HomeMy WebLinkAbout02-10-12 1505610140
REV-1500 ~` (°'-'°'
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN
Harrisburg, PA 17128-0601
RESIDENT DECEDENT 2 1 1 1 0 8 9 0
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
1 6 8 5 4 8 6 7 5 0 8 1 4 2 0 1 1 0 7 2 2 1 9 2 7
Decedent's Last Name Suffix Decedent's First Name MI
W H I S T L E R B E T T Y ~
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
Q 1. Original Return
^ 4. Limited Estate
® 6. Decedent Died Testate
(Attach Copy of Will)
^ 9. Litigation Proceeds Received
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
^ 2. Supplemental Return ^
^ 4a. Future Interest Compromise (date of ^
death after 12-12-82)
^ 7. Decedent Maintained a Living Trust _
(Attach Copy of Trust)
^ 10. Spousal Poverty Credit (date of death ^
between 12-31-91 and 1-1-95)
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
n.~
I V O V O T T O I I I 7 1 7 2~?I 3 3 `~ 4 1 -~.~,
REGISTER
First line of address
M A R T S O N L A W O F F I C E S
Second line of address
1 0 E H I G H S T
City or Post Office State ZIP Code
C A R L I S L E P A 1 7 0 1 3
Correspondent's a-mail address: I O T T O a M A R T S O N L A W• C O M
C,7C_.J ~
-~.
~-
:.a -rr s=Y'i
USE ~~Y
~ ~? C_">
. C
__,_ ~-, ~7
.. ~ 4~._7
r. ... _-~
a..) _ T i
'~ ~7
-~
DATE FILED
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. DeGaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OFAAPERS(~~{~' RESnPONSIBLE FOR FILING RETURN DACE
ADDRESS
72 P ACHY ANN DRIVE NEWVILLE PA 17241
SIGNATU O R PARE OTHER THAN REPRESENTATNE DATE
10 E HIGH STREET CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
150561014D 150561D140
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
BETTY J. WHISTLER 21 11 0890
Decedent's Name Page 3 File Number
Correspondents
Name
First line of address
Second line of address
City or Post Office
Correspondent's a-mail address:
State ZIP Code
Daytime Telephone Number
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 representable ~s based on all information of which preparer has any knowledge.
c~GNATURE OF PERSONvRE P01[~/ / 1 FOR FILING RETURN DATE
ADDRESS %~~ ~1[', 1
6195 Mifflin Avenue Harrisburg, PA 17111
Name
First line of address
Second line of address
City or Post Office
State ZIP Code
Daytime Telephone Number
Correspondent's a-mail address:
Under penalties of perjury, I declare that I have examined this return, including acxompanying 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.
SIG~i~TURE OF PERSON fjE~P~V~IBLE FOR FILING RETURN DATE
546 West Penn Street Carlisle PA 17103
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
BETTY J. WHISTLER 21 11 0890
Decedent's Name Page 4 File Number
Correspondents
Name
First line of address
Second line of address
City or Post Office
Correspondent's a-mail address:
State ZIP Code
Daytime Telephone Number
Under penalties of perjury, I dedare that 1 have examined this return, induding accompanying sdledules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Dedaretion of preparer other than the personal representatlve Is based on all informatlon of which preparer has any knowledge.
SIGNATURE OF PERS N RESPONSIBLE FOR FILING RETURN DAT
~o~a
ADDRESS
2225 Frontage Road Swanton VT 05488
15D5610240
REV-1500 EX
Decedent's Social Security Number
Decedents Name: BETTY J• WHISTLER 1 6 8 5 4 8 6 7 5
RECAPITULATION
1. Real Estate (Schedule A) ........................................... 1. 1 8 2 $ 0 D . 0 0
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 De osits and Miscellaneous Personal Pro e
p p rty (Schedule E)....... 5. 8 6 6 1 2 . 7 2
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. 0 . 0 D
7. Inter-Vivos Transfers & Miscellaneous Ng~Probate Property
S
h
d
l
G
S
D
D
0
(
c
e
u
e
) U
eparate Billing Requested ....... 7. .
