The URL can be used to link to this page

Home My WebLink About01-19-12 (3)~~05610105 PADaptrtlr;It~RafAaaafale euhau oflndtvidustTa~oes INHERITANCE TAX RETURN ~ s„~.esc,i RESIDENT DECEDENT Date of Dselh t~loo~rrrr Dale a Bird OFPIpAI. IIiE ONLY 00u1111 Qoda llllar Fit Nutt ~ ill ~ i~ :199-34-7876 12/29r2010~~~ 08/02/1945 ~~ Daceda~t's laat Nams Suihc Deoedant's Fist Name MI i pl~hrlst ± Raymond ~ a~ (# wPpO~F tttNas ms's t3eloMr Spouse's last Naane Sulgx Spouse's Ftrst Nams MI ~10U'° s ~~ ~ 11~S RE 111R1~1 MUST ~ FU.ED MI D11PlICATE Mliii 711E REGISTER OF WILLS ~w~ rnr~uu s eaow ~ 1.O~Ipftal Rsran O t~ (Dais of Daalh 2 suppltnoi-tal Rsum O 3. ke111a4~dar i O 4. tJmNed Estsla O 4s. Fu4ae tnlwsat Campromiss (dale of O 5. Federal Eseste Tax Rstum Re~pdrod daei~ alit 1212-ffi) ~ a. Daoedant dad 7iaWa O 7. Daadart #~iAatiad a Lh~np That & Tall Nunbar a/ Sala Dapaai Boras (Attach Copy of VVI~ (Atltah Copy of Ttutt.) O 9. IJtlpetlon Proosada iteoaived O 10. Spougl Poverty Credit (Data or Deafh O 11. EleotJon to TLx under Sea 9119(A) Betaraan 1231-91 and 1-1-96) (Attach ScfreduN O) C0~016BIi' - 7181 BBCr10N MIiT BB CO1rPLETEU. ALL ~AMD tbIM~1DENr1At.'Wt fl011~710N ti1101BD BE DRECt®ld Nana DeytNra Telephone Number s ~ Rab+ert C. ~, Esq. (7171243-6222 +,..,, t~itR ~ N31se ONLY -`~ C') Fiat Uta of AddroM ~~ . zs wee Nish street i .~ Saooodl,JrraofAotdn~at , ~_:~ r~ ~aty a Po.t onl~e _~ _. .-_ sort Piz ~ w-Te~ .. ~, Carlisle ~ ; PA 17013 ~~ tt N >rua, tUta raYaa, trcMalup IMr tht+ tM Dtacn aMsYMaanb.anUbfia on all Yrforrna[an d vrlich 10520 , VA 22079 3KiNATURH ENTATIVE DATE/ // ~- I~ c°/CZ 26 West H1~h Stneet, Carlisle, PA 17013 P1 (_ 1~as~~.n~as Side 1 1505610105 J .~._; - ~ ,.,,, ~- ~ ..a C~ REV-1500 EX (FI) Deaedenrs Name: ' 199-34-7876 Number RECAPITULATION 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 (Schedule 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-Vivos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. 8. Total Grass 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. 247,500.00 17,815.90 107,672.07 Decedent's Social Securit 125,487.97 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. ; 122,012.03 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which ------ ------- __ ..,_...._ .,.,,...,, an election to tax has not been made (Schedule J) ........................ 13. 14. Net Value SubJsct to Tax (Line 12 minus Line 13) ........................ 14. '' 122,012.03 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 16. 5,490.54 17. Amount of Line 14 taxable at sibling rate X .12 _. 17. ..... 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE .........................................................19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1505610205 __. 247,500.00 5,480.54 O Side 2 1505610205 1505610205 J REV-1500 EX (Fq Page 3 Decedent's Complete Address: Flle Number DECEDENTS NAME Raymond Lamar Gilchrist STREETADDRESS 300 North 28th Street CITY Camp Hill STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments B. Discxwnt 3. Interest (1) 5,490.54 Total Credits (A + B) (2) (3) 49.97 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. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 5,540.51 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, ber>efits or care? ...................................................................... ^ 2. If death oaxrrred 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 properly, which contains a beneficiary designation? ........................................................................................................................ ^ IF THE ANSIII~R 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) (ri)]. 