HomeMy WebLinkAbout04-11-12 (2)
~ 7~505604Z3~25
.
REV-1500
Ex _ OFFIpA~t~EDNLY
PA D~paAment d Rswnrrs
BrnesudNdMOwITs~
- .. Coungr Cods Yefar FM Number
~
.
' Poeox2eoeol INHE,RITANCE TAX RETURN
2 1" 1' 1 0 5 6 0
__,r„ FMS. PA 1712~OS01 .
'RESENT DECEDENT
ENTER DEC@OENT FORMATION BELGYU
.. Sod1d SsanitY Number Date of Dead • Dabs of Bidh • .
174 -2 '.0 1133 04302011 11061:927
popdsnh lafat Narrts SulTbc DsopderrCs First Name ' fA
CO.~ ~ LUC Y H
(N ApplfcaWe) ErNsr 8pouee'e Inrormatlon 1Seiow .
Spouse's Last Name SuMbc Spouse's Fb~st Name MI
Spouse's Soda) Security Number .
THIS RETURN MUST ~ FILED MI DUPLICATE WITH THE
REGISTER OF WILLS
F~L IN /1PPItOPR1ATE WALE eELOtiv •
L Oripkral Ratum ^ .. 2. Srrpplsmsnbl Retum ^ 3. Rartakrdsr Rabrrn (dots o/ death
prior to 12-1382)
^ 4. Limited Eatabs ^ 4a. Future Intsrsit Comproaass (dabs of ^ !f. Federal Estails Tax tietum Riquired
deatlr atT~er 12-12.8'1) ..
. ® 8. DeoatlNk ~ Testate ^ 7. Dscedertt ~AaY~rred a Lhrbp That 8. Toth Number of Sdf DepoNt ttsoase
Copy of VIA U-~+ Copy of That)
^ S. ProossrN Rerrshad ^ 10. SpousiN Poasrty Cndt (date of death. ^ 11. ENolion M tart under Sea W 13(Jy
belwaMr 12.31-01 and 1-1-~ ('1ltaoh Sch. O)
TNNt SECTION MtNtT BE tAIIPLET®: /it.L CORIIEBPONDENCE AND COt~DHiT1AL TAX NFORMATION ~tO{M.D t1E DiRECT®T0: .
Name TeNphorre Nrrrrrbsr
a H'A R 0 L D S I R W I N I I I E S Q 7 1 7 2 4 3 6 0 9 0
Firm Name (If ApphCebls) REOIETdt ~ t~ qe" y`~ r~
I RW I N LA W O F F I C E
First Nne of addrssa .
6 4 S O U T F# PIT T S T R EE T
Ssoond t1M EfF address
Cily or Post Ottioe
CARL I S L E
address: i
,_..._
kaaMa ht I
rspaeralrerthnr b p
r~
14
64 South Pitt .Street
15056041125
Stets ZIP Cods L...
P A 1 7 0 1 3
r ~irhibdr~pr
Carlisle
Carlisle
PLEASE USE ORIGINAL FOIISA oNf,X
sw.~
~~~ .~
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7~~ _~
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~~
t.J
DATE FLED t _.~
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`~::?~~
C " t`i
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ergr lorswb os.
DATE
PA 17013
DATE '
PA 17013
15056041125
J
15056042126
REV-1500 EX Decedent's Social SecurRy Numb
o~oad.nrs N~,e: LUCY H. CONN 1 7 4 2 0 1 1 3 3
RECAPRULATION
_ .
7
7
5
0
0
0 _
0
1. wal setae. (Schsdulp A) .................................. .... 1.
0 0 0
2. Stocks and Bonds (Schedub B) .............................:.... 2.
3, Cbssiy Field Corponrtion, PaMenhip of Sob-Proprietotsh~ (Schedub C) ..... 3: O O 0 .
4. Morlpapss 8 Notes Reasiwbb (Schedub D) ..................... 4. O O 0
2 2 fi 4 5 9 9
5. Cash, Banc Deposits S MitoeUaneous Personal Property (Sd~edub E) ....... 5.
ti. Johtly Owned Property (Schsdub F) ^ Sepafaee Bsinp Requested ....... g•
0
0
0
7. Mesc VMos Tnnsiien 8 IAaosNarbous N,~Probaba Property
BiB
G
s
t
d
S
h
d
7
0
0
0 ,
epara
.......
ub
) L J
e
np Reauestie
. (
c
a .
d. ToW t~+oas Asasb (total Lines 1-~ ........................... 8. 1 0 0 1 4 5 9 9
..............