8. Total Gross Assets (total Lines 1 through 7) ........................... 8. 2 6 9 1 1 2 . 7 2
9. Funeral Expenses and Administrative Costs (Schedule H) .................. 9• 2 4 3 4 3 . 7 3
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ............. 10. 2 3 9. 5 7
11. Total Deductions (total Lines 9 and 10) ............................... 11. 2 4 5 8 3. 3 0
12. Net Value of Estate (Line 8 minus Line 11) ............................ 12. 2 4 4 5 2 9 . 4 2
13. Charitable and Governmental BequestslSec 9113 Trusts for which
an election to tax has not been made (Schedule J) ..................... . 13. 0 . 0 0
14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... 14. 2 4 4 5 2 9 . 4 2
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.o _ 0. 0 0 15. 0. D O
16. Amount of Line 14 taxable
at lineal rate x .045 2 4 4 5 2 9. 4 2 16. 1 1 0 0 3. 8 2
17. Amount of Line 14 taxable
at sibling rate X .12 0. 0 0 17. D. D O
18. Amount of Line 14 taxable
at collateral rate X .15 0. D D 18, 0. O D
19. TAX DUE .................. ........................... .. .... ...19. 1 1 0 0 3. 8 2
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^
Side 2
1505610240 1505610240
REV-1500 EX Page 3
Decedent's Complete Address:
Flle Number
21 11 0890
DECEDENTS NAME
BETTY J. WHISTLER
STREET ADDRESS
831 LINDSEY ROAD
CITY
CARLISLE STATE
PA ZIP
1'7013
Tax Payments and Credits:
~. Tax Due (Page 2, Line 19) (1) 11,003.82
2. Credits/Payments
A, Prior Payments
B. Discount
Total Credits (A + B) (2) 0.00
3. Interest
(3}
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} 0.00
5, If Line 1 +Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 11,003.82
}~,,' Make checck payable to~~yREGISTER OF WILLS, AGENT
~~-"2~`]9:s `ti ~ . ,~,.~ ° ~.~ 'a~.; '~ti '~1.":..r:?_`:t~~...~;~.i4$F~~ ~ ~%7`n ~.7 .r. Ali„':. . '~ ~`~' .... '`. _r , .. ~. ~~ ... ~ _. ~ ,.c 4`;'i.
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; or ................................................................................................ ^
d. receive the promise for life of either payments, benefits or care? ....................................................... ^
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... ^
3. Did decedent own an 'in trust for' orpayable-upon-death bank account or security at his or her death? ......... ^
4. Did decedent own an individual retirement account, annuity or other non-probate property, which
contains a beneficiary designation? .................................................................................................. ^
IF THE ANSWER TOgA~NY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHED~gULyE GLAND FILE IT AS PART OF THE RETURN. 1,
„ , ~ tv~r. , fiVrf' ....aif~. ••P~. ~a.YA t~}h~~lS.,~`~~c4i'~tp~>"`t~'* ~~qXk,~-~~ ht !I ~.~Fel5'`n.'!„~~T.~i~Y~=rt 1, ky F..f ~.~.7~~~TIif~;~*~~[
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(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}]. 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
t~ i w t t ur: FILE NUMBER:
BETTY J. WHISTLER 21 11 0890
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
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. Real estate located @ 831 Lindsey Rd., Carlisle, Cumberland Co., PA, known as Tax Parcel No: 182,500.00
40-10-0636-018 & being described in Deed dated 12/18/1961 and recorded in Cumberland Co.
Deed Book "J", Vol. 20, Page 1110, and being conveyed to Harry Whistler, Jr. and Betty J.
Whistler, his wife. Harry Whistter, Jr., died 2/21/20091eaving title solely vested in Betty J.
Whistler, Decdent herein. Value is actual sale value. See attached Settlement Statement.
