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HomeMy WebLinkAbout02-24-12~ } 1505610143 REV-1500 Ex(°'-'°' PA Department of Revenue OFFICIAL USE ONLY Pennsylvania County Code Year File Number Bureau of Individual Taxes cevnrtrMENr or REVENUE Po Box.28oso~ INHERITANCE TAX RETURN 21 08 0630 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 189 38 7030 03 27 2008 07 02 1946 Decedent's Last Name Suffix Decedent's First Name MI VOCHEK RICHARD A (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS MI ^ 1. Original Return ~ 2. Supplemental Return ^ 3, Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ qa, Future Interest Compromise (date of death after 12-12-82) ^ 5. Federal Estate Tax Retum Required ^ 8 Decedent Died Testate (Attach Copy of Will) ^ ~ Decede t Maint fined a Living Trust (Attach ~opy ot$rrust) 8. Total Number of Safe Deposit Boxes ^ 9. Litigation Proceeds Received ^ 10. b~iwuesenP~~i ~~ar dit (datges~f death i ^ 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 GERALD P NEUGEBAUER JR (814j 886 2352 First line of address 1224 W SECOND STREET Second line of address City or Post Office State ZIP Code CRESSON PA 16630 Correspondent's a-mail address: REGISTER O~ILLS USE Q1q..Y O ~ a. -p -''l _?~rn N _~ ~ ~ ~ , ry' . DAT IL~D ~ ~:•'~ tits _ r r-~ I~ I c _. ;~1-"t under penaioes or penury, I declare that I have examined this return, inGuding 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. SIr`NATI IA nG CCOCnAI ooconrA ~~ D. Vochek -Z~ -i SIGNATURE OF ARE~ER THAN REPRESENTATIVE DATE Gerald P. NeugebauerJr. l--so _~ ~ 1224 W. PA 16630 Side 1 1505610143 1505610143 J 1505610243 REV-1500 EX Decedent's Social Security Number Decedent's Name: VOCiHEK, RICHARD A. 189 38 7030 RECAPITULATION 1. Real Estate (Schedule A) ....................................................................................... 1. 14 0, 0 0 0. 0 0 2. Stocks and Bonds (Schedule B) ............................................................................. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages & Notes Receivable (Schedule D) ........................................................ 4. 5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ............... 5. 6 , 7 92 • 2 8 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers & Miscellaneous coq Probate Property (Schedule G) u Separate Billing Requested............ 7. 8. Total Gross Assets (total Lines 1-7) ..................................................................... 8. 14 6 , 7 92.2 8 9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 43 , 7 60.50 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. 44 , 858.04 11. Total Deductions (total Lines 9 8 10) ................................................................... 11. 88 , 618.54 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 58 , 173.74 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. 58 , 173.74 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 15 0 . 0 0 (a)(1.2) X .00 . 16. Amount of Line 14 taxable 0 0 0 16 0. 0 0 . at lineal rate X .045 . 17. Amount of Line 14 taxable 58 173.74 17. 6, 980.85 , at siblingrateX.12 18. Amount of Line 14 taxable 0 0 0 18 0. 0 0 . at collateral rate X .15 . 19. Tax Due ................................................................................................................. . 19. 6 , 9 $ 0 . 