9. funeral Expsraes a Administratnre Costs (Sdredub ~ ...
9. 2 3 3 8 3 5 6
• i 3 3 8 5 8 4
.....
10. Debts d Decedent, AAorlpaps Liabil~s, ~ Liens (schsduie n ....... 10.
...........................
11. Total OsducUons (eotal Loss 9 a 10)
11. 3 6 7 6 9 4 0
12. Nat Value of Eataee (t.ins a minus tins 11) ......................... 12. 6 3 3 7 fi 5 9
13. Cla~abia and OovemmantN Bequssb/Sec 9113 Tnwb for which i O 0 0 0 0
an ebcdon to tax has not been made (Schsdub J) .... . ............. 13.
6 2 3 7 fi 5 9
14. Net Value Sutajad eo Tax (l.ins 12 mhos Line 13) .................. 14.
TAX CONPU'fAT1ON -SEE INSTRUC'TtON8 FOR APPLICABLE RATES
15. Amount d Uns 14 taxabb
at tha spouaU hx ra0s. or
transfers under Ssa 9118
O O O
O
O
O
(u(1~)X. ~ 15.
1a'
~~ 5 8 8 7 6 5 9 2 6 4 9 4 5
~ 16. _
17. Amount d Line 14 taxabb
i o 0 0 0 .
1
2
0
0
at alblirq rasa x .,z ,,.
taxa
ble 3 4 0 0 0 0
~ z
1 e.
a 5 1 0 0 0
5
l
.l
oeN~e 1 a.
3 1 7 1 4 5
19.TrocDw .................. :................. ....:.. 19.
20. ' FtLLJN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
. Sidle ~
15056042126.-
15056042126 J
REV 1600 EX Pape S
Dec~dsM's Complete Addrfl~s:
Fib Number
o5eo
oEtfrs ~
tiuaY N. t~u+
srt~T AooRESs
su ~ ~E sn~Er
CITY STATE , _ ZIP
C~ARLI3LE PA 17013
Tax Payments and Credits:
t • Tact Due (Pape 2 line 1 ~
2. CreditslPayn>er~s
A. Spousal ~Y Credit
B. Prior Payrrrerrfa
C. Diaoount
Total Credits (A +B +C )
3. IraereatlPenalty ti applicable
D. Interest
E. Pana~r
Total In~stlPenafty (D + E )
4. ' N Line 2 is greater than lure 1 + Lane 3, order the differenos. This is the OVERPAYI~NT.
FiN ~ oval oa Pape 2, lira 48 bo request a rdund.
5. ff lane 1 + line 3 a grea~r than tine 2, enter the . This is the TAX WE
A. Enter the interest on the tax due.
(1) 3,171.45
(~ 0.00
(3) 0.00
(4) o.oo
(5) 3,171.45
(~)
8. EnMr the total d L'me 5 +SA. Tltis is the BALANCE DUE (5B) 3,171.45
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSVYER THE FOLLOWINt3 QUESTIONS BY PLACIN~3 AN "X" IN THE APPROPRU-TE BLOCKS
1. Did deoederrt make a transfer and: Yes No
a. rataur the we a uroonre d the property transferred : ......................................................................
b. retain the right to de~prtale who shag use the property transferred or its incase; ...............................
G retaut a nearersionary urteresi; or ................................................................................................
d. raoeive the pranise for 19e d either payrner-tt, benefits or care? .......................................................
2. ~ death occurred attar Deoen-ber 12,1982, did decedent transfer property within one year d death
wftirorrt n>caivirrg adequate aonaideraticn? .......................................................................................
3. ' Did decedent osm an "rn trt~ for• or payable upon death bank aooount or aecxuity at his order death? .........
4. - Did deoederx own an urdividuaf Retirement Ao~unt, annuil)r, ar other non~robate property which
corrtaurs a berretlt~ryr designation? .................................................................................................. ^
~ TF~ ANSYVER TC ANY Of 311E A80VE f~UESTIONS IS YES, YOU MUST COMPLETE 8CHEDUIE G AID L=q.E R ASS PART OF Tt~ ~?t~l.