TOTAL (Also enter on Line 1, Recapitulation.) I $ 1
If more space is needed, use additional sheets of paper of the same size.
REV-1508 EX + (6-98)
SCHEDULE E
CASH, BANK DEPOSITS
& MISC.
COMMONWEALTH OF PENNSYLVANIA ,
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
BETTY J. WHISTLER 21 11 0890
Indude 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.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Sovereign Bank Money Market 1674064683 5,320.56
See attached.
2. Sovereign Bank checking 981103405 3,428.61
See attached.
3. M&T Bank checking 4849419966 14,358.45
($14,358.32 + $.13 interest)
See attached.
4. M&T Bank savings 15004220712358 14,012.24
($14,012.00 + $.24 interest)
See attached.
5. M&T Bank CD 31003914943293 24,993.00
($24,984.2 t + $8.90 interest)
See attached.
6. Social Security, July payment depoisted after date of death 1,022.00
7. Proceeds from sale of of MetLife stock registered to Harry Whistler, Jr., deceased 1,359.73
8. Coventry Health Management, refund 77.20
9. Foreman Auctioneering ,proceeds of sale of personal property 17,550.75
10. 1973 Buick Sedan, odometer discrepancy, actual sale value 1,500.00
11. Stamy Farms, LLC, prorated rent check 480.00
12. Capital Blue Cross, refund 776.04
13. Penn National Insurance, refund
14. Coventry Health Care, First Health refund
15. School Tax proration
16. County Real Estate Tax proration
369.00
18.12
1,272.81
56.01
TOTAL (Also enter on line 5, Recapitulation) ` $ 86.612.72
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
BETTY J. WHISTLER 21 11 0890
Decedent's Name Page 1 File Number
Schedule E -Cash, Bank Deposits, 8 Misc. Personal Property
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
17. Interstate Waste, refund 18.20
SUBTOTAL SCHEDULE E 18.20
GRAND TOTAL SCHEDULE E 5 86,612.72
REV-1511 EX+(1o-09)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
BETTY J. WHISTLER 21 11 0890
Decedents debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Ewing Brothers Funeral Home, Carlisle, PA 9,194.48
B.
AgMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City State ZIP
Year(s) Commission Paid:
2. Attorney Fees: Martson Law Offices 11,830.00
3, Family Exemption: (1f decedent's address is not the same as claimants, attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: Cumberland County Register of Wills 369.50
5 Accountant Fees:
6. Tax Return Preparer Fees:
7. Filing fee, Inheritance Tax return 15.00
8. Legal advertising, Cumberland Law Journal 75.00
9. Legal advertising, The Sentinel 210.78
10. UPS service 64.00
11. EVP stock valuation 1.55
12. Death Certificates for Harry Whistler 64.00
13. Certified mailing 5.54
14. Short Certificate 4.00
15. Penn National Insurance, homeowners insurance pending dispostition of real estate 518.00
16. Penn National Insurance, vehicle insurance pending dispotition 68.00
17. Robert C. Cairns, county real estate taxes pending disposition of real estate 644.34
18. Met Ed, electic service pending disposition of real estate 216.24
TOTAL (Also enter on Line 9, Recapitulation} S 24.343.73
If more space is needed, use additional sheets of paper of the same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
BETTY J. WHISTLER 21 11 0890
Decedent's Name Page 2 File Number
Schedule H -Funeral Expenses & Administrative Costs - 67.
ITEM
NUMBER DESCRIPTION _ AMOUNT
19. SMTMA, sewer/water pending disposition of real estate
20. Charles Smith, trash hauling
21. Larry Morrison, storage and winterization charge for vehicle pending sale
113.30
200.00
750.00
SUBTOTAL SCHEDULE H-B7 ( 1,063.30
REV-1512 EX+ (12-OS)
pennsylvania
DEPARTMENT Of REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, ~ LIENS
ESTATE OF rl~t numestrc
BETTY J. WHISTLER 21 11 0890
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1, Met Ed, account payable 200.35
2. ~ Century Link, account payable
39.22
TOTAL (Also enter on Line 10, Recapitulation) 15
If more space is needed, insert additional sheets of the same size.