8 5 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^X Side 2 1505610243 1505610243 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-08-0630 DECEDENT'S NAME VOCHEK, RICHARD A. STREET ADDRESS 48 Gettysburg Pike CITY Mechanicsburg STATE PA ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 6,980.85 2. CreditsfPayments A. Prior Payments 11,642.57 B. Discount Total Credits (A + B) (2) 11,642.57 3. Interest (3) 533.28 4, If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) 4,128.44 Check box on Page 2 Line 20 to request a refund 5, If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) Make Check Pa able 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 :............................................................................... ^ ^x b. retain the right to designate who shall use the property transferred or its income :.................................. ^' ^x c. retain a reversionary interest; or ............................................................................................................... ^ 0 d. receive the promise for life of either payments, benefits or care? ............................................................ ^ ^x 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" or payable upon death bank account or security at his or her death?....... ^ 0 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 January 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. Rev1502 FJC+ (11-08~ SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA I I INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER VOCHEK, RICHARD A. 21-08-0630 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 welling buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointlyowned with right of survivorship must be disclosed on schedule F. Attach a copy of the settlement sheet if the property has been sold Include a copy of the deed showing decedent's interest if owned as tenant in common. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 ALL those certain pieces or parcels of land, together with the improvements therein erected, 140,000.00 situate in Upper Allen Township, Cumberland County, Pennsylvania, bounded and described as follows, to wit: - PARCEL NO. 1 BEGINNING at a point in the center of the Gettysburg Highway, which point is 593.5 feet westwardly from the line of property now or late of W. F. Cassel; thence South 36 degrees 30 minutes West 100 feet to a point; thence North 53 degrees 30 minutes West 200 feet to a stake; thence North 36 degrees 30 minutes East 100 feet to a stake; thence South 53 degrees 30 minutes East 200 feet to a point, the place of beginning. PARCEL NO. 2 BEGINNING at a point in the center of the Gettysburg-Harrisburg Highway at the western line of property now or late of Geraldine E. Losh and Arthur R. Losh, her husband; thence South 36 degrees 30 minutes West 91.8 feet to a point; thence North 45 degrees 38 minutes West 201.7 feet to a point; thence North 36 degrees 30 minutes East 60 feet to a point, the line of property now or late of Geraldine E. Losh and Arthur R. Losh, her husband; thence South 53 degrees 30 minutes East 200 feet to a point, the place of beginning. Having thereon erected a singly family stone dwelling known and numbered 46 Gettysburg Pike, Mechanicsburg, Pennsylvania. The Real Property or its address is commonly known as 46 Gettysburg Pike, Mechanicsburg, PA 17055. The Real Property tax identification number is 42-27-1888-027. VALUED in accordance with actual