HomeMy WebLinkAbout09-20-12 (2)1505611185
EX (
J 02-11)lFl)
SE ONLY
REV-1500
- OFFICIAL U
ber
PA DepaRment of Revenue County Code Vear File Num
Bureau of Ineividual Taxes INHERITANCE TAX RETURN 21 11 p 7 2 4
PO BOX 280601
RESIDENT DECEDENT
Harrisburg, PA 17126-0601
ENTER DECEDENT INFORMATION BELOW
Dale of Death MMDDVVYV Date of Birth AAMDDYYVV
Social Security Number
X6152011 10091969
M I
Suffix Decedent's First Name
Decedent's Last Name
ROBERT ARTHUR
LIDDICK
(If Applicable) Enter Surviving Spouse's Information Bab Suffix Spouse's First Name MI
Spouse s Last Name
Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
_ _ REGISTER OF WILLS
FILL IN APPROPRIATE l30%ES BELOW ^ 3. Remainder Return (Date of Death
Supplemental Return
^ 2
® 1. Original Return .
prior to 12-13-82)
Limited Estate
^ 4 ^ 4a. Future Interest Compromise (date of ^ 5. Federal Estate Tax Return Required
. death after 12-12-82)
^ 7. Decedent Maintained a Living Trust ~ 6. Total Number of Safe Deposit Boxes
^
X 6. Decedent Died Testate
(Attach Copy of Will) Attach Copy of Trust.)
9113(A)
r Sec
^
ation Proceeds Received
^ 9
Liti .
Death
11. EAllach Schedule Oj
^ 1 D' ge
1D
,
renl
Y
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.
g 95)
1
91
d
2-31
tween
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIALOa)AXrtNe Telephone NumbeD BE DIRECTED TO:
Name ^~
717-697-t~R2
RICHARD C• SNELBAKER
REGISTER 77 _ 5 USE Or
~- r7
,
_ ~ N ry
First Line of Address tic;;'l -O ~ ~7
44 WEST MAIN STREET O zi
__ t -'
-T'
Second Line of Address -"t
D
~'3 _ r
t
~ t~
"r7
Cn
P . 0 . BOX 318 PATE FILED
City or Post Office
State ZIP Code
MECHANICSBURG PA 17055
Correspondent's e-mail address:
Under Densities or perjury. I declare that I Dave examined this return, inducting acwmpanying schedules end statements, antl to Ne best d my knovAedge and belier,
it is true, correct antl complete. Declaration of preparer other than tha personal reprosentelive is Desed on all information of which preparer hn~~ knowletlge.
KAT
'IN, EXECUTR
OTHER THAN REPRESI
7 BELLE VISTA DRIVE,
RYSVILLE
4TE PA 17053
ADDRESS 44 WEST MAIN STREET, MECHANICSBURG
RICHARD C• SNELBAKER, ESQ•
PLEASE USE ORIGINAL FORM ONLY PA 17055
Side t
1505611185 oMaea~aooo 155611185
155611285
REV-1500 FJ( (FI)
Decedent's Social Security Number
Decedent Nama LIDDICK ROBERT ARTNIIR
RECAPITULATION
t. RealEState(scheduleAJ ............................ t. 433,065.66
2. Stocks and Bands (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) ~ Separate Billing Requested 5.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested 7.
8. Total Gross Assets (total Lines 1 through 7) .. g,
9. Funeral Expenses and Administrative Costs (Schedule H) ......... .... g.
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) . 1p.
11. Total Deductions (total Lines 9 and 10) , .. . 11.
12. Net Value of Estate (Line 8 minus Line 11) ... 12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) , ..... 13.
14. Net Value Subjeet to Tax (Line 12 minus Line 13) . 14.
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
iransiers under Sec. 9116
16. Amount of Line 14 xable
~
at lineal rateX.04 194,426.54 is.
17. Amount of Line 14 taxable
at sibling rate X .12 ~ • o Q 17.
18. Amount of Line 14 taxable
at collateral rate X .15 0 • o i] 18.
19. TAX DUE....... .. 19.
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
1505611285 1505611285
OM4649 3.000
o•oo
0.00
0.00
115,971.06
421.93
5,807.92
555,266.57
209,627.79
151,212.24
36,840.03
194,426.54
o•oo
194,426.54
0.00
8,749.19
o•oo
a•oo
8,749.19
K^
REV-1500 EX (FI) Page 3
File Number
~, ,, n~au
D@C@OBDT-s tom lets ..actress. -- - -
DECEDENTSNAME
LI I K OB RT ARTHUR
STREET ADDRESS
M R Y
CITY STATE ZIP
CA P L PA 7 -
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19) (1) 8,749.19
2. Credits/Payments
A. Prior Payments 8, ~ 0 0• 0 ~
e. Discount 400 •00
Total Credits (A + B) (2) 8 , 4 ~ 0.0 0
3. Interest
(3) 5.41
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in box 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) 354 •60
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, benefits or care? . . . . . . . . . . . . . . . . .
2. If tleath occurred after Dec. 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ............................
3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her dea0t?
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 A.ND 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)j.
For tlates 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)j. 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.
Far dates of tleath 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 tleath 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)j.
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 F~ercent, except as noted in [72 P.S. §9116(a)(1)j.
• The tax rate imposed on the net value of transfers to or for the use of the decetlent's siblings is 12 percent [72 P.S. §9116(a)(1.3)J. Asibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blootl or adoption.
OMdfi]t 2.000
REV-1504 E%~ Im-10)
Pennsylvania
pEPPRTMEPlr OF REVENUE
INHERItPNCE TAX RETURN
SCHEDULE A
REAL ESTATE
FILE NUMBER:
Robert Arthur Liddick 21 11 0724
All real property owned solely or as a tenant In common must he reporletl at hlr market value. Fair market value is defined as the price al which properly
would be exchanged between a willing buyer antl a willing seller, neither being cwnpelletl to buy or sell, bdh hating reasonable knoMedga dthe rdavent tads.
Real properly that Is jolMlyowned wIN dgM d survlvorehlp must he tllaclosed on Schedule F.
Attach a wpy of the setllemant sheet if the progeny has been sdd.
ITEM Include a copy d the deed showing decedenCS interest if ownetl as tenant in canmon. VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
t, Property located at 350 Huntington Avenue, 95,923.57
East Pennsboro Township, Enola, PA 17025, sale value
(see attached settlement sheet)
2 (Property located at 940 South 30th Street,
Lower Allen Township, Camp Hill, PA 17011, sale value
(see attached settlement sheet)
3 Property located at 216 Belle Vista Drive,
East Pennsboro Township, Marysville, PA 17053, sale
value (see attached settlement sheet)
TOTAL (Also enter on Line 1, Recapitulation.) S
9W 4895 2.000 f more space is needed, use additional sheets of paper of the same size.