REV-1513 EX+ (01-10)
pennsylvania ~ SCHEDULE J
DEPARTMENT QF REVENUE BENEFICIARIES
{NHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
T~TrTTV T \7Ui7TCTT Fl? 21 ~ >, OR90
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 outs' ht spousal distributions and transfers under
Sec. 91 i6 (a) (1.2).)
1. Richard J. Whistler Lineal 61,132.35
72 Peachy Ann Drive
Newville, PA 17241
2. Donna Allen Lineal 61,132.35
6195 Mifflin Avenue
Harrisburg, PA 17111
3. Sharon S. Kelly Lineal 61,132.36
546 West Penn Street
Carlisle, PA 17013
4. Cathy A. Rockey Lineal 61,132.36
2225 Frontage Road
Swanton, VT 05488
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER S HEET, AS APPROPRIATE.
II. NON-TAXABLE DISTRIBUTIONS:
1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. S 0.00
If more space is needed, use additiona{ sheets of paper of the same size.
ORIGINAL RETAINED BY:
F:IFILES\Clients\8620 Whistler\862D. Lwi11.201 I
MAST30N DEARDORFF WIIZ.IAM3
OTTO GII1tOY 8t FALLER
MARTSON LAW OFFICES
10 EAST HIGH STREET
LAST WILL AND TESTAMENT CARLtsLE, PA 17013
C717> 243-3341
I, BETTY J. WHISTLER, of South Middleton Township, Cumberland County,
Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare
this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils made
by me.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all death taxes (whether such taxes may be payable by my estate or by any recipient of any property)
shall be paid from my residuary estate as soon as practicable after my decease and as part of the
administration of my estate. My Executors shall have no duty or obligation to obtain reimbursement
for any such tax so paid, even though on proceeds of insurance or other property not passing under
this Will.
2.
I give, devise and bequeath all of the rest, residue and remainder of my estate, both real and
personal property, unto my children, RICHARD J. WHISTLER, DONNA E. ALLEN, SHARON S.
KELLY and CATHY A. ROCKEY.
3.
I nominate, constitute and appoint my children, RICHARD J. WHISTLER, DONNA E.
ALLEN, SHARON S. KELLY and CATHY A. ROCKEY, or such of them as are able or willing so
serve, Executors of my estate.
4.
I direct that all fiduciaries acting under this Will, whether or not named herein, shall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
5.
I authorize and empower my Executors, in their sole and absolute discretion, to purchase or
otherwise acquire and retain any investments of which I die seized or any real or personal property
of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in
regard to any or all property of any kind forming a part of my estate for such terms and such prices
Page 1 of 3 Pages
~/~s~~
[Initials)
as they may deem advisable; to borrow money for any purposes connected with the protection and
preservation of my estate; to mortgage or pledge any real or personal property forming a part of my
estate or to join in or secure the partition of same; to compromise any claims or demands of my
estate against others or of others against my estate; to make distribution in kind and to cause any
share to be composed of cash, property or undivided fractional shares in property different in kind
from any other share; to employ agents, attorneys and proxies and to delegate to them such power
as my Executors consider desirable and to pay reasonable compensation for such services as may be
rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as may
be necessary to carry out any of these powers. In addition, I direct that my Executors shall have the
power to conduct an inventory of any safe deposit box necessary to the administration of my estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this ~ ~ day of
,~ << .
C
(SEAL)
Betty J. istler
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
~ ,~ a ,,
Page 2 of 3 Pages
COMMONWEALTH OF PENNSYLVANIA )
. SS.