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 aRer 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 benefiaaries 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 decedents siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling 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+ {11-OS) ~ Pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF ripe nunnen Raymond Lamar Gilchrist Ail 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 would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1• `300 North 28th Street, Camp Hill Borough, Cumberland County, PA, Parcel #01-20-1852-213 247,500.00 (Copy of settlement sheet attached) !'This Pennsylvania Inheritance Tax Retum is filed solely for the purposes of permitting the real estate disclosed ~on this schedule to be conveyed free and clear of any liens by reason of 'Pennsylvania Inheritance Tax. 247,500.00 If more space is needed, insert additional sheets 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 Raymond Lamar Gilchrist Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES:,... L B. ADMINISTRATNE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address . 3. City State ZIP Year(s) Commission Paid: Attorney fees: Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant 1,500.00 ''' Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 243.30 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. Realtors Commission 11, 520.00 B. ,Closing Costs (Itemized on Attached Settlement Sheet) 4,552.60 TOTAL (Also enter on Line 9, Recapitulation) $ 17,815.90 If more space is needed, use additional sheets of paper of the same size. RE4-1512 EX+ (12-OS) Pennsylvania SCHEDULE I DEPARTMENT OF REYENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES A LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Raymond Lamar Gilchrist Report debts incurred by the decedent prior to death that remained unpaid at the date of death, induding unreimbursed medkal expenses. If more space is needed, insert additional sheets of the same size. LAST` WILL AND TES'S'AF'FE1{'I' OF R. LAI4AFt GILCIIftl~'I' I, Ft. LAMAFt GILCFiFtZST, of tramp Fiill, Gumberland County, a_nnsylvania, being of soussci mind, memory and understanding, dv hereby Hake, publish and declare this as my Last Will and 'F'estament, hereby revcsY.ir~g any pxior Wills. F1125T: I direct that the expenses of my last illness and funeral shall be paid #rvm my estate. 1. I direct my Executors t^ pay rout of my estate the C06t of the perpetual care and maintenance of the burial plot in which I shall be buried, should arrangements for same not have keen concluded anti paid for prier to my death, and also the cost of an appropriate tombstone, SECOND: I give and bequeath tv my daughter TIICFiELE RENEE GILCHftIS'P and my son CHAD LEHMAN C;iLCHRIST any automobiles, any household and personal a#£ects, and any otlser tangible-personal property owned by me at the time of my deans, together with the insurance thereon. 'F'HTRi.~: I give and bequeath the sum of ~1, C}4U. t?f3 to the WEST Ski[]F2E; PUBLIC LIEFfthftY. FOURTH: I give and bequeath to the CAMP HILL PRESSY't'ERIAH CHURCH, of Gamp Hill, Pennsylvania, the sum of S1, 000. 