sales price -See copy of Settlement Statement attached to this Return. TOTAL (Also enter on Line 1, Recapitulation) I 140.000.00 (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 11-08) Rev-7508 EX+J6-98) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER VOCHEK, RICHARD A. 21-08-0630 Include the proceeds of litigation and the date the proceeds were received by the estate. All property Jointlyowned with the right of survivorship must be disclosed on schedule F. to more space Is neeaea, at7amonal pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) REV-7151 EX+I~O-06) gCHEDULE H COMIN~NyyIDAENTDECEDEN~RNANIA ADMIN STRATIVE COS S ESTATE OF FILE NUMBER VOCHEK, RICHARD A. 21-08-0630 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT A, FUNERAL EXPENSES: Ruggiero Funeral Home -funeral billing 10,836.27 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Joseph D. Vochek Street Address 289 Woodland Boulevard City Portage State PA Zio 15946 Year(s) Commission paid 6,871.69 2. Attomev's Fees Gerald P. Neugebauer, Jr. 7,621.69 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zio RelBtionshio of Claimant to Decedent 4. Probate Fees Register of Wills 331.00 5. Accountant's Fees 6. Tax Return Preparers Fees 7. Other Administrative Costs 18,099.85 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 43,760.50 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER VOCHEK, RICHARD A. 21-08-0630 ITEM NUMBER DESCRIPTION AMOUNT 1 Other Administrative Costs Century 21 Piscioneri Realty Inc. -Realtor's commission 7,370.00 2 Cumberland County Recorder of Deeds -photocopies 3.50 3 Cumberland Law Journal -publication of Estate Notice and proof of publication 75.00 4 Meyer, Umkovic 8< Scott LLP -billing for services rendered and costs advaned regarding the medical negligence inquiry into the decedent's death 2,759.75 5 Midstate Abstract Company -title services and lender's title insurance 35.00 6 Penn National Insurance -insurance on Estate real estate 290.00 7 Recorder of Deeds -Seller's 1/2 share of realty transfer taxes 1,400.00 8 Seller Assist -see line 509 of copy of Settlement Statement attached to this Return 5,917.00 9 The Sentinel -publication of Estate Notice and proof of publication 166.60 10 Valuetree RE Tax Service -tax serv ice fee 83.00 H-B7 18,099.85 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 EX+ (12-Oti) SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMON WEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER VOCHEK, RICHARD A. 21-08-0630 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbureed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Chase -balance due on home equity loan -Account No. 00426370138119 14,242.30 2 Chase Bank USA, NA -balance due on Accfount No. 5582508619671453 9,773.90 3 Chase Bank USA, NA -balance due on Accfount No. 5582508624384381 12,379.73 4 Commissioners of Upper Allen Township -balance due on sewer rental Account No. 544016 359.92 5 The Danbury Mint -balance due on Account No. 9314620049-003579 139.50 6 FIA Card Services, successor to Bank of America -balance due on Account No. 2,719.63 4264296998680380 7 Marlin A. Yohn, Sr., Treasurer - 2008 County and Township real estate taxes 543.65 8 Marlin A. Yohn, Sr., Treasurer - 2008 school real estate taxes 1,822.56 9 Proactiv Solution -balance due on Account No. 068854744 48.65 10 PSECU -balance due on Visa loan -Account No. 8660376891 (L9) 2,435.20 11 The Danbury Mint -balance due on Account No 9314620049-003097 . 