COUNTY OF CUMBERLAND
,. ] ,_
We, Betty J. Whistler, No V. Otto III, and ~ ~ ~ kit, C9-m cx~-• ,the Testatrix
and the witnesses, respectively, whose names are signed to the regoing instrument, being first duly
sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the
instrument as her last Will and that the Testatrix has signed willingly, and that the Testatrix executed
it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in
the presence and hearing of the Testator, signed the Will as a witness and that to the best of his/her
knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
W
Bet y J. W tier, Testator
Witness
-- ~,
Wit ess
Subscribed, sworn to and acknowledged before me by Betty J. Whistler, the Testator, and
subscribed and sworn to before me by No V. Otto III and ~~~('~(c~.cc ~ ,the
witnesses, this ~ 'day of ~_ ,~ j/
- // -~
G Q,~c~. -C o
Notary Public
OObA~lO~NWBALTH AF 1'8NN6YLVAMA
NOTARIAL SEAL
Victoria L. Otto, Notary Public
Carlisle Bono, Cumberland County
M commission c ins Daember 20, 2014
Page 3 of 3 Pages
rA~v.RNrq,>'to ~ OMB Approval No. 2502-0285
v`1 ~m
~ " " ~ A. Settlement Statement (HUD-1)
'=e
4
ANN oi~E
B. Type of Loan
6. File Number: 7. Loan Number. 8. Mortgage Insurance Case Number.
1.^ FHA 2.Q RHS 3. QConv.Unins. GKNISELY
4. Q VA 5.0 Conv. Ins.
C. Note: Thls form is famished to girre you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown.
Jtems marked (p.o.c.)"were paid outside the dosing; they are shown here for Informational purposes and are not included in the totals.
D. Name and Address of Borrower.' E. Name and Address of Seiler. F. Name and Address of Lender.
G. Edward Knisely and Estate of Betty Jane W histler
Shirley A. Knisely 831 Lindsey Road
801 Lindsey Road Carlisle, PA 17013
Carlisle, PA 17013
G. Property Location:
831 Lindsey Road
Carlisle, PA 17013
Cumberland County, Pennsylvania
H. Settlement Agent 26-0043288
Rominger 8 Associates
155 South Hanover Street
Carlisle, Pennsylvania 17013
Place of Settlement:
155 South Hanover Street
Carlisle, Pennsylvania 17013.
Ph.
I. Settlement Date:
November 29, 2011
K. Summary of
100. Gross Amount Due from Borrower:
101. Contrail sales price
102. Personal property
103. Settlement Charges to Borrower (Line 1400)
104.
105.
AdJustmerrts for items paid by Seler in advance
108. School Taxes 11/30/11 to 07101112
107. County Taxes 11!30111 to 01/01/12
108. Assessments to
109.
110.
74.75
1
411.
Gross Amount Dw from Borrower 1 187,003.57 ~ ~ 420. Gross Amount Dw to Seller
. ~_ ~ v ~..u..
1
~ s~~ nn
cur. rnnca ~ arnuurn v~ now way a
203. Existln loan s taken sub'eil to --° -----••----- ---- -- -- -
503. Existln s taken su eil to
204.
205. 504. Payoff First Mortg e
505. Pa Second Mo e
208. ~ 508. D t retained b seller 18,250.00
207. `~7•
208. `~8•
209. ~.
Ad ustments for ibms un id b Seller Ad ustmenb for Items un id b Seller
210. School Taxes to 510. School Taxes to
211. Coun Taxes to 511. Coun Taxes to
212. Assessments to 512. Assessments to
213, 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
220. Total Pald b Borrower 18,250.00
300. Cash at Settlerrrent tromRo Borrower
301. Gross amount due from Borower line 120 187,003.57
302. Less amount aid b ffor Borrower line 220 ( 18,250.00 520. Total Reduction Amount Dw Seller 20,075.00
800. Cash at setWmsrn toHrorrr Seller
801. Gross amount due to Seiler line 420 183.828.82
602. Less reductions due SeOer line 520 ( 20,075.00
303. Cash ~ From ~ To Borrower 168,753.57 803. Cash ~X To ~ From Seller 163,753.82
The undersigned hereby acknowledge receipt of a comp sled copy of this statement 8 any attachments referred to herein
Borrower' ~ Seller Estate oi~f~gtty Jan~Wjaistl r
. Ed rd Knisely C ~~///~
. ~ .. A /) ~.~ .. /I BY:
^~~~~~'
t.Y-` ~
L. Settlement Charges
700. Total Real Estate Broker Fees Paid From Paid From
Division of commission (line 700) as follows: t3orrwsrs senors
701. t0 Funds at Funds at
702. t0 Settlertient Settlement
703. Commission aid at settlement
704.