For dates d death on or alter .k~-1,1994 and before January 1,1995, the tax rate unposed on the net value d transfers b ar for Qre tree d the surviving spouse
is three (3) percent (72 P.S. ~f116 (a) (1.1) (~)•
Fadatee ddeatir on or eOerJamrary 1,1995, the tart rats unposed on the net value d transfers b odor the use d the surviving spouse k aer+o (t)) penxnt
[73 P.S.. §9118(a) (1.1) {iiy), The atdrAe a transfer to a surviving spouse from tact, and the requirements for disclosure d aka and .
~9 a tax return are sSl applicable even if the surviving spouse is the ony berrefiaary. .
For dates ddee~ on a after July 1,2000:
Thereof mile 4.a+ the-net vakre d trarrafersfrom adeceasedchildtwenty-one years d age or younger d death to orfor tla u~ d a ndural parent, an
adoptlve parent, ore slepparerrt dthe child is rero (0) percent (12 P.S. §9116(aj(1.2)].
-The tact rate urpoeed on the root value d transfers to or for the use d the decedent's lineal benefk;iaries is tour and one-half (4.5) percent, except as noted in
72 P.S. X118(1.2) [!2 P.S. ~116(a)(1)).
TM tax tale inrpoaed on the net vaiue dtlarrsfers b rxfor the use dthe decedents is twelve {12) percent (72 P.S. §9'116(aK1.3)]. A srl~rrp is defined, rxrder
Section 9102, ae an hldfvidual wAo tas at least one parent ut common with the decedent, whether f»r blood or adoption.
RE1/-1602 EX ~ (8i6) ~ -
SCHEDULE A
«~or.TMO~ .vMar- REAL ESTATE
1l~fT ;T11'
ESTATE OF - F~.E MICR' '
LNCY M. ®OMI 0lNO
AN m61 Pro/Mb awMA aeN4tt Mas'a binwt M oowwoa wwt M a/a1M i Yk auuM wlw. Fak tn~trMislt dwMd ~ h pdo~riMAloh piopMpr Wald b~
~dunpdd bMw6n a ~ burr End ariGp Mlr, aiMwrbNiq b buy ar «A boll h~inp wMO~MbM d M nlMntt~ab.
RAM b- Awl b• F.
• VALUEAT DATE
DE5(~tIPTION of DEATH .
1. NOtI~ ANO LOT AT S1rt NORlM COLLeOE iTl!!ET ~~-~
1/Mw bwd a~ taN ~doa
- ~ IINOA at lxtrbit 7" .
REV 1603 IX ~ (8.6~~ .
' SGHEDU~.E B .~
cow~or+oF~w+snv~uaa STOCKS 8~ BONDS .
«~tnx .
EliTATE OF ` _ ~ _ ;
LIIC1f 11. f.'OINi O~t0
N rw«4-l~o,~.aw~ ~asutwrad~n ww.taaiao..ae~ aaNar. F.
REfW . , ... .. ::. .. VALUEJIT DViTE
IVt~ER DESCRIPTION ~ OF DEATH
t. - aoo -
NE1/-1i04EX+~ -
SCHEDULE C
' ~ CLOSEt.Y-HELD t~R~P~RAT10~!„
c~~on+t~ ~+snv~- - PARTN OR
r 80LE-PROP~ETORSHIP
EaTATE OF ~
L.tiC'Y M. t~1~Ni 06N!
ode ~1 o-C-2I~q r p i~faap~lonj ~aurt b~ dl~dMd icrMCfi alo~ey~NMd anpoaloNp~lwaNip Mi~td~ drar0ei~, oQMrtin ~' -
~otspioplNoahip~ 8~t iMiuabnriorrie ~ipporl~p HomiMon b be tubn~d for ~p~b~p. _ .
IT~1 - _ VAUJE AT OATS
of DEATH
~ ~
REV 1307 EX+
R~1/-160a EX + (~~il~j
r SCHEDULE E
~,~ ,,,,~ CASH, BANK DEP03fTS, ~ MISC.
ar,~roc.~uRa _ PERSONAL PROPERTY - .
F~ r
ESTATE OF ~ .:: .
L.YCY M. CONN... ~~
~ dt ri~ d N~ and ~ dM~ t~ nw~t dMdoNd ~ ScMdrN F.
VATQk'CE:.
ff~i _ ..,, . , ..