136,174.01
200,966.08
433.065.66
REV-1508 EX~ Itt-101
pennsylvania
DEPPRIMENT OF REVENUE
INHERITPNCE TAX RETURN
RESIDEM DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER:
ESTATE OF:
Robert Arthur Liddick 21 11 0724
Include the proceeds of litigation and the date the proceeds were received by the eslal'e.
All pro art ointl owned with rl ht of survivorshi must lte disclosed on Schedule F.
VALUE AT DATE
ITEM OF DEATH
NUMBER DESCRIPTION
1. Allriak Insurance 602.55
premium refund due the decedent on 350 Huntington
Avenue, Enola, PA
2 Allstate Insurance Company 7,012.05
payment of claim on propety damage for Belle Vista
property
3 Allstate Insurance Company 471.81
insurance premium refund due the decedent
4 Cash found in decedent's possession/belongings 60.44
80.98
5 Comcast
refund due the decedent
6 Cumberland County Tax Bureau 37.76
refund due the decedent on 2011 local tax return
7 Fulton Bank 1,271.56
savings account #1370-36830
8 Fulton Bank 2,951.17
checking account #1019-36121
9 Great Road Settlements 2,083.78
refund real estate taxes withheld in error at settlement
for 940 S. 30th Street, Camp Hill, PA
10 Haller Enterprises 11,170.22
commission, vacation time and personal time due the
decedent
11 Heritage 1 997.11
insurance premium refund
12 Household goods 300.00
retained In-Kind
13 Member's 1st Federal Credit Union 1,437.35
savings account #162679-00
14 MetLife Home Loans 1,019.37
equity accelerator program, refund due the decedent
Total from continuation schedules 86,474.91
TO7AL (Also enter on line 5, Recapitulation) E 115 , 97.1.06
owaanD aooo If more space is needed, use additional sheets d paper d the same size.
Estate of: Robert Arthur Liddick 21 11 0724
Schedule E (Page 2)
Item Value at Date
No. Description of Death
11,559.78
15 MetLife Nome Loans
escrow refund due the decedent
125.00
16 PA Department of Revenue
refund due the decedent
17 PA Liquor Control Board 519.01
unpaid wages due the decedent
18 Proceeds from sale of various autos and auto parts 65,761.12
(see attached spreadsheets)
0.00
19 Raymond James
IRA account #63837008 valued at $5,696.84. This is
listed for informational purposes only and is not
taxable due to decedent's age
4,460.00
20 U.S. Treasury
refund due the decedent on 2011 Form 1040 tax return
4,050.00
21 Weaber Inc.
revenue from tree harvesting on Belle Vista property
Total (Carry forward to main schedule) 86,474.91
RE/4509 EX• (07-10)
Pennsylvania
OEPMTMENT C£ RF4ENVE
INHERITANCE TA%RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF; ''" """""""
Robert Arthur Liddick 21 11 0724
N an asset became (dndy owned wmtln one year of the tlecedent's tlate o(deam, h must be reported LNI Schedule G
cl aJVrr vicar T[NANnC1 NAhSi S1 ADDRESS RBATgtJSMPTO DECH7B'R
A Liddick, Brandon V C/O Kathy Jean Irvin, Trustee, 21'
Belle Vista Drive, Marysville, PA
17053 Son
JOINTLY OWNED PROPERTY:
R~
NLa,eet IEtTER
FCR JgNT
TENINT DATE
FItAOE I
JOetr
NCLVOE N/.M:6 FIH~11DLII.L IPo N~SKKiIi7VfIGInND~MKKAryC.CWM H4RER fA 61MUR
IDEHTI%IIp XU.BE0./.iTXCX DEED FgfJQNTLY XELDflEnL ESTFTE
~~~~TM
VALUE QF ASSEr ~ of
D~' r`5
HT6i6ST naTE of DEATH
VALUE OF
DEC~r5Hr~E.ST
1 A 11/12/201 0 Member's 1st Federal Credi
Union 707.45 50.0000 353.73
certificate of deposit
#249614-41. Opened by
transfer of funds from
savings account #249614-00
2 A 8/17/2004 Member's 1st Federal Credi
Union 136.39 50.0000 68.20
savings account #249614-00
TOTAL (Also enter on Line 6, Recapitulation) S 421.93
9WI6AE S.O6a If more space is needed, use additional sheets of paper of the same size.
REV-1510 E%+(08-09)
pennsylvania
DEPARTMENT OF REVENUE
SCHEDULE G
INTER-VIVOS TRANSFERS AND
MISC. NON-PROBATE PROPERTY
Robert Arthur Liddick 21 11 0724
This schedule must be completed antl filed if the answer to any of questions 1 through 4 on page tYVee of the REV-1500 is yes.
ITEM
NUMBE DESCRIPf10N OF PROPERTY
Mcuns,~w+MEOrrremuartase Taw asuriorswa ro oECe>EUrnw
r~wis or mxrrea ATLMNAWW Orr~osso roa ASx ssrATe.
DATE OF DEATH
VALUE OF ASSET
%OF DECD'S
INTEREST EXCLUSION
fAPPl1CAaLE TAXABLE
VALUE
t~ Great Weat Retirement Services 5,807.92 100.0000 0.00 5,807.92
deferred compensation program
1198978-01. Designated
beneficiary was Kathy Jean
Irvin.
TOTAL (Also enter on line 7, Recapitulation) $
If more space is needed, use additional sheets d paper d the same size.
9WdfiAF 1.000
REV-1511EX~(1609) SCHEDULE H
pennsylvania
OEPMIMEM OF REVENUE FUNERAL EXPENSES AND
..,r.,._..,,.~,.. o=.,.=.. ADMINISTRATIVE COSTS
FILE NUMBER
ESTATE OF
R ber Ar ur Li dick 21 11 0724
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION
A. FUNERAL EXPENSES:
~ G.T. Watts
tent rental for funeral luncheon
Total from continuation schedules .
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s) of Personal Representative(s) K thyme Te=^ Irvin
Street Address 217 Selle Vista Drive
City Marysville State PA ZIP 17053
Year(s) Commission Paid:
2. Attorney Fees: Snelbaker & Brenneman, P.C.
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
n=imam __
AMOUNT
250.00
5,000.00
19,471.10
17,975.92
cr.oor ndd.oza
4.
5.
6.
7.