00, to be placed in its Memorial Trust Fund as a flower memorial #or the purchase of flowers each year. FIF'1'H : All the rest, residue and remainder a# my estate, real, personal or mixed, of whatsoever nature. end wheresoever situate, i give, devise end bequeath unto my children MICHELE RENEE GILCHRIST-and GRAD LE:FI~IAN GILCHRIST. SIXTH: The interests of the henaficiaries under this my will shall not be sula~ect- to anticipation or to voluntary or involuntary alienation. SEVEt~ETH: All F:'ederal, State end other death taxes that may be assessed because of my death, with respect to the property forming my gross estate for tax purposes, and passing under this my Will, shall be paid from ttse principal of my residuary estate. EIGHTH : 1 nominate, constitute and appoint m}i -;`.daughter -. MICHELE REtdEE GILCHRIST and my son CH AE} LEHMAN GILCHRIST as ErecU'tors of this my Will. : ~.: - - - - ~ j ` _ ~i ] 1, My Executors shall have power to compromise claims and controversies; tta Bell et public ^r private sale, to exchange ar to lease for any period of time any real or personal property for such prices and upon such terms as may deem proper; to continue to operate arty business that I may be operating at the time of my death;. and to - tnake distr ibuticsn of my Estate in cash or in kind. ~. Ply Ea.eautr,-re shall not be required to furnish band in any ~uriediction in which my Executors may act, end if security is nevertheless required, it shall be Witttout surety. IM WI'CMEBS WHEREOF, I have hereunto set my hand end seal this ~G~1~ day of pc;tober, 1995, at the end hereof, composed in all of two {23 paget3. /" ~J ".~ ~ J - ,«-~ .: ~y;y~: (SEAL 1 R. Lamar Gil brief STGPfEi~, SEALED, PUBLISHED and vECLAREU by the above named Testator, as and for his Last Will and Testament, in the presence pf us, who, at his request, in his presence and in the pr esence of each other, all, being present et the same time, , have hereunto set our hands as witnesses. ~. i~iame ~ ` ' ~ ~ ddress ( r1 ,T t'IZib ~~,~ i/~ ~~ ~ ~ ~ Netne L ..~~!/!/_ :~' ,.Address . r'2rs~/~ /yam :i ~ tdame Address C~~t;IiOtiWF;AL.TFi OF PEtitiSYLYANIA ? . SS. ~.JLJtiTY OF i~AUPHIM 1 I, R. LAMAR tiILCLHRIST, '['estatar, whcsse name is signed to the ;_:2going instrument, having been duly riuali#ied according to law, do ::areby ect:nowledge that I signed and exerted the instrument as my Last ~_ii and Testament dated the %°~/? day of October, 1996; that I a~~ned it willingly, and that I sig ed, it a6 my #ree and voluntary act #~rr the purposes therein contained. r if Sworn or s##irmed to and eaknowledged before rne, this -~ day of Uctaber, 1995. /i _ , /'=~ ~. ~.~i.i.~:. ~`, fiotary Public My Cnmmis__sian Exn ' res,,,,~,~~, P.U7A~~-~ SSA! ~! t, F'i:~F..i.~ Ft.:i~_i.~i. ::E. ~ PU Tic l C,OtSI9GNWEALTH OF PENNSYLVANIA ) ~'~,y ^ :.cs~='s~ ~a~.•~~~:~; ~c,~n;y 5S. -- _ __ L:UU?i"3'Y C)F UAUpHIN ) fie, ~ ,~,tyC~,~ and Leslie B. Handler , ±we of the witnesses whose names are signed to the foregoing .instrument, being duly qualified according to law, do depose and say -that we were present end saw the Testator, R. LAMAR E3ILCHRIST, sign, _ execute the instrument as his Last Will and Testament dated the ~.~~• day of October, 1.995; that he signed willingly, and that h~~exe- cuted it as his free and voluntary act for the purposes therein contained; that each of us, in the hearing and sight of the Testator, signed the Will as witnesses; and that to the best of our knowledge the Testator was at that -time eighteen tl$) or more years of age, of sgund mind, and under no constraint or undue influence. i Witness .. Witness Sworn to and subscribed before me this 'I day of dctoher, 1996. i ~ - Hatary Public ` - "r-r-~ C..=;.~_ ~_~-I My Commission Expires : ~''! °' ~"~"~" ' ` "" ~ '~~~` ~ ;rY ~-''-- [.