173.00 12 The Danbury Mint -balance due on Account No. 9836993114-003003 65.40 13 Willabee & Ward -balance due on Account No 1608148910 . 67.60 14 York Waste Disposal, Inc. -balance due on Account No 12-28640-2 . 87.00 TOTAL (Also enter on Line 10, Recapitulation) I 44,858.04 (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-OS) v SCHEDULE J COMMOHI~E~NT ECEDEN~RNANIA 1J D~' BENEFICIARIES ESTATE OF FILE NUMBER VOCHEK, RICHARD A. 21-08-0630 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT (Words) ($$$) I TAXABLE DISTRIBUTIONS [include outright spousal • distributions, and transfers under Sec. 9116 a 1.2 Joseph D. Vochek Brother Entire Estate 289 Woodland Boulevard Portage, PA 15946 Total Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 15 00 cover sheet, as a r o riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETI Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) tl(,~`l;e"x'011 '~;~''~a FP, 1i '1'73l'ii3s6 REAGEF & kCiLEF, PC r~L~ny, n `. :`~ F ~ A. Settlement Statement (NUD-1) ids ,,..~ 0, Yvae of fwn [~ oa2~oos DMB t-pprowl Ntl. 2TA2-01ia $, Flle Number; 7. Lan Nurser @. Mod0s0a Mstirrtee Bees Number 1. ~ FMA 2. Q RN3 3, Q Conu. tAVn~. t 1-283 0242099864 •. ~ VA S. ^ L'OR11, IM, C. Nate' rnia lbrrn k kwrsanee ro ~ ~ a .+eefem.nt at ecnear ssmenwrd oosta• Amou+ss pat0 fo and by Me aaafarrNnf eQenf an show,, . nrntt rhsrkad '(p.O.c.}' wvre Pelt! ou7etlda Me oloak+p,• IhsY M attvwn nets rOr frtt4lrneetonu purposes and ere not lrKJM+dedln the !slats. D Nam[; and Adtltea8 et 8t>frawer: E. rtte+t0 end Address Of Seller. F, Ntttlw and Mdneas of under Kenneth L. Oreen end Eelele of Rlcherd A VorJ+dt 3UNIRUST MORTGAGE INC. ENeen E. Greet 96t Sf:MME3 AVENUE 48 Gallyeburp Plke RICHMOND, VA 2$244 Medynlcabur0, PA 17065 G. Property Loeatten: H. 9elsemeM AysnC 251837112 I_ ~ men! Date: 46 Caaayabury Pike hlttleletp Abstract Company Merhenkabury. PA 17055 23x1 Matkst Suest July ta, 2011 Cumberfentl County, Pennaylvanla Camp Nit, PA 170tt Ph. (711)7$3-1389 pkea of 9atuamem; 2391 Merkst3uael N~, PA 1701 t J. Summery ar 6orrewers uenaacllon K BYmmery of SelNfe trgnMCtlan t OD. Grvas Amount oue from t9etrarer 400. Urwe Amount Due to Saner, 1Dt. CoMregealae rice 140 .00 401, CtxtVeaeeiea oe 140000_ 102, Personal 402, PsttwnN art 103, 5etpamenl Ch ee fo 6orrtauer Urte 1400 6345,64 4D3. 140. qp4, 1 OS. 4p3. 0.d uatmenN ipr Items b Seller In edranue sletena Ter Ibms Id '$e1Nr Ina nos t 08. G Duet T1tNea b 408. G own Taws to 107, Coon Ttttwe U711gJ11 la 01A1n2 274.63 407. Gdut Tatwe Q/n@itt tp 01101n2 274. 3 108. Schoa+ Tsxee 07J19111 to OTJ01l+2 2 012,!$ 408, 3tlto01 TeKge 67Jt@n t q 07 1112 3 012.62 tfl9, 3b 01r, Sower 07149/11 to tOrDtl11 90.06 408, 3n1 OV. Sewer07nB111 b 10I01N1 f#OAB 170. 410. ttt, 611, tt2_ 4t$, 120, 6rwa Anwunt Qu^ front Bortvwx 151.723,06 426, dtbes Amount Due W BaRer 142,377.24 200. Amounts Paltl or In Behalf of Borrower 506_ RedueHone to Amount Ou Satter. 29t De s1t or tiantest mat 2 OOO,DO Sp1, It 1tM IrnbutXlorta 202. PIatN amount of now loan a 144,@20.00 602, Satllament Mta ee td 90NSf Llns 1400 ~ 11 X28.82 203. Faclsen lea s taken a tact l0 543, I 8 IeNan sub ad to 2aa. . Payoff Fht M le G1~ttd100110M28376139i 1@ 18_/00.28 20S 5D5. p tp e 245. fi0$. 2D7. 567. De It OIeD. es rot:eede 2~. 308. 