1
City State ZIP
Relationship of Claimant to Decedent
Probate Fees:
Accountant Fees:
Tax Retum Preparer Fees:
A6K Pole Building
repairs to pole building 216 Belle Vista,
Marysville, PA
Total from continuation schedules .
112.50
1,100.00
455.00
165,263.27
70TA1(Also enter on Line 9, Recapitulation) I $ 209, 627.79
9W46AG 2 000 If more space is needed, use additional sheets of paper of the same size.
Eatate of: Robert Arthur Liddick 21 11 0726
Schedule H Part 1 (Page 2)
Item
No. Description Amount
2 Sullivan Funeral Home
funeral services 5,000.00
Total (Carry forward to main schedule) 5,000.00
Estate of: Robert Arthur Liddick 21 11 0724
Schedule H Part 7 (Page 2)
2 Allstate Insurance
358.69
insurance premiums
3 Cumberland Law Journal
advertising Executrix Notice 75.00
4 Deluxe
check printing fee 15.95
5 East Pennsboro Sewer Sanitation
sewer/refuse service 46.50
6 George Davis
repair property damage 216 Belle Vista Drive,
Marysville, PA 1,548.00
7 Heritage 1
insurance premium 350 Huntington Avenue, Enola, PA
and 216 Belle Vista Drive, Marysville, PA 2,412.44
8 Kathy Jean Irvin
reimbursement as follows:
a. organist & death certificates from Sullivan
E4ineral Home $280.00
b. Replace window at Belle Vista property $23.83
c. Patriot News obituary $179.17 483.00
9 PA Department o£ Revenue
Fiduciary Income taxes due for period ending 5/31/12 7.00
10 Pennsylvania American Water
water service 65.79
11 PPL Electric
electric service 478.95
12 Register o£ Wills
short certificates 84.00
13 Register of Willa
filing fee for Inheritance Tax return 15.00
14 Riverbend Nursery
land clearing 216 Belle Vista Drive, Marysville, PA 475.00
Total (Carry forward to main schedule) 6,065.32
Estate of: Robert Arthur Liddick 21 11 0724
Schedule H Part 7 (Page 3)
15 RSR Appraisers 6 Analysts
real estate appraisal fee for 350 Huntington Avenue,
Enola PA 17025 and 216 Belle Vista Drive,
Marysville, PA 700.00
16 Settlement charges associated with 216 Belle Vista
Drive, as follows:
a. ReMax 1st Advantage, commission $9,995.00
b. Transfer tax $1,999.00
c. County tax $658.42 12,652.42
17 Settlement charges associated with 940 South 30th
Street, as follows:
a. MetLife, mortgage payoff $117,117.88
b. Wire fee $30.00
c. Repair credit $3,000.00
d. ReMax 1st Advantage, commission $6,750.00
e. Tax Certification $15.00
f. Transfer tax $1,350.00
g. School tax $1,341.29
h. County tax $742.49 130,346.66
18 Settlement charges associated with 350 Huntington
Avenue, as follows:
a. Seller assist $5,483.03
b. ReMax 1st Advantage, commission $4,750.00
c. Notary £ee $10.00
d. Tax certification $10.00
e. Transfer taxes $950.00
f. Paramount Exterminating Co. $424.00
g. Roof repairs $1,150.00 12,777.03
19 The Sentinel
advertise Executrix Notice 221.40
20 Thomas, Thomas S Hafer
attorney fees 1,500.44
21 Reserve
for filing fees, accountant fees and other costs
associated with the administration of the decedent's
estate 1,000.00
Total (Carry forward to main schedule) 159,197.95
REV-1512EX~(12-OB) SCHEDULE
pennsylvania
DEPPR1FffM OF REVENUE DEBTS OF DECEDENT,
wNERnWJDETAXRETURN MORTGAGE LIABILITIES 8 LIENS
RESIDEM DECEDEM
ESTATE OF FILE NUMBER
Robert Arthur Liddick 21 11 0724
Report debts incurred by the decedent prior to death that remained unpaid at Ne date of tleath, including unreimbursed medkal expenses.
VALUE AT DATE
ITEM
NUMBER DESCRIPTION OF DEATH
t~ Treasurer
Debbie Lupold ,
real estate taxes due on 350 Huntington Avenue, Enola PA 1,159.80
2 GM Card
credit card debt 29.73
3 Lower Allen Township
sewer/refuse service 218.30
4 MetLife Home Loans
mortgage payments on 940 S. 30th Street, Camp Hill, PA
and 216 Belle Vista Drive, Marysville, PA 149,433.07
5 PA Department of Revenue
2011 state income tax due 124.00
6 Verizon
phone service 104.03
7 Verizon Wireless
cell phone service 143.31
eW66AN 2.000 If more space is needed, insert additional sheets of the same size.
REV-1513 EX+(01-10)
Pennsylvania
OEPARIMEMO ra. D~Or iow~
SCHEDULE J
BENEFICIARIES
ESTATE OF: FILE NUMBER:
Robert Arthur Liddick 21 11 0724
RELATIONSHIP TO DECEDEM AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not list Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [InUUde outfight spousal distributions and transfers untler
Sec. 9118 (a) (1.2).[
1. Brandon V. Liddick
C/O Kathy Jean Irvin, Trustee
217 Belle Vista Drive
Marysville, PA 17053
All of Residue: 194,426.54 Son 194,426.54
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LIPES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE
II NONTAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBLfT10NS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF
9W48AI 2 OOa Ii more space is needed, use adtlitional sheets of paper
LAST WILL A\D TESTAMENT
OF
ROBERT ARTHUR LIDDICK
Dated: March 6, 2005
Prepared by:
193rd Special Operations Legal Office
Lisa M. Greason, Esquire, Captain
PA Air National Guard, 81 Constellation Court
Middletown, PA 17057
(717)948-2207
~'' _,.
MILITARY TESTAMEIVTA.RY PREAMBLE: This is a MILITARY TESTAMENTARY
INSTRUMENT prepared pursuant to Title 10 United States Code, Section 1044d, and executed
by a person authorized to receive legal assistance from the military services. Federal law
exempts this document from any requirement of form, formality, or recording that is prescribed
for testamentary instruments under the laws of a state, the District of Columbia, or a territory,
commonwealth or possession of the United States. Federal law specifies that this document shall
be given the same legal effect as a testamentary instrument prepared anal executed in accordance
with the laws of the jurisdiction in which it is presented for probate. It shall remain valid unless
and until the Testator revokes it.