~: irk=1 i ~ _ J5= t f' ~ REV-1513 EX+ (01-10) pennsylvania SCHEDULE ~ '~ DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Ra mond Lamar Gilchrist RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE T TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Chad L. Gilchrist, 10520 Madison Drive, Lorton, VA 22079 'Son 50% 2. Michele R. Hom, 2945 Delaware Drive, Fayetteville, NC 28304 Daughter 50% 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: L B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: L TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed, use additional sheets of paper of the same size. form HUD-1 (3186) ref Handbook 4305.2 A. Settlement Statement ,. B_ Tvoe'~f Lr?aR U.S. Department of Housing and Urban Development rTMR Annrnual Nn ~Fnzn~as 1. ^FHA 2. ^FmHA 3. ^Conv. Unins. 6. File Number 4. ^VA 5. Conv.lns. PY011-124RCS 7. Loan Number 8. Mortgage Insurance Case Number n «m ro u glw you a em ws s. oun pa o an to s pen era a C. Note: Items markW'(p.o.c.)" vroro paid ouh{de the closkInqg,, uxy are shown here f« inlormalbn purppses and pre not Included in the totals. WARNING: It is a alma to knowingly make false ataiements to the Unlled Stales on this or airy omer similar Form. PenaUies upon wnvicUon rsn include a floe and Im isonmem. F« dala9s sea:Tllk i6 U. S. Coda Section 1 W i and Section 1010. TltleEXpre55 Settlement System ' D. NAME OF BORROWER: David F. Tolsma and Cynthia T. Tolsma ADDRESS: E. NAME OF SELLER: Estate of R. Lamar Gilchrist ADDRESS: F. NAME OF LENDER: ADDRESS: G. PROPERTY ADDRESS: 300 N. 28th Street, Camp Hill, PA 17011 Parcel 01.20.1852.213 Cam Hill Borou h H. SETTLEMENT AGENT: Pyramid Land Transfer LLC PLACE OF S TTLEMENT: 28 West Ni h Street Carlisle PA 17013 I. SETTLEMENT DATE: 12102@011 J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER 101. Contract sales rice 247 500.00 401. Contract sales rice 247 500.00 102. Personal r t 402. Personal ro art 103. Settlement char es to borrower line 1400 4140.75 403. 104. 404. 105. 405. Ad'ustments for items aid b seller In advance Ad'ustments for items aid b seller in advance 107. Count taxes 12!02111 to12131111 89.43 407. Count taxes 12102111 to12131111 89.43 108. School Taxes 12/02111 to06130112 2 638.24 408. School Taxes 12102111 to06130112 2 638.24 109. 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 254 368.42 420. GROSS AMOUNT DUE TO SELLER 250 227.67 200. AMOUNTS PAID BY OR ON BEHALF OF BOR ROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER 201. De sit or earnest mono 2 500.00 501. Excess De sit see instructions 202. Prins al amount of new loans 502. Settlement char es to seller line 1400 38 347.60 203. Existin loans taken sub'ect to 503. Existin loan s taken sub'ect to 204. 504. Pa off of First Morl a e Loan 107 672.07 PHH Mort a e 205. 505.. Pa off of second mort eloan 206. 506. 207. 507. 208. 508. 209. 509. Ad'ustments for items un aid b seller Ad ustments for items un aid b seller 213. 513. 214. 514. 215.- 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BYIFOR BORROWER 2 500.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 146 019.67 300. CASH AT SETTLEMENT FROM OR TO BORR OWER 600. CASH AT SETTLEMENT TO OR FROM SELL ER 301. Gross amount due from borrower line 120 254 368.42 601. Gross amount due to seller line 420 250 227.87 302. Less amounts aid b Ifor borrower line 220 2 500.00 602. Less reduction amount due seller line 520 146 019.67 303. CASH FROM BORROWER 251 868.42 803. CASH TO SELLER 104 208.00 SUBSTITUTE FORM 1099 SELLER STATEMENT: The krformalion conlairetl herein is ImpollaM tax inlormslion and is beHtg famished to the Internal Revenue Service Ir you are required la file a velum, e negligence