2p9 Sauer Aadet 6 917.00 Epp, SeOer ANtIN $ @17.00 Ad urlmarlla IPr Rama u b Seller Ad trtmenu Ter Rem Yn b INr 710. CI lTOwrt Tams t4 5+0. G own TeNee b 2+' Coun Ytawe p d11. Chun Tttxae tv 272 StAlA01 Teeee l0 512. $dtOW Truces b 2t a- St 3. 214. $14, 2t5. St 6. 21 e. 51 $, 2t 7. 517. 219- StB. zt6. 510, 220. Tots! PaW b r Borrower ~ 752,537.00 b20. Tt>rel Reduction Aniaunt pwe SaIMr 34,046.aa 200. Cash at 9atilamant homteo r ao6. Gah al rs4Nmant 9eINr 34t. Groea amount due tram 6orroaer Mrro 120 i5t,7T,.9. 801, ae amount due tae r 4 142.97724 302. :eee amount ale /rot BOMpwar Inv Z~. l ( 152537.00 $p2, ss taduciltlne due Seler Ins bZ f 34,045, 103. Cash ~ From %^ T4 Danvwer ~ 813.92 8W. Guh ~ To ~ Frvm SsOsr I 10@,331.38 me unoerelOned hereay,aknpwledpa row+pl of ^ completed egpr of fhb atalantenl 8 soy tnterhmenia referred b herein 2or*twer Behar Esters of glchertl A, Vovhsk Kenneth L. n 9~': EMeen E, Too c ~ oAC arle'or4 iwd~n e, i•n wr.GO;n a nrortrylen fa Nem^N of le rr++~oo aor n11t>arM hr tnooaNp, ~.wM;, or0 nYOrera VM 6W TNN e0M11' hr/ not aorta si Mtorn-aen, ~d py ~ not rpwK n wn••a~dur k.TUn~d+orn.au^°q'r v~F'VG~canhT nW}eef. Na GMM~Yagyla eidkdeWe ~nYnit.,nw. o>~•le ~i~RA0aVO1o^POIW^IM~Y/1117w1n^kM E~IM A. rRK-.I 7 ~d la PA.Id~ M• PaQ° , of a 14uo-1 toR~N,IrENNEn1,PFa1,,ze2r,D~ ,0~~'1_•'~:~11 ~:~8_~4 FP,;~~ ,177307366 REAGEP, & ,`IDLER, P,' ~j 003/006 L. 3eltlement Cha 700. Ta4al Reei letaa Broker Feee t 7,370.00 "1e "'°" °"° "'°'" n nb ~ at eanown e.rn ' 1 10 Y 21 I cy,yr M FuN. r 7 4020.00 IQ tlwell aleetl Orou Soled A e aK+M1e~ e.arnran 709 aW et aetllemerti 7 70 7D4. 705, le 5elea Profees+ona 400. dams Pa bk In Cennettlan wllh Loan 801. Our on Inellon lnclu0sr Inaedt Pdnl 2.40096 or 3.855.50 i 3,014,60 hOm dFE ri 802. Your cretllt or eherge (polnla) for me epecltlc auererl role choaon S •5,790.7,6 (horn OFE a>~ 803. Yours area on nation one m CsFE •160,7! 904. retool tee to Ca1va1 Pann ralsele from GFE 4d 37 .00 $03. Croat q oet to CREDCO (rent GFE ip 76, 806. Tar eeMee to ueUea RE Tex SarNCe (rent 83. v can to c 806. Oam GFE lu3) 809, horn ~ 11. ~~ 900. Itemr ulred Lender w Be Pell In Advance 801. Mleresl Uterg03 Flom 07119!11 10 OB+o7n 1 13 517.330000/d GFE t10) 225.21 902. Ma a Inauranl:e rsmlum for mw1Ni W Of•E 43 a a elx'srtcs or m e lrm neumce g0a. VA Fwrdin Fev 5.0 err to . of Velerane l+lfeke from GFE ,43 4 620, 905- itrEm dFE Mi 5 ) 1000, Rsaervas De altad with l.etroer 1001 , In(Jel aepoall fnr your eeerow alxeunl (from dFE /!~ 46G,1o e neurenee men per oral e aurance mon0ls s mpri 1004. Properlylmmr S 722,02 Cowuy Ted 8. mort s 4 . 1 ptr rnerlm Aeeeesments 2.000 moo a 213.06 r trronm 1003, ~ 5509. months ~ S per mene+ S 1 SOT, VA FundlnQ FQO monlha ~ s pw month 6 t 008, S 1009. Ap~99a5o Adlurlmant S •274.32 t+O0.71Ue Cha se 1' 05. 'nue rerweee entl rentleYe etle wurance rom 1,225,76 36.00 1'.02. Setllen+enl or deem tee 6 t 10a. Owner's utle Durance to Mlmtete Aestrecl Oenlpeny In4u,ynce kom GFE f4 +• W. LanOeYe uua Inlurana to Mltlalela A4alnel Cam art Inwhna Act. 1103. Lentlefe erle dl Yfnll S 144,620,00 5106. Owners U0e omit S 5aa,opo,p0 1107, em"a of the total 1111a Inwrera:a nmlum to Mm k IraG C0m 6 668.3 1106. UrMerwnlere oMOr1 of C1o tat81 alts fnaurance lum to Mklatale ACaPacl inatlrence At S 117,Q6 110@. 111 . 1111. 111:. 111 ~. 1200, GoWmmrM Rrcerdlrp antl Trerohr Cherper 1201. l',ewenlmeM1l r'eraM{n eh s le Remrtler d Oeetle tM~ from GF6 1 1202. Dead S 82A0 Mo e S 98.00 l4elearea S giher S 1108, TrOnelsr rexer to Reeerder Of l)eedr t?face ifnrn OFE ~ 5,400,00 1204.GtylCauntytaxlslempa S 1,400.00 5 1206. Slete lesrlrlenl a S S 1 400,00 5201. 