LAST RILL AND TESTAMENT
OF
ROBERT ARTHUR LIDDICK
I, ROBERT ARTHUR LIDDICK. a resident of the Commonwealth of
Pennsylvania, make, publish and declare this to be my Last Will and Testament, revoking all
wills and codicils at any time heretofore made by me. I am in the military service of the United
States.
FIRST: I direct that the expenses of m~ last illness anal funeral, the expenses of
the administration of my estate, and all estate, inheritance and similar taxes payable with respect
to property included in my estate, whether or not passing under this will, and any interest or
penalties thereon, shall be paid out of my residuary estate, without apportionment and with no
right of reimbursement from any recipient of any such propem~.
SECOND: I give all tangible personal property owned by me at the time of my
death, including without limitation personal effects, clothing, jewelry, furniture, furnishings,
household goods, automobiles and other vehicles, together with all insurance policies relating
thereto, to my son BRANDON V. LIDDICK, if he survives me. If my son shall be under the age
of twenty-one (21) years at my death, my Executor may sell any property bequeathed to my son
under this Article SECOND, as my Executor may deem appropriate, or my Executor may hold
such property or any proceeds thereof, without bond, surety or other security, until my son
attains said age or such earlier time as my Executor may deem proper to deliver any such
property or proceeds to my son, or to my son's guardian or any person with whom my son resides
for the use of my son, or, if there is a separate trust for the benefit of my son, to my Trustee to be
administered as a part of said trust. All costs incurred by my Executor in connection with
obtaining possession, appraising, safeguarding, delivering or selling such property shall be paid
as expenses of administering my estate.
THIRD: I give all the rest, residue and remainder of n-ry property and estate, both
real and personal, of whatever kind and wherever located, that I own or to which I shall be in any
~ -
~.
<_
manner entitled at the time of my death (collectively referred to as m;y "residuary estate"), as
follows:
(a) If my son survives me, to my son, or if he does not survive me to any then
living issue of my son, per stimes. If, however, my son then shall be under the
age of twenty-one (21) years (my son being hereinafter referred to as the
"Beneficiary"), the bequest to such Beneficiary shall not be paid. or distributed to
such Beneficiary but instead shall be given to my Trustee and held by my Trustee,
IN TRUST, pursuant to the following provisions:
(i) My Trustee shall hold, manage, invzst and reinvest this bequest
and may pay all or any pan of the net income to or for the benefit
of the Beneficiary, for the health, education, maintenance and
support of the Beneficiary, to such extent and at such time or times
and in such manner as may be determined in the absolute
discretion of my Trustee. Any net income not. so paid shall be
accumulated and added to principal at least azinually arrd thereafter
shall be held, administered and disposed of as a part thereof.
(ii) hi addition, my Trustee may pay to or for the benefit of the
Beneficiary, for the health, education, maintenance and support of
the Beneficiary, from the principal of the Beneficiary's trust, such
amounts, including the whole thereof, as determined in the
absolute discretion of my Trustee.
(iii) When the Beneficiary shall attain the age of twenty-one (21)
years, the trust for the Benefician shall terminate and any re-
maining principal and income shall be paid and distributed to the
Beneficiary, discharged of trust. If the Beneficiary dies before said
age, such principal and income shall be paid and distributed to any
then living issue of the Beneficiary, per stimes, or if the
Beneficiary has no issue to my then living issue, ep r stimes. If any
such issue is a beneficiary of a trust under this will, the same may
be held in accordance with such n-ust. If there are no then living
issue, the same shall be paid and distributed to the beneficiaries of
my residuary estate then in being as provided in this will, or if
there are none, to those who would take from me as if I were then
to die without a will, unmarried and the absolute ovrner of the
same, and a resident of the Commonwealth of Pennsylvania.
(b) If no issue of mine survives me, my residuary estate shall be paid and
distributed to JOSHUA SCOTT IRVIN if he shall survive me.
(c) If none of the beneficiaries described in clauses (a) and (b) above shall
survive me, then I give my residuary estate to those who would. take from me as if
r ,
~ % 2
~, '~ ~;.
I were then to die without a will, unmarried and the absolte owner of my
residuary estate, and a resident of the Commonwealth of Pennsylvania.
FOURTH: If any principal or income of my estate or any trust hereunder vests in
absolute ownership (free of trust hereunder) in a minor or incompetent, my Executor or Trustee,
at any time and without court authorization, may: distribute the whole or any part of such
property to the beneficiary; or use the whole or any part for the health., education, maintenance
and support of the beneficiary; or distribute the whole or any part to a guardian, committee or
other legal representative of the beneficiary, or to a custodian for the beneficiary (including a
custodian appointed by my Executor or Trustee without court order) under an}' sifts to minors or
transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence
of any such distribution or the receipt therefor executed b} the person to whom the distribution is
made shall be a full discharge of my Executor and Trustee from any liability with respect thereto,
even though my Executor or Trustee may be such person. If such beneficiary is a minor, my
Executor or Trustee may defer the distribution of the whole or any part of such property until the
beneficiary attains the age of twenty-one (21) }-ears, and may hold the same as a separate fund
for the beneficiary with all of the powers described in Article SIXTH hereof. If the beneficiary
dies before attaining said age, any balance shall be paid and distributed to the estate of the
beneficiary.
FIFTH: I appoint my sister, KATHY JEA\' IRVIN to be m}' Executor. I appoint
my sister, KATHY JEAN IRVIN to be my Trustee. If my sister, KFSHI' JEAN IRVIN shall
fail to qualify for any reason as my Trustee, or having qualified shall die. resign or cease to act
for any reason as my Trustee, I appoint CONNIE L. ROYER as my Trustee. I direct that no
Executor or Trustee shall be required to file or furnish any bond. surety or other security in any
jurisdiction.
SIXTH: I grant to my Executor and Trustee all powers conferred on executors
and trustees under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any
successor thereto, and all powers conferred upon executors and trustees wherever my Executor
or Trustee may act. I also grant to my Executor and Trustee power to retain, sell at public or
private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of
property, real or personal, for cash or on credit; to borrow money and encumber or pledge any
property to secure loans; to hold property in bearer form or in the name of a nominee; to render
liquid my estate or any trust in whole or in part. at any time and from time to time, and to hold
cash or readily marketable securities of little or no yield for such periods as my Executor or
Trustee shall deem advisable; to exercise all powers of an absolute owner of property; to
incorporate any business and form limited liability companies and hold any interests in
corporations and limited liability companies; to vote stock or securities, in person or by proxy; to
exercise subscription and conversion rights, and to participate or refuse to participate in any
reorganization, recapitalization, merger, consolidation, liquidation, dissolution or other action
with respect to any corporation; to transfer any business or property to a partnership and to be a
general or limited partner; to compromise and release claims with or without consideration; to
execute and deliver instruments, including releases; to change the sittrs or governing law of any
trust hereunder to any state my Executor or Trustee from time to time may deem desirable; and
to employ attorneys, accountants and other persons for services or advice.