penalty «omar sanction will ba knposad on you U this item Is required to be reported and the IRS determines that II has rrot been reported. Ths Conaad Sales Price deacrlbetl on line 401 above consblules the Gross Proceeds of mis Iransacbon. SELLER INSTRUCTIONS: 11 thla sal Galata was yow prlnolIppel neklance, Ilia Form 2179, Sala or Exchange or Principal ReOltlanea, for any gain, wIm your Income bx velum; for other trensecllona, complete the appUcable parts or Form 4797, Form 6252 andl« Schedule D (Form 1040). Vou era required by law to provide the aetdemanl agent (Fed. Tex ID No: 1 with your cored taxpayer identUkation number. U you do oat provide your wrrect taxpayer idemir~ealion number, you may be auged Io blvll «crlminal penaltba Imposed by law. Dnder penal e~s~o perjury, I certity mat the nunber snows on this statement b my correct taxpayer Identification number. TIN: / SELLER(S) SIGNATURE(S): SELLER(S) NEW MAILING ADDRESS: rrewous edawnsare obsolete form HUD-1 (3186) ref Handbook 4305.2 U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT File Number: PY011.124 PAGE 2 SETTLEMENT STATEMENT TitieEx ess Seulement s stem L. SE"~T~EI4IENT CHARGES PAID FROM PAID FROM 700. TOTAL SALES/BROKER'S COMMISSION based on rice $247 500.00 4.655 =11 520.00 BORROWER'S SELLER'S Division of commission line 700 as follows: FUNDS AT FUNDS AT 701. 11 520.00 to Remax Realt SETTLEMENT SETTLEMENT 702. to 703. Commission aid at Settlement 11 520.00 800. ITEMS PAYABLE IN CONNECTION WRH LOAN 801. Loan Ori ination Fee °k 802. .Loan Discount 803. A sisal Fee 804. CredN Re rt 805. 806. 807. 808. 809. e1o. 811 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. interest From to Ida 902. Mort a e Insurance Premium for to 903. Hazard Insurance Premium for to 904. 905. 1000. RESERVES DEPOSITED WITH LENDER FOR 1001. Hazard Insurance mo. Imo 10(12. Mort a e Insurance mo. Imo 1003. Cil Pro rt Tax mo. Imo 1004. Count Pro ert Tax mo. Imo 1005. School Taxes mo. Imo 1009. A re ate Anal sis Ad'ustment 1100. TITLE CHARGES 1101. Settlement or Closin Fee 1102. Abstract or Title Search 1103. Title Examination 1104. Title Insurance Binder 1105. Document Pre arationlDeed to Saidis Sullivan & Ro ers 150.00 1106. Notar Fees to ramid Land Transfer LLC 5.00 10.00 1107. Atlorne 's fees includes above items No: 1108. Title Insurance to P ramid Land Transfer LLC 1 598.75 includes above items No: 1109. Lender's Polic 1110. Owner's Polic 247 500.00 •1 598.75 111 L 1112. 1113. 1200. GOVERNMENT RECORDING ANO TRANSFER CHARGES 1201. Recordin Fees Deed 52.00 • Mort a Release 52.00 1202. Cit (Count taxlstam s Deed 2 475.00 Mort a 2 475.00 1203. State Taxlstam s Deed 2 475.00 Mort a e 2 475.00 1204. Parcel Certification to Recorder of Deeds 10.00 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Wire Pa oft to P ramid Land Transfer LLC 17.00 1302. Pest Certification to All American Termite 1441.60 1303. Home Warrant to First American 459.00 1304. Escrow Inherit TaxlAtt Fees to Saidis Sullivan & Ro ers 22 275.00 1305. 1306. 13117. 1308. 1400. TOTAL SETTLEMENT CHARGES enter on lines 103 Section J and 502 Section K 4140.7 5. 