705.
800. hems Pa ble in Connection whh Loan
801. Our on inatlon cha e $ from GFE #1 ~ * ~"R'
802. Your credit or charge (pointtl) for the specific interest rate chosen $ (from GFE #2)
803. Your adjusted origination cha es from GFE #A a; .
804. Tsai fee to from GFE #3
805. Credit Re ort t from GFE #3 y~-
806. Tax service ~ to (from GFE #3) '~~:'$
807. Flood certification to (from GFE iit3)
808. (from GFE tt3)
gOg, from GFE #3)
810. (from GFE #3)
811. from GFE #3
900. hems R wired b Lender to Bs Paid in Advance
901. Daily interest charges from to (d1 $/day (from GFE #10)
902. MIP Tot Ins. for Life of Loan months to from GFE #3
903. Homeowner's insurance for ears to from GFE #11
904. from GFE #11
905. (from GFE #11)
1000. Reserves De sited with Lender
1001. Initial deposit for your escrow account
omtaown s insurance mon s per mon
1003, Mo a e insurance months er month (from GFE #9)
$
~i',"
1004. Pro taxes months $ month $
1005. months Q $ per month $
1006. months ~ .$ per month $
1007. months ~ $ per month $
1008. $
1009. $
1100. Title Char s
1101. Title services and lender's title insurance (from FE #4 10.00
1102. Settlement or dosin fee $
1103. Owners title insurance to Stewart Title Guaranty from GFE #5 1,273.75
1104. Lenders tl11e insurance to Stewart Title Guaranty $
1105. Lenders tltle 1 limp $
1106. Owners title li Ilmit $ 182,500.00
1107. ant's rtion of the total title insurance emium to Romin er & Associates
$
693.00
to Guardian Transfer C ration $185.00
1108, Underwriters rtion of the total title insurance reTnium to Guardian Transfer Co ration $ 580.75
1109.
1110.
1111.
1112.
1113.
1200. Govemmsnt Recording and Transfer Charges
1201. Government reoordin cha es to Recorders Office from GFE #7 66.00
1202. Deed $ 66.00 Mortgage $ Releases $ Other $
1203. Transfer taxes to Rt~rders Office (from GFE #8) 1,825.00
1204.CitylCountytaxlstamps $ 1,825.00 $
1205. State taxlstam s $ 1,825.00 $ 1,825.00
1206.
1207.
1300. Addhional Settlement Cho s
1301. R wired services that can sho for from GFE fl8
1302.
1303.
1304.
1305.
1400. Total Settltprrwnt Cho ea enter on lines 103, Section J and 502, Section 3 174.75 1 825.00
The infamatlon referenced here k only a potion of ors total amount, Weave sae IM Addendum for pN wmplaM brsakdowr.
BY eipninp W9a 1 of this statenwn4 Me signatories acknoaiedge receipt d a oomDbted coPY of papa 2 A 3 of Ihis Urrae W W statement ~/J/7
~/
Rominger $ Assocates, SeffiemeM Agent
Certified to be a true copy.
BETTY J 1NHISTLER
Account # 1674064683
Your account is currently at a zero balance. If your account remains at a zero balance for two entire
statement periods with no activity, your account may be closed. Please deposit funds into this account
quickly to prevent it from closing. If this account is not meeting your needs, it would be our pleasure to
discuss other options with you.