C`l- ~ \
. , ~, _~
-;~ T~~ 3
C~'~
The term "Executor" wherever used herein shall mean the executors, executor,
executrix or administrator in office from time to time. The term "Trustee" wherever used herein
shall mean the trustees or trustee in office from time to time. Each Executor and Trustee shall
have the same rights, powers, duties, authorin• and privileges, whether or not discretionary, as if
originally appointed hereunder.
The determination of my Trustee as to the amount or advisability of any
discretionary payment of income or principal from any trust hereunder shall be final and
conclusive on all persons, whether or not then in beins; having or claimins any interest in such
trust. Upon making any such payment. my Trustee shall be released fully from all further
liability therefor.
SEVENTH: I direct that for purposes of this will a beneficiary shall be deemed
to predecease me (or any other person upon «hose dzath the interest of such beneficiary
depends) unless such beneficiary survives me i or such other person) by more than thirty days.
The terms "child" and "children" as used in this ~t ill include only the child and children of the
person desienated, but not any adopted child and children of such person. The teen "issue"
includes onh the children and other issue of the ~ erson dzsignated, but: not any adopted children
or issue of such person. The ternis "child," "; ~ ild-zn" and "issue" of the Testator shall not
include any stepchild of the Testator.
EIGHTH: No disposition; charge or encumbrance on any income or principal of
any trust hereunder or my estate by am benefician thereof shall be valid or binding upon my
Executor or Trustee. No beneficiar} shall have thz right to assign. transfer, pledgz. encumber,
anticipate or otherwise dispose of any such income or principal until the same shall be paid to
such beneficiary by my Executor or Trustee. No such income or principal shall be subject in any
manner to any claim of any voluntary or involuntary creditor of anv beneficiary or liable to
attachment, execution or other legal or equitable process prior to its actual receipt by the
benef ciary.
NINTH: I appoint CONNIE L. ROYER to be the Guardian of the person and
property of any child of mine who has not attained the age of majority. If CONNIE L. ROYER
shall fail or cease to act as Guardian of the person. I appoint KATHY TEA\ IRVIN as Guardian
of the person. No Guardian of the person shall bz required to file or furnish any bond, surety or
other security in any jurisdiction. If my Trustee or any trust hereunder is the beneficiary of any
life insurance policy, my Trustee shall be entitled to the insurance proceeds rather than the
Guardian of the person.
"'~ 4
TENTH: I have sen~ed in the Armed Forces of the iJnited States. I therefore
request that my Executor make appropriate inquiries to ascertain whel:her there are any benefits
to which I, my dependents or my heirs may be entitled by virtue of any military affiliation. I
specifically request that my Executor consult with a retired affairs officer at the nearest military
installation, the Department of Veterans .Sffairs, and the Social Security Administration,
IN WITNESS WHEREOF, I, ROBERT ARTHUR LIDDICK, sign my name
and publish and declare this instrument as my last will and testament this 6th day of March,
2005.
_. ~ _.
ROBERT AR 3UR LIDDICK
The foregoing instrument was sighed, published and declared by ROBERT
ARTHUR LIDDICK, the above-named Testator, to be his last will and testament in our
presence, all being present at the same time, and ~ti z. at his request and. in his presence and in the
presence of each other, have subscribed our names as « itnzsses on the date above written.
~v`v;, ( ~
Print: F ; t~,~ . S
;~~
having an address at
193`d Special Operations Wing
Middletown, PA 17057
having an address at
193`d Special Operations Wing
`.Iiddletown, PA 17057
5
MILITARY TESTAMENTARY INSTRUMENT SELF-PROVING AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA, COUNTY OF DAUPHIN, ss.
We, the Testator and the witnesses, whose names are signed to the attached or
foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that
in the presence of the military legal counsel and the witnesses the Testator, ROBERT ARTHUR
LIDDICK, signed and executed the instrument as his military testamentary instrument, that he
had signed willingly, and that he executed it as his free and voluntary act and deed for the
purposes therein expressed. It is further declared that each of the witnesses, at the request of the
Testator, in the presence and hearing of the Testator. the military legal assistance counsel and
each other, signed the military testamentary instrument as witness, and that to the best of his or
her lmowledge the Testator was at the time at least eighteen years of age or emancipated, of
sound mind, and under no constraint, duress.. fraud or undue influence.
__._,
~ P .~
/,~-_=~
ROBERT ARTH LIDDICK
Testator
print: ~ ;,:rL J . S~;A, ; i f
Witness
print: ~;br--EY aJ~1~t~~C
Witness
Subscribed, sworn to and acknowledged before me by the said ROBERT
ARTHUR LIDDICK, Testator, and subscribed and sworn to before me by the above-named
witnesses, this 6th day of March, 2005. .-,,
\ -.
~ -~ryM1`~P~_
1~1}-commission expires on
- P° In -.. _.. _.
~i ~ '~-~f'dv `I i- ~. .
I
j h~r,i ~o P ~ ~ ~~ _
~'.. ,
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OMB Approval No. 2502-0265
-P~l!~\ A. Settlement Statement (HUD-1)
100.
cross Amount DUe lrom Barrowm a wwme
400. r~
Gross AmauM DwmSNNr
95
00000
101. Conbadsales price 95,00000 401. Con9xisales price ,
102. Personal property 402. Personal lxepedy
107. Semenlenlcharyesmborroxer (line 1400) 5,47546 403.
104. 404.
105. 405.
Atl)ushnenb for Items paldM seller In advance Ad ushnank mrilema paitl by altar in advance
106. Ciryllawn Iax6 m 406. CiHA~'a lazes to
102 Caunry axes 1W312011ro 17g120N 5].37 407. Candy lazes 1013112011 m1717112011 51 3]
100 Schad Taxes 1013112011 ro0613012012 7]3.20 400. Scholl Taxes 101712011 tp 060012012 77120
.
109. SewaRrasA 1 013 7 2 011 m 17A12011 93.00 409. Sewedfotsh 1N3112071 m 12/3712011 9300
110. 410.
111. 411.
112.
120.
Gras Amount Due Tram Bonorx
101,399.07 412.
620.