38 347.60 HUD CERTIFICATION OF BUYER AND SELLER I have carefully review a HUD-1 Settlement Statement and to the bast o(myy knowledpa and belief it is a True a om /r nd acaaeta statement or all receipts and disbursements made on my acwunl or by me / / tertiy that I have received a copy of are HUD-1 Seabmenl Statement. in Ch a tran s~ction I J~ m ~ i / / / (/ ~ _ [ / - ~ ~~/ ia777 Dav~F. ot'1S r J rF aam. sae a TxEi.N10iZ IdyDf/II ~-I~CdC2 ~• ~,~"` ~ vaFGc-r-wa'~' K, ~o'~/~/~~ WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO 7}IE The HUD-7 Seakmenl Statement which I have prepared is a We end accurate account or Mis Transaction. UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION (have taus or will cause the funds to be disburoed in accordance wah this statement. CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE /8: U.S. CODE SECTION 1007 AND SECTION 7070. , 7 9y: A 4 y - METRO Bank OUTGOING WIRE TRANSFER AUTHORIZATION FORM WIRE REFERENCE NUMBER'" DATE: Originator's Name: Pyramid Land Transfer, LLC originator's Address: 26 West High Street Carlisle, PA 17013 Originator's Sociaf Security or Tax I.D. # 42-1633999 Source of Funds: Account Number: 539002402 All Funds Collected: y Funds TransferAmount: $107,672.07 Beneficiary's Name: Mortgage Service Center Beneficiary's Account No. 4159368125 Beneficiary's Address: 2001 Bishops Gate Boulevard, Mt. Laurel, NJ 08054 Specific Payment Instructions Payoff: Loan No. 0003247574 R. L. Gilchrist, 300 N. 28'" Street, Camp Hill, PA 17011 Please contact Saidis Sullivan & Rogers (717) 243-6222 if you have any questions. Receiving Bank Wells Fargo Bank Receiving Bank's ABA Number: 121000248 Receiving Bank's Address: 707 Wilshire Blvd. Los Angeles, CA 90017 Originator's Signature Branch Information: . . Office Originating transfer Branch Contact Employee Wire Dept. use only: Checked OFAC? Verification completed by: Verified with .r,ax Server n 11/11/2011 2:50:55 PM PAGE `~ --' t«•sdir UaioaSalcrio"r • 2001 Bishops Gate Boulevard Mt. Laurel NJ 08054 *** PAYOFF STATEMENT *** November 11, 2011 7174915606 R L GILCHRIST 10520 MADISON DR LORTON, VA 22079-2518 MOF2TGAGOR (5) R L GILCHRIST LOAN NO: LOAN TYPE: INVESTOR: BILL MODE: 2/003 800-446-0964 Te1800-785-3291 Fax 856-917-8300 0003247574 Conventional 967-1673119463 6 PROPERTY INFORMATION: 300 N. 28TH, STREET CAMP HILL, PA 17011 (717)737-8890 (000)000-0000 Due Date of Monthly Payment: December O1, 2011 Interest Rate 7.25000 The Current Principal Balance is: S 106,748.21 Total Interest Due as of 12-07-11 772.16 Lien Release Fee 35.00 Priority Statement Fee 20.00 Recording Fee 50.50 TOTAL AMOUNT DUE TO PAY LOAN IN FULL BY 12-07-11 $ 107,625.87 Wire Fee S 25.00 TOTAL AMOUNT DUE TO PAY LOAN IN FULL VIA BY WIRE 12-07-11$ 107,650.87 IF PAYING BY WZRE Wire transfers provide the fastest way to receive payoff funds and thereby minimize the possibility of additional per diem interest being due and payable. If paying by wire transfer there is a processing fee of $ 25.00, unless prohibited by applicable law. The wire transfer fee is included in the "Total Due to Pay Loan In Full Via Wire" figure above. SEND WIRES T0: Wells Fargo Bank (Standard Bank Format) 707 Wilshire Blvd., Los Angeles, CA 90017 ABA: 121000248 / Account No.s 4159368125 Credit Tos Mortgage Service Center Payoff Funds for Loan No.: 0003247574 A wire transfer received by 5:00 PM Eastern Time will be applied as of the date of the wire. Please ensure all wire information is accurate and complete. Receipt of inaccurate wire information will result in the wire being returned within 10 days. Should that occur you will be responsible for the additional interest due. Funds received after December 07, 2011 will require an additional $21.20 interest per day. This payoff is only good until the end of the month. If funds are not received by the end of the month and PMI is included in the above figures, you must add an additional month of PMI to the payoff figure. XMLO1 (End of Page 1) Log in to MortgageQuesdwns.corn ---your servicing website connectio~t.