ~. \~3 ON REV•1500 COVER SHEET _ ~.. TOTAL OF PART II -ENTER TOTAL NON TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET S (fl mo[e specs N needed, Y~eeA addtfonel enwu d tla tanw size) 4 ~O ~~ ~~a~l ~ ~1 ~~~~~ 6~ ~~~ ~~~