Gross NnouM Dw m Seller
95,927.51
200. Amounb Pfm min BahaH pi BOrrowm 500. Retluctl4ms In Amount OUem Seller
201. Depositaeanx:st money 50000 501. Excess deposit (su mslnx5ans(
202. Pnncipalamuntd new lean(s) 92,59100 502. SeNemedcharyesm seller (line 1400) 11,10900
207. FxsOng loan s)taken svE edtc 503. ExsSn Iwn(s)Wen subpdm
204. 504. P aHdfiru mo a eloan
205. Credo to Deposit 440.00 505. PayoRd second mortgage lwn
p05. 506.
207. 507.
200. 500.
209. ~
AdtysMenb mr ikms unpaid alter Atl uaMenb Im ileme unpaitl alter
210. CINM1Own mus m 510. CiNlmwi Wes m
211. CpwN Wes m 571. GounN lazes la
212. Scholl Tares l0 512. School'fazes to
213 513.
214. 514.
215. 515.
216. 516.
217. 577.
218, Seller Assist 5,48303 518. Se3erAUist 5,48303
219. 519.
220. Total Paltl bYllm Borrower
99,01 1.07
SM.
Total Beductiw AmounlDw Seller
18,592.03
700. Cash at Sedlamerdfromllo BOrtawar 600. Cash al SememeM tdlrom Seller
301. Dross amounlduelrom bonaver (ine 120) 101,39903 00L Gross+nnwM duem refer (hne 420) 95,9239
302. Less amounts pad byttar baoaver pine 220) 99.01407 602. Less retluclions in amount due seller (line 520) 16,59203
303. Cash ^% From ^ Ta Borrower 1.385.00 g03. Cafh ^% To ^ from Seller 19~33t51
Prevlaus edl[ions are obsolete Page t of 3 HUD-~
1_Senlemenl Chdmes -
Paid From Paid From
~]~~
100. TWIRe,tl Eahle Bmkx FSn BOmOweYS Seller's
oivisim olwmmasim line 700 as blows: Funtls at Funds at
]01. $4,750.00 W RalMax tsl Atlvantage
Settlement Settlement
702 5000 b
u5B.9o
]03. Commsian Pritl al smtlematl ~.~
704 Canmissia b ReJMax 151 Atlvanlage
800. hems PeYahla in COnrecOOn wM LPan
89500 (ban GFE#1)
001. Our origination charge Ilndutles Origination PO'nt000iPbm5000) $
Yaut cretlitor Carge(poin6l la Ne spetific inlaesl rate chosen 5-05678 (hom GFE #2)
802
.
43fi.62
(hom GFEA)
003. Yaratljusletl agina0an chayes
(hom GFE #3) 440.00
804. Appraisal lee 1o SbHefs APpreeal 77.50
(ham GFE p3)
805. Cretlil repan to Birchwaatl Cretlit Services,Inc
to (from GFE #3)
006. Tax service
(hom GFE p3) 21.50
00]. Flootl cenOwbn 1o LPS Ndtimal Flail
Gran GFE#7) 100.00
008. Final lnspec5m Ic SmHefs Appraisal
300. Items Requirwf 1Lentlar to MPaltl In Atlvance (ran GFE #10) 10.78
01tl
ay
Daily inkreslydaryes ham ham 101311201110 11N1Q011~516780
901
.
(ban GFE Kt) 916.75
902, Natgage Iris. Premium fa monNSb Oeptol HUD
00
358
.
903. Hmwownefs irsurance br mmUsbStale Farm Insurance (ban GFE #11)
904 rtwnMS b (ham GFE #11
1000. Reaarvm De oeiLLM wHh Lentler 45143
(ban GFE #9)
1001. Initial tlepasH hx yar esaow accoum
1002. HonwownCSireurance 2mnntl5 3 29.84'mondt 559.68
1003. 6lagage Itwurance months E 07.181mmU f
1004. City Progeny Tax monhs E 000'monM E
1006 County PrOpeM Tax 5 mwlAS ®$ 28.151mam 5140.75
1006. School Taxes 3 month 3 9356hranN 5280.68
t 007. Aggm9ale Atlrysmwnt f-26.68
1100. TIt1eCMr es 1,06508
(hom GFEM4
1101. Titlesenices antl lentlefs title insurance
1102. Setllementordosxg fee b 5
tram GFE p5)
1103. Owneh Ike insurance
10.80
1104. Lettlefs Etle insurance 508500
1105. Lentlefs6tle poliq limi!592,591.00 Letkefs POGry
1106. OwnMS title pdiry unit 595,00000 Ownefs Pokry
110]. AgenCs patios altlre brel lNe inswance premium S7fi1.50
1100. Uikerwntefs patio of the total title inwrence premium 5134.38
1109.
1000
1110. Notary mlbckie Wdker
1111. Tax CeNfication Fee btst Alvan eSeNement Sw 10.00
1200. Gwbmmenl Recatlln ant TrenPler Charg
1201. Government recortl,tp cnayes E (hom GFE p]) 134.00
1202. peatl $62.00 t4ar a e $72.00 Rekau E
E (hom GFE #8) 950.00
1203. panda taxes
1204. CitylCounry laxlsmmps oeetl 595000 age E
1205. SIMe TmJStamps Deetl 595000 Nap? of 950.W
1206. Decd S e E
1z3]. E
1300. Atltlltlmal SeWwneM Char a
1301. Requiretl servicestltalya ran sFmp la (hom GFE p6)
1302. Survry to E
1303. b
3,815.0
Escrow brlnheribnce Taz blst Agra eSetllemem
1304
.
1305. Termtle bPaamOUnt Extetmnati Co. 424'00
1,150.0
1.39fi. Rmf Reoaks to S1ere Brink __
5,/75./6 11,109.00
rt t t
'Pak oukke 01 tlcsiig by (B)onower, (S~eHm, (C)antle. (pnveslar, BrdHler. "Cretlit by gentler shown a page 1. ^'Cretlit try seller shoAn m page 1.