Balances
Beginning,Bahance $5,324:58 Current Balance $0.00
Depostts/Credits + $0.00 Average Daily Balance $5 319.74
Withdrawals/Debfts - $5,320.56
--~
Interest
Paid this Petiod:"
$ 0.00
Annual iyercentage Yield Eames.
000"l0
Earned this Pertod $ 0.00 Paid Last Year $g,12
Paid Ye13r-To-gate~ $`6.11
'The interest earned and the interest paid may differ depending on when interest is credited to your account.
Account Activity
Date Description - Additions Subtractions
07-25 Beginning Balance
08-23 ` CLQSING TRANSAGTifJN - $5,320.5H'
Balance
$5,320.56
$0.00':
08-24 Ending Balance $0.00
1N CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC TRANSFERS
CALL YOUR CUSTOMER SERVICE CENTER AT THE NUMBER SHOWN ON TI IE TOP OF YOUR STATEMENT OR WRITE TO THE BANK
FOR DEBIT CARD ISSUES:
Sovereign Bank
Attn: Card Disputes Team
MA I MB3 02 OS
P.O. Box 831002
Boston MA 02283-1002
FOR ALL OTHER ISSUES:
Sovereign Bank
Attn: Client Relations
10-421-CR I
P.O. BOX 12646
READING, PA 19612-2646
Please contact us if you think your statement or receipt is wrong or if you need additional information about a transfer on the statement or receipt.
We must hear from you no later than 60 days after we sent you the FIRST statement on which the error appeared.
• 'Tell us your name and account number. • Describe the ertor or the transfer that you are unsure about and explain as clearly as you
• 'fell us the dollar amount of the suspected error. can why you believe there is an error or why you need further information.
If you tell us orally, we may require you to send your complaint or question in writing within 10 business days.
We will promptly investigate the matter and call or write to you with an answer within 10 business days (10 calendar days in Massachusetts). If we
need more time, we may take up to 45 days to investigate your complaint or question. If we do, we will credit your account within this l0-day period
for the amount you think is in error, so you wilt have the use of the money during the time it takes us to complete our investigation. If we ask you to
put your complaint or question in writing and we do not receive it within 10 business days, we may choose not to credit your account.
For errors involving new accounts, point of sale purchases or foreign transactions, we may take up to 90 days to investigate your complaint or
question. For new accounts, we may take up to 20 business days to credit your account for the amount you think is in error.
We will tell you the results of our investigation within 3 business days after completing our investigation. If we decide there was no error, we will
send you a wntten explanation. You may ask for copies of the documents we used in our investigation.
Important information about your Sovereign Debit Card
The networks through which some ofyour Sovereign Debit Card purchases are processed have begun allowing merchants to process your purchases
without either a signature or a PIN. It you are not required to enter your PIN when you make a purchase, your purchase may be rocessed either
through the Visa network or through the STAR or NYCE networks. If your purchase is processed through STAR or NYCE, different terms apply
and you will not be eligible for the rights and protections available through Visa. Please see your Personal Deposit Account Agreement for more
information.
pn~e 2 nj~2 I ~ 167-106~16N3
~-~ G~~ ~~ti ~; ~~ , ~~ ~
BETTY J WHISTLER
Account # 981103405
Your account is currently at a zero balance. If your account remains at a zero balance for two entire
statement periods with no activity, your account may be closed. Please deposit funds into this account
quickly to prevent it from closing. If this account is not meeting your needs, it would be our pleasure to
discuss other options with you.