1207. 1309. Andltlena19et11emenS Cha n 1301.. ulnad aervloee Ihet care for from GFE Ito 13Q2, ~ 908. Tex Servlal Fee t6 Vtlultee RE Tax Sorvlco 83,00 13oc. 13os. See aealn Qlee. eretldl to 4e0.ap 2,340.62 1400. Tora13e1denMnt cne a eebr ea aver 10.7 $rtflon J end 402 SettlOn K) 0,84$,64 11, 28,62 nY •~"._~ Y~G~ ~ Y! vw •Y,w.MR ,n~ rpnwVA~ ~G,Vq•AGa~ !~wp 0, • LwrwHY Cmr Vf agar [ A r1~ nu ir7r rssnvilL Mid31Me AbaVaU Company, Setllernenl Agent Co'nfiad Io 4o a (r1~Y copy Pepe 2 of 3 WIJ(7.1 (CrREETI.FQ`;NN gTI1,PFG/15.262H 0) ,ii.;1~.. _.011 0~_~~'~ f-A~.~ ilii30736g READER ~ ADLER, PC f~j 0041406 Camperlron dt2eod Filch EatYnab (GPE} and HUa1 Charpee Gha Yh1lt Canna! Inereaaa NUO.1 Line Num Wr Our ortp{nahnn rfiotpe r BOt YOUr p>rdlt ar oh a IMi For lha adfle InIarON rota ~teaaerr ri 802 Ooed FAtih F.aNmaee 3,615.50 x,798.40 NUD~1 3,815.50 •3,790,48 veur adtusled orl0meua+ eherpea 0803 -180.78 •18p.T8 'ran Mar lairs !7203 1,400,00 1,ew.~ Cho ee Thet M Tog! Gnnot Itweeee Non tFwn 10K C,ovommenr romrdlny chwyoa 11201 prole:: tee r 1304 ~rrdltr9oort r 906 Good Felon Esgmap 175.00 +00,00 18,00 ItUO-1 !00.00 3 5,00 18,00 Flooo eerntlratldn i 807 8.40 B.pO tide servlcea antl rendara dde Insurence #1101 owners 11pa fnwMCS to Mftlalela Abetreol Comb Ineuren0e , !1109 2.1t33J5 900,00 7.245,38 Tata1 x,204,70 1,79:.38 Intelaee peewees GFE end HUilt CharOee S -1,:76.37 a .ib.31 chi rpM That Gn Chanpe Gerd Falls bGmelr MUG1 IrlUel depeslt fDr your escrow aeCOUrd !1001 3,546,00 598,;5 posy InNrsN eharpae ! B91 S 17.770000NIey :18.92 225.29 Homeownera Inwrance #903 780.00 K7.00 YA Fundlnq Fee R H04 4,820,00 4,620.00 1'aa $endce Fee ir7303 83.00 83.00 Loan 7arma Your Inlttgl Ioen amount b S 144,62D.D0 Your Ioen tens Y 30 Years Y'vur InlUel Ir%errat rfq b 4.3750 91e Y'GUr In1Ual monlhty amount OIYar ter pnnelpal, Mterwt end S 722.07 IrrClgeea any menpeps Inswanea le 0 Plln~el InioraN Martga0e lnaurence Gen your Interest rut rlu? ® Ne ~ Yee, h eon nee to a modmum d %, The Oral change wiq Ue on end rdn d+anps a9eln every ~, montl+e aHer . E1MIf1' arerl9a dole, your InltmaN rNa ern InaeeM tlr datrerrsr by 46. Over Uie llfa d the loan, your ialereet rate b 9ueranlea0 to never be lower !hen % or h191+er Yren %. Even II you make paymenla en tlme, eon your lass De4nCS rise? 0 No ~ Yae, Il can rtes b a me7dmunl of i @wn M you make peymenrs en tlme, can your monthly © No ~ Yee, ih0 tYal Nureass ran De on end Ere rrexrdly 8mO11M awatl far prindpel, ln[Y(Y~tr and mortgage irrelfnlnea llae? 8n10lYll OWee a~n ne. b S The meeMium Il wn ever rise b b = Close Yavr IPen have a wew.yrnm{ penalty? QX No ~ Yes. your maeimum aropyment penelb le 3 Does your lass have a banoon payment? ^X Np ^ Yee, you have a !!Baron payment on duo kl T yrafa 0n Total monthly amount owed Irlekialnp eeerow aeeaune peyme,nb ~ Yov do not hew a manlhly escrow peymenl rot soma, stp{ M property loses and homsorwrere Insurance. You moot pay these t10mr dkexdy yOUriAif. Q Yau have sn edd8lonel mPnlhly atawv Dryrnenl of ;1299.64 Ihel reeulle N e t0{dl Innal monthly amount owed d 51,621,71. TMs indudee prfnapel, miereel, ^ny mortpps Ineurana and any flame enael{aa bNOw: QX Property lexea © Homeowners lnsurance Pivvdvuuranw ^ ^ Nvlo. Ir yvu Mao arty Queatwna foul the Setwment Ghffipee end l•eer~ Tema flalea on thfe ions, Pleaaa edmetl your lender. Pie 3 of 3 HUt}1 IGRE EN.ICEN NETH, P FD/71-282170) I'~ (i", J.'~i; 11 : 8 : ~~~ Fk;~4 i 1'7307366 REA'aEF~ ~ ADLER, FL F1UD-1 Addendum Barrewer{s): Kenneth L. Green end Eileen E. Green Seller(s): Estate of Richard A. Vachek 46 Gettysburg Pike MOdtaniC6burg, PA 17055 Lender. SUNTRUST MORTGAGE INC. sNtlsllwnt ao.M: Mld6tpte Abstract Company (717)76 3-1 313 3 Ppao of t3ottkrnartt: Y331 Market Sheet Camp H111, PA 17011 somom~t Data: Juy 19, 2011 Proo.ny LooatWn: 46 Gettysburg Plke Mechanicsburg, PA 17055 Cumberland County, PennsyNahla Additional AdJustmants For ItsmS Pald gy Seller In Advance (BOrroWer Debit) aiscrtptlon Amount FrornJTtlrouj,~h Prorated Amount 3rd Qtr. Sewer 112.00 07101!11 through 04!30/11 90,09 Tots) Line 1091409 90.09 Additional Disbursements ~ oo~foos PayeelDescrlpdon NotelRaf No. BprrOwer Se1Nr Upper Allen Tovlrnship ~4•~ 2nd 6 3rd Qtr. Server The Vittus Group 70,00 Water Teet Dennis Zefbe 2,116.62 2011112 School Taxes E3i11 #6178 E3ruoe Ackerman 248.00 In6tall UV Light POC 300,00 (9rokeq _ _ Penn Pest, LLC 192.50 Peal Treatment Total Additional Disbursements shown pn Line 1305 S 450.50 S 2,340.82 Seller Lown Peyoifi Dstalts Payoff First Mortgage fn Chase Re:1009004268701391t9 Loan Payoff 16,900.26 As of 071011/1 Total Additional Interest 18 days ~ Per Dlem Total Loan Payoff 16,900.28 Additional Di9burgemenbs from Brokers Commissions Llatlng Payeel0escription NotelRef No Broker Selling t7ther Broker Broker Total CENTURY 21 P15CipNERI REALTY, INC. S 3,350.00 Caldwell @anker Homestead Group Sebct Profeol $ 4,020,00 S01eCt Prpfe561ona The fallowing persons, firm9 or corporatlona recelvtd a pardon of tfie real estate commission amount shown above: Bruce Ackerman 300.00 300.00 Total 0.00 S 300.00 0-00 :300.00 WARNING; It w s crime eo knowlnpy makes fiisa statements b t1r UnI1W 8tirai on thY a any sYnltar Tartu. Ponatttea upon eerntcrbn aan Includo ^ 1lrre and Imprieonmant. For detal4 eaa; T%la Sa US. Cade 9ecdon 1001 erq Seclton 1010, (OREEN.KENNETH,PFOn i •zttana) ~?i~i';1~gt^(ty7 i7'="~~ FA;~: ~1i'io0736E READER & RULER; PC HUD-1 Atbsndum - ContlAusd Adjusted Origination Gharge Details t7rtglnatlon Charge Orlglnalbn Fee ~ 3,915.$0 to SUNTRUST MORTGAGE INC, Total ri 3,fi15.5p Ortglnatlon CrotlltJCharps (points) for the specific Interest rata Chosen CrediUCharge •3,796.28 to SUNTRU57 MORTGAGE INC. Total : -3,7913.28 Ad~uaesd OtigltTadon CNarpae t -190.79 Reserves Deposited with Lender Homeowner's Insurance 111.75 3.000 at 37,25 per month County Taxes 295 gg 6.pop a1 a9.31 per month Aaeessmenls a2A.1t3 2,000 at213.0t3 per month AggreOate Adjustment -234,32 month Total 599.45 t~oos~oos Tltte 3ervlces and Lenders Title Insurance Dsfalle BORROWER SELLER Closing Serv(Ge Letter 75,00 Midstate Abstrecl Company tNire Fea Zp pp Midstate Abstract t:ampany notary Fee 5.00 Mldatata Abstract Company End. 100 300 8.1 173,pp Midalate AbatraGt Company lax Cert_ 10.00 Dennl6 Zt3rbe, Treasurer Total 3 250.00 S 35.00 Lenders Tine Insurance BORROWER SELLER Lentler's Policy Premium to Midstate Abstract Company InSUranCe Acct, 975.88 Total S 975,38 S WARNING: It b a crime to ~'(nVIY meta ~~ statarnente to tee Unped Stares on thY a anY similar Tam. Wne(yoe upon eenWailpn can invlud~ a floe end imprhenmsn4 For de4th eaa; TIW 16 U,3. toile $aetbn 1007 arw SeeHnn 1010. 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