Previous etllbons are obsolete Page 2 of 3 MUD-1
XUP1
Cmn aHSOn of Good Fa#h Eetlmale GFE ant HUG~1 Cher ies Good FaM Eatlma4
Cher ee Thn Cannot lncrose HU61 Llne Number
Our odgNaUOn charge # 801 895.00 895.00
VouraM4achaga lpoin6~fatlm spetlfic inleren rate chasan # 802 d5B.38 -05838
Yaur ao)usmd orgbedan charges #003 438.fi2 43662
95000
Trensfer taxer M 1203 950.00
Cher nTMIInTWICannatlxreafe NOre IDan 10% Good FaiN FaUmah HU61
Gwemment recadrg chages # 1201 20000 13600
appreisal fee M804 44000 44000
Credt repad #805 ]750 77.50
Flootl cer8ficelian #807 21.50 21.50
Firel lnspepbn #808 000 100.00
Modpa9e lns Premium #902 916.75 91675
Title servkes antlleMM55Ue imraance #1101 1,200.00 1,065.08
Ownefs 8tla bwreaa M 71W 100.00 t08(I
2,955.]5 2165.63
e 519012 o r 64322%
Goad RUh EalbnaN HUP1
Cher n Tlml Can Change
IniUel deposg la YWleevow aaa4nt #1001 1,95000 454.43
Gaily bleren Merges hen #901 E10.780G' 1078 10.78
HpnmgwnMSirrsurMre #903 600.00 35000
M
p
Your initial loan amount's 592,591.00
Your loanlerm is 30. years
Your NiUel interest vale is 42500%
Yaur inigalmaMA/anount owe0 br pdntlpN,interest, and any modgage 5543.54 includes
insurance is ^X Rindpal
X^ Interest
^% Ntaryage lnwrance
Can your Nlerenrekdce7 ^X No. ^V¢s, it rem nsema maximum of %. The fxstchange
vdll be on I I antl ran mange agan every years after I I .Every
change tlale,ywrinterestrale cenincrease or tleaease by %. Orerthe life al
Ne ban, your inlerestrne is guardnleed to never be bwer Nan %ahighar
Nan %
Even #yau make payrrmns an time, mi yaaben balance dce? %^ Np. ^ Yes, it oan dse N a maximum of f
Evan Uyou make paymensmline, ran your momhty amount owetl tar ^X No. ^Yes, Iha firstiarease wn be an I I ant Ne monNty
pdndpal, interest, and magage imurance rise? amount owetl can rise N E
The maximum it can e+a dsemisf -
Does your loan hales DmpaMmntperutltY? ^X No. ^Yes. your maximum prepayment penalty isf
Does your ban hamebalban payment? ^X No. ^Yes, ycu have abalbon payment olE Oue in
years on I I
Tnn monNM mmumawetl inMnirp esaaw acauntpayments ^ Vou do not haae a monNty esaav paYmm~lM hems, sucA as properly loxes
ant Aomeavne/s insurance. Ynu must pay Nose items diregly yaursetl.
%^ You bare an adtlilbnal monNry escrow Payment of $238.73
Nal resole in a tgml inidal mpnNM amont oxM M $591.22. This includes principal, interest, any
n~a9e insurance antl arcs i[etre checked bebw:
^X RopeM bxes %^Hameownefs insurnca
^ FlWdinsuranc¢ ^
^ ^
Note: If you have any quesfions about the Settlement Charges and loan Terms listed on this brm, pleases contact your lender.
Previous edRions are obsolete Page 3 of J MUD-1
OMB ApPmvel No. 25M-0]fi5
¢~o V }
A. Settleme
e nt Statement (HUD-1(
§
e~
``rw
e. Typo a! Laan
6. FIIe NUmner: ]. LOen NUmeer: 3MMBege lnsuranw Lase NUm eer:
1.(]FHP 20 RX5 3.0 GOnv. VnNS p11U120
a.~VA S~Lmvlns. ^gner
L. Naie: finis lvm l5lumi heL 1D 91ve yweslelemenl of BCWelsNtlemenl WS6.Pmwnk wltl to ene ey me wmemenl egenl ew sown.
1191ns merke0'IF0L'wPe p0~e Dulvee Ne tlotlng; bey ere 6M1Dwn Vert br In(Dlmetlmel purywes ene ere nm Induee0
In N¢mmis
0. NdmO fl 4eeress Jey Crum, 1 O N. Meeemv PNC. MecNmICSaUr9, PA 1]055
D12Ormwef. Moe MeeLmm,1]S[IN Mmeav Diva, MemenlcWUrg, PA 1]055
E Ndme fl AOCress Tm Es1e1e N Dem A Lleeld, 940 5wm M1 SIree1, Gmp X PA 1]011
Uf Selles'.
F. Name 6 AEeress
Drteneer
G. PrapeM LDCaEOn: PrapaM Aeeress
Sao s 3Nn s. temp Xn. Pennsymame non
PIN
13-z3O551-049
N. Satlkmem Rgen[ Jemec A. Mllln, sq., t-Greet Roan 9eMemwl Snvim, LL4 fi 5. 1]b tleeL Lemp HIIL PA ]O11 OPp3L1000
Pbce et 5emameDt 6S. nln Srleel, Gmp XW, PA 1]011
L Semament Gdh: 92]2011 PrpntlDn OMe: flrl]/3011 obeursemenroam: 92]/z0n
J. bXmmmypF BwetlvnfXTmnvXDNDn KSUmmeryalbellefE TrWSaztlpn
1W Dmee Mnawl OUehom BOnew'v b0. DraeDpnoure deb bslM
101. Cmeee ®16 Prlrt F135,CN.0]f01. CamkCAlw Pn¢ 81 $.NJ.CO
102 PemmM pmpenv mz. PnvmM pmpeny
+03 seNemmmrommmnmwnume lam/ sz.923,aE as
IW !~.
105. N5
1tl11nmiemelw mme peq ty sNlar In enveme /'tl)uanerRelw mme peb Ey umrln eMerca
106 Orynwn mves aa. tlrynwrnams
10] Cam[ fixes 92]/A111o lYJ1l20t1 EtYJ.051%. Loury1mo 82]rz0111o 12/3VA1t 81 TJ.0
toe AcmmeDk aoe. Asemme„k
109. Smod fib 92]rz0111o N30IN12 8991.550FA. STetl iex 9T/1A111of1S/1012 599].55
110. 3N Gtl RCNSe %t]/A11W93]/1011 $1]]110. 3E 0n ReNm9(1]2011m91.Urz011 81 t]
111. Yn Dtr Sbxer92]2011m9202011 8164 <11. 3tl W5svtt9T]M11 b92M011 816a
n3. nz.
1A. Gmee heewl Mlmm Berrmmr E1D,0%.B a20 Gmee Omoum DUem cellar E1]8.1 ]601
LM Mwunb PeN Ey Drln mlleXW mrrrawer 3'A RWWbm In Nnwm Dwro mmr
D1. OryadlttnflmW mnreY 591. FscrosnspaM lsse mstrULioml
A2 RlrcipY mwNmmwl®MS 592 3eNnnmltlwryesmxllnlline l<W 810199.]0
ms. EMSSne lwDlel bxen srpenl0 503 Etismg'mN,el Wbn agplm
pa xs, Peydl NeMmMgagelmnm MM9b $1 n,1 f]M
p5 505. PeyMl of eeo»]mMpagalmn
p5 5]0. NSre PeyDAb MHXero0eM RaM 5D6emen 5erv f30.OJ
ID] SD].