Balances
07-25 Beginning F3alance $3,428.61
08=23 CLQ5ING TRANSACTION $3,428.61'' ' $Q.00`'
08-24 Ending Balance $0.00
IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC TRANSFERS
CALL YOUR CUSTOMER SERVICE CEN"fER AT THE NUMBER ShIOWN ON THE TOP OF YOUR STATEMENT OR WRITE TO THE BANK
FOR DEBIT CARD ISSUES:
Sovereign Bank
Attn: Card Disp~~es Team
MAI MB3 02 SS
P.O. Box R31002
Boston MA 02283-1002
FOR ALL OTHER ISSUES:
Sovereign Bank
Attn: Client Relations
10-421-CR
P.O. BO`C 12646
READING, PA 19612-2646
Please contact us if you think your statement or receipt is wrong or if you need additional information about a transfer on the statement or receipt.
We must hear from you no later than GO days aRer we sent you the FIRST statement on which the error appeared.
• Tell us your name and account number. • Describe the error or the transfer that you are unsure about and explain as clearly as you
• "fell us the dollar amount of the suspected error. can why you believe there is an error or why you need further information.
ff you tell us orally, we may require you to send your complaint or question in writing within 10 business days.
We will promptly investigate the matter and call or write to you with an answer within 10 business days (10 calendar days in Massachusetts). If we
need more time, we may take up to 45 days to investigate your complaint or question. If we do, we will credit your account within this ]D-day period
for the amount you think is in error, sn you will have the use of the money during the time it takes us to complete our investigation. If we ask you to
put your complaint or question in writing and we do not receive it within 10 business days, we may choose not to credit your account.
For errors involving new accounts, point of sale purchases or foreign transactions, we may take up fo 90 days to investigate your complaint or
question. For new accounts, we may take up to 20 business days to credit your account for the amount you think is m error.
We will tell you the results of our investigation within 3 business days after completing our imesti~ation. If we decide there was no error, we will
send you a wntten explanation. You may ask for copies of the da;uments we used m our investigation.
Important information about your Sovereign Debit Card
The networks through which some ofy our Sovereign Debit Card purchases are processed have begun allowing merc:hanls to pra:ess your purchases
without either a signature or a PIN. If~you are not required to enter your PIN when you make a purchase, your ppurchase may tie rocessed either
through the Visa network or through the STAR or NYCE networks. If your purchase is processed through S"fAR or NYCE, different terms apply
and you will not be eligible for the rights and protections available through Visa. Please see your Personal Deposit Account Agreement for more
information.
pcrQe 1 nJ'2
~~~ ~ ~c ~~ ~ ~ ~ ~~ Z 981 / 03;F05
Account Activity
Date Description Additions Subtractions Balance
0 MB~TBank
499 Mitchell Road, Millsboro, DE 19966 Adjustment Services
Phone 888-502-4349
F ax (302) 934-2955
August 30, 20l 1
Marson Law Offices
10 East High Street
Carlisle, PA 17013
Re: Estate of Betty J Whistler
Social Security: 168-54-8675
Date of Death: August 14, 2011
Dear Sir or Madam:
Per your inquiry on August 22, 2011, please be advised that at the time of death, the above-named decedent had
on deposit with this bank the following:
1. Type of Account Checking Account
Account Number 9849419966
Ownership (Names ofl Betty J Whistler
Opening Date 06/17/09
Balance on Date of Death $14,358.32
Accrued Interest $ .13
Total $14,358.45
2. Type of Account Savings Account
Account Number 15004220712358
Ownership (Names o~ Betty J Whistler
Opening Date 06/17/09
Balance on Date of Death $14,012.00
Accrued Interest $ .24
Total __ _ _ ...
$14,012.24
3. Type of Account Certificate of Deposit
Account Number 31003914943293
Ownership (Names o~
Opening Date
Balance on Date of Death
Accrued Interest
Total
Betty J Whistler
0624/08
$24, 984.31
$ 8.90
$24, 993.21
For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds,
please call the Spring Garden Office at #717-?AO-4525.
We were unable to locate any safe deposit box for the above-mentioned decedent.
This letter does not indude any aooamts in which the deceased may have been listed as Power of Attorney, ~stottian of Uniform Transfers,
]tepresentative Payee, or Trustee under a Writt~ Agreement
Sincerely,
Tammy Spencer
Adjustment Services