DESCRIPTION OF OEAT~
isiii
L p16,WIK
C1 Aaoovint
2. 1ST INOERAt. CIl601T WiION 7$1.94
3. 1006 Cl16YNOLlT MAL16ti ' ' tf~,Z66.00'
ihiw 6aw4 on K~Ny 61w 6afk Mvwl~ I~ara/ Yaiw
~ ~fONA1. ANp MOV~IOLO CONT6NTi 769.00
~ ~o.~s
a " WiK 26.99
a
7. lwM1O ItQOTN~ NOMl, INC. .:
~rprlid Raa~ai Aa+eoa~nt
~f69s0.
0. AA16F
1Wdhwd
s. c~oNweswN~u.TM o~ ~w osrT o~ iewe~arE aoaoo
Mopaxf~-.Tarr. ~
10. wIAL pTATt 6AL! TAX ~ItO•RATION ~'~
17. INT CIN~IC 92f.0!
Y ,_
Y
. .
TaTAL (J1No ader on Nne 5, IieapMuloYon) : 26.946.N
(Maiaa ~ M aNd~d, UredaddNondfhaN~ dNa Nmaaia~
RE1/•1600 fl1 •(0.110) -
~~~~ F
~TM~v„~,,, ~ JOfNTLY-OWNEa'.PROPERTY _
iN~~r~
;.
EgTATE OF, ~ ~
t4.1lCY 11. ~Al~lli t~60
t; M wwt ws dnd~ Joist ~ an ywr dttM d~o~daks di of ~ k newt t1o noo0~d on tdNduN Q _
ADDRESS ~ REiATI0N0*IN~ Te) DEt~E7iT
SURVMNIO ,qNT TENANT(S) NAME _
A NONE
B
C
JONITLY PIIOP'ERTY{
ts~tee a-TS soF ~ txt~a-Ft~-n1
~ Fat,latr ~ r+a~~En~cFw~wc~.rlm°rural°Na°FiowuMtucwoooulr~lec~artsl~ oA~oFt~-tM t~aa v~t>F
nine T~u1t ,Ia1nt ~ bBtt~1fM16NlMrBER AITACH 0®fORJ00111r~e~,D ~ ESTATE vAwE OF A88Et NiiEfl60T o~1's NEST
1. A. terms aoo '~
r , .
1
• ~
(N InOnl ~pnoe ti nMd~d, NMMt Od~011r MISSt; Of tfin waa ~
Rtu~s~ooc+~ _ _ .
.~
,, 8CHEDULE ~ ,
INTEi~VNOS SRS 8
CAI ~ ~x vANU- MISC: NON-PROBAI`E PROPERTI( .
:.
EsT~-T~ of FlLE `
urc~r N. ~ oeso ,
.: TAi~ ~dieeuM miMt b~ aompierd and Btid rtr aawirb ary d quiNb~a 1 ~ an fis rower ~ db REw1500 COVER sir Y ~-e~.
oESCRiaTbL~ of ~o~ERnr
RE~A '+ramEwEw~arnEawrwt~~mmoaRwo DATE OF DEATH %OFDECD~B E)OCtdOlON TAXABLE
~saEa~nw~ei ~~aa-or~o~~a~~agr.
NUIr6ER VAUJE.OF ASSET N+tTERE3T .. ~~q VALUE
1, .NON! 0.00. 0.00
TOTAL eMeron Nne 7 i 0.00
(If na~~IsnMd~d.M~t~l~dlh~wa~~
REV•1511 EX * (1Z-iej
"`
. SCHEDULE H
•
COMMONWEJILTH of i0nv~rai- FUNERAL EXPENSES &
M~ TAX iElYIJRN AD~N~STRATNE. COSTS
ESTATE OF ~ FN.E MJMBER
LUCY ii. CONK ~~ .. ....:. .
Datria of daeMaat aaaa; ba n4~ ae ~dndWa L .:
REM
MJMBER , ; DESt~iPTION AMOIMf
A. FIJI!ERAI. EXPENSES: .
1. lMIIIO lgNIIRAL 110ME. N~IC. ~~
Z fW. JONN~ON • 14~~orai i~-loa- ~ ~ 100.00 ..
3. Oi~ltO!'i lLr0~1li • E~eal lgo~rors ~~
4. MlATM/It ORTiZ -Trawl b~noos , 300A0
B. ADIMI~STtZATIVE COSTS:
1, Paeonr R~pi~ew>I~+n's Commiaiau
Nama d PeAOnal R~peaeiMaM (s) !!IOlN! C. MOOONR~00 4.000.00
odr8epMbt~kniba~(a~tlfMNnberdPMaonNRepe(a)
slot: Add~na ~~ -w• sTlteer
qqr CARYfLE Stab ~A ~p 17013
Yar(sj C,anrnieMon Paid: X0'11
2 .. Atiomay Fa1a NlNIN LAw O~l7CE Sr~•~
3. Fnnii- (IFdaoada~'a addnw Y not fta aama • daimantt, atrch aOYWon)
tMainant
•
sr.auaa.aa
Cigr S1Ma aD
RalaYaaAipdCYYnanttoDeoe~le~t .
4, p~ppya Faaa gl~EItl.ANO COUNTY 11t010TO1t Of t#ILI.i ZN.liO
5. AaoouNrKa Faea
6. Tax Ramon P~sprafa Faea
7. CUANp COUNTY 1![OIfTIR OR till~ls - IAN imw~eoey and Appralo~nont 40,00
A. TfIAV~ gilURANCt - Noanoownona NMwraaoa 103.00
f. TflAV4ta.~ INWRANCt -Car{ 00.00
• ~ 10. 1 a~ • AfNrwa~i f+~oo for M~1 Eshb saw and NttlMnont 700.00
11. CLAitA rrOOnsRleot - Clow d ~ Ostalo and sv~piin 042.22
12. Y1311ltli f10iLtY - ~ M~oaonoo ~ !:00.00
13. A~ICflO!N illtviCN - JWatlop sowlooo aad CaangAtootono 1,000.03
14. .. TM ot< rA - TeaMNitr Taus an flMl ~ ~ 77!3.00
TOTAL (Abo enter on Nne 9, Recapiq~tlon) :
(M none apra N naedad, inwtad~aii ahae4 d fNSrma alga)
r~v~a~ioc+~~~ ' _
scNEau~E ~
ccwMO~un~oF:nvANU- ~ DEBTS OP~DECEDENT, .
wra~rux~r~x . MORTGAtiE W481LITIES,.:~,UENS.. ~ :. . , . .:.. ,. ,_ :. ,.
E8TATE OP ~ FLE MlMBER
_
:
LYCYlL.COIiM O6i0:
'. Report altib inarid bytlN dacrdani pdorb daNh which ~NNd ~ as oflhe.dabe ai~~ nnrNmMgNd m~lal ao ,
REM VAUIE AT GATE
DESC~PTION .. ,: ,- OF DEATH .
~. sN~nr ~nesY ~ ~,
. ~ o~
: Hors
~ sow
. ~ ~ ~.
s. ~ csrm sssv~s t~ucc~ +,
opM davit /boouit
s. cite cum s~vsxs ~ ~~osrj
op.~
s. coYCSST giarl
~N,a ces, s~
a ~nac ss~
~1 New. ~
Ana o..
a t<u--cram saev~cas ~s~s~.e4
opu t~wNt /bco~nt
9. AOW/sl1~ALTMCAItE fs.00
MGM aN
~a s~MSrr~` sssv~s ~ _ ssso
_ ~
~~. ~ww~ra~es
CK aAi MowNO~s Iw.urano. rnn~n
~z saves ~ ~ - ~ ~ ~saas~
o~ cwt llaco~.K
~.aala siq
~s. ~ w~ac ~ ~ ~s~ss
o~u o,+r~ Aoeo~.rt _
..
~s. soROU~~o~ c~u aosws
wab~r s~ _
. TOTAL (Also enlarm Nne 10, R~ec~apih~atlon) _ ~ ~
-- (# mon spsa M ~4 Mw«t ad~wrl shssR dt~s same sb)
REw~s~aoc.tsao~
ca~MONweuTN of aENNSnvANw
FRANCE TAX RETURN
I~SIDENT DECEDENT
ESTATE OF'
Li1Clf N. CONN p5Q0
` RELATIONSHIP TO DECEDENT AMOUNT OR SHAiS:
NUMBER NAME AND ADDRESS OF PERSONS) RECEMNG PROPERTY : DO Not list Tnabs(s) OF ESTATE
I TAXABLE DISTRIBUTIONS @ncNids ~ehibubo~r, and t~antteis under
Sec. 9116 (e (1 J
1. VIVIAN M COLEMAN Collsbral
521 ioulh Nli~t itrru~ Apt. a iZ,000.00
Cexl~, PA 17013 ,
3. Cliitfli NOOO~IDOE Colht~ral
142 "A" itnNt =500.00
PA 17013
3. CLARA MOOD~RIOAE Collabral
142 •A• ilrr~t :500.00
CeMfsls, !A 17013
4. C11~tgE it1TTON Lineal
233 Ys~la itrrat ;500.00
lHrrNbw~ PA 17104
5. LOLITA iUrtLER i1bIM0
2A00 KawtN~ itnat 5314 :100.00
Tampia NEb~ Mo 30748
8. ALEXANpRA COLEMAN Collabral
531 soutl+ w..t s~..f, Apt. s s100.00
CexINM, PA 17013
7. ANTHONY COLEMAN Collabral
521 tooth wilt ~. ~ i 1100.00
Carly PA 17013
ENTER Dt)IlAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON-TAXABLE OISTRIBUTK)NS:
A. SPOUSAL. DISTRIBUT~NS UNDER SEC710N 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1. NONE 0.00
B. CHARITABt.E AND GOVERNMENTAL DISTRIBUTIONS '
L iNILON iAPT1iT CHURCH Of CARLIiLE, PENNiYLVANIA (l7otivar ouiwl 1,000.00
` 401 Norlh INaat itraot
CariiNa, PA 17013
i
TOTAL OF PART II - EPITTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ~ , _ 1000.00
to more apace ~ neeaea, msart aaoiuonai arm a me same sael
Continuation of REN-~~500 Inheri~rn~e ~'ax R®tu~n Resident Decedent
IUCY H. CONK 21 11 Q560
D~osdenCs i~rrn PaOe 2 Fw Num6sr
Schedule J - BsnNiciaries -1
NUME~R
NAME AND ADDRESS OF RE(:EIV~IG PROPERTY RELATIONSHIP TO DECEDENT
Do Not Lht T AAIOUNT`OR SW1RE
OF ESTATE
I TAXABLE DISTF~UTIONS f dude oufrigM ~o~ai ~ributlons)
s. 6~lIAM. C~IIAN
sz+ so~lh wst sen..r, ~ s _~ oooo
c.rsa., rw ~7o1a
s. ss~eA aossew caat.~
bas eosr~ str~ sloo.oo
crsa., ~w 17s1a
1a o~rnz un..i
s~ wallas tom. sloo.oo
~. sw, oK s~os
~~. wwvwN ~
_
1s17MsNyllrsst :100.00
Nani~bur0i ~A 17014
1 Z. AMtIL sYLLNAN Lirraal
1617 Nom >Krsot ~ S100.00
~w X7104
13. rnemwl~nr surroN ~
1717 Nlorlh Zad ~rsat 6100.00
11arr1.i~ ~w 17102
14. Ig116Tl11 suTT+ON un..l
1717 NerlA Znd slrsot 1100.00
'6, ~A 17102
16. GLORIA oANIl1.= Llnoal
2NZ ~ma111s Court 60% RES1011ARY tsTAT!
siareM VWa. AZ 66636
16. IIlw7~ OR'TIZ Lhral
460~/S CMoN 60% RlsR1tIARY pTATE
fit. ~ OK 7x60.1
•• L~Ri ~ ~^.pcil'OY<i! fliQ ~~'!!"iiL~~zJ
_
•
'
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-
=.!r T~umber ,,:: N:.^.,r~~
& h! ,zi ~ ., ;:a:,rM Case Numbe'
..
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Continuation of Settlement Statement (HUD-1}
s
II+~D-ATLANTIC HOA+~ BUYERS. U.C
Borrower's Name Loan Nun~er
N!A 3/462012
Lende~$ Name. p~ ~ Settlement Date ,
13Qi3. Additional Settlement Charges
1305. b. 2072 Ctwn ! Borou h Real Estate Taxes to Ceor a Hicks Tax Collechsr 671.55
1345.c, 8url~t -Lawn Care for Summer 2011
~ 5p0,00
~~.d. Water 8iN to CARLISLE BORUUGH g0,72
1305. e. Electric Eiill to PP~L ~ ! 11.02
1345. f,