A0 509.
A9. R¢par QeM1l AOEO.W 509. Repur Oedl 33,WJ.
/tlluNmemelw Xeme unpeitl Ey etller M)uenereelw Mnne urlpeln MNr
3ID. Gyewvnbxes 510. grydwn bsea
]1T Camybxes 511. Lounry'me
212 Asrevnen6 512 As¢menis
013 513
01a 51d
215. 515
P15 515
i1] 5t]
ptg 518.
219. 519.
T!O Tdal Paitl b/MOr SOrrover EE.OW.W 520 Tora10.Mw1im Nnoum Ow Seller fIb.NSW
XQ CM etbMtlelmMlramMO BDr101wr WS Ge11 e18amnnemidlFCm feIW
3J1. G06 enwnl rWelmm WrovalBnetaT) ,W1.m d11. QDssmMlewmmlly Rlre VA
8
1 A E135, n401
YJ2 LR enlaNS pkn byda Dwiwnfllm ZN) ry
p
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303. Cwn ®Frcm pTO BOnwer f1fe,W1.W W1 Cull ®TDOFmm mYV ES.W3.
8VB811TUR FOm.11D9p eELLERSTdTFMENi~ TheinlmnenmtWeDM 9.9wksEGXentllenem Yne bl(v. I11ne 4011saYM6xen, lines eY]anoeWl tLE, sur
ene <UBI131WpIICeDIe pen d Wsv(srtel esWe iex re{alede bloc IRells Im{abnl M InbmWm erA Iseenp NmiNW Io Me Inlemel Reanua Gervte Xycu erc
[pone ro Me a velum, a ne[ipentepenallyo tMn unGm MII Ee InOaee m fa ninbllmn Is rcpuirM loge rtpotee ene Ne IRSMeminn lllel If nee ne Men rcpmen.
REELER IXb1XUCT0X~ NNk reel eAale wsputpnntlpel raueeece,Ne 1wm 2119, SISUEansnpedPXntryel Rnleente, loerry9am,wmryrinwme les room;
b Baer Innw[i~i, tmplele Inc egYkebe pensd Imm a]9], Fmn fi252 en6b5meMk OIFmn 1 W01
n r4eM to Ne Selllem nlPgm wiN ywrc pe%ribntlaullm
nyw aD na PaiM~Smkmem yeol won ».r [men Id .xWaenumxm.umeer~gi mer ee wgee m ow w Mmma peeelnes.
iXE ESTATE OF ROSERi 1. LIOOILN
ins Putlm XepWrcp Rumen tar INS cWemm N Inbme4m rc eelmelM tl 35 minutts per respmse N [dla4np, rtNerAnp, ene rtmpvlmp Me Nle. fibs ePoa a meY ed
ctlletl lllrs Inlmnenon, en re nd reaulrte to tmplAe NM1 Nm, uMns X tllspleys a anengvNle OMB [mIN numMr. N fieenbllly Is escarp, is ncl re
ntlrry. TIS b eengn W to prvnh me pv4es la a RESPA twnel banseevs HN Inlwmellon Wrnpine stnlemeni prwess.
1Pmlous eeltiws ere aDSDle1e Page 1 MU61
L. SetlMnwlrt CluFpes
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OMB N02502A265
B. TYPE OF LOAN:
A.
1.^FHA 2.QFmHA 3.~CIXJV. VNINS. 4.QVA S.000NV.INS.
U.S. DEPARTMENT OF MOUSING B.URBAN DEVEL OPMENT 6. fIlENUMBER: 7. LOAN NUMBER:
SETTLEMENT STATEMENT IA-zotz-DtJ-c
8. MQRTGAGE INS CPSE NUMBER
NOTE: Thkfurm is furnlshed(o gfte yvua ~atement otaCUal9aMlemenL maa Amovntspaid to and Sythe astfkrhant agent ere shorn.
C
.
Items marked'(POCj' were pad rwFSioe the Wsm9; theyaro shown here /or iNOrmaeanffipvrposes enders ratmoLa'etl in the torels
to 3N9 WAtx4fl-C VFOm~~mQ-MI-
D. NAMEAND ADDRESS OF BUYER: E. NAME AND ADDRESS OF SELLER: F. NAMEAND AWRESS OF LENDER:
Fiic E. Leidgh Estate of Robert A. Litltlkk
Sherri L Letli9h Kathy Jean Irvin, EuKVVix
G. PROPERTY LOCATION: H. SERLEMENTAGEM: 1. SETTLC-MENT DATE:
218 Belle VSta Drt+e loon! Anavad ComParry
1]
3 Mar[h 30, 2C 1 2
Marysville, PA
05
Cumberhnd County PmreyNania PLACE OF SETTLEMENT
t O4 Wahu[ Street
Harrisburg, PA 1T101
J. SUMMPRY OF BUVER5 TRANSACTION K SUMMARY OF SELLER'S TRANSACTI ON
GROSS AMOUNT OUE FROM BUYER:
'100 100. GROSS AMOUNT OUE TO SELLER:
.
101. GonlmG Sales Price i 139,900.00 401. Contract Sales Pace 199900.00
102. Personal Pr 402. Peroxlal Prof
103. SeLtletnalt Char ea to B Line 1400 I 3 5TL8B 403.
104. 4~'
105 405.
.
Ad'sfinerits FOr lremsP Sebrh adrenre Ad'9rnenh Fa items PaNH Sellazhedvdn¢
Taxes 3/1 b 12!31112 498.60
106
COlTw 408. COTfwP. Tales 03/30/12 to 12131/12 49860
.
.
10T. Sdtool Teraz 0 N O(V30f12 509.48 407. Srliwil Tarns to Ofil3D/12 589.48
108. PssessmaMS b 408. A,~nents b
109. 4~'
110. 410.
111. 411.
112 412.
120. GROSS AMOUNT DUE FROMBUYER 204,545.98 420. GROSS AMOUN7 DUE TO 4'II FR 200,988.08
200. AMOUNTS PNO BY OR IN BEHALF OF BUYER: 800. REDUCTIONS IN AMOUNT OUE TO SELLER:
D sit or eemest moo
201 2000.00 501. Elea De gl See InstruGions
.
2D2. Print elAmounF Of New Loans 502. Se8lemant Char es to Seller L'nie 1400 I 12,652.42
203. Exis(In !Dents taken sr 'eat to 503. Existin ban s taken sub Cto I
204. 504. PayoOOffirst Mortgage
205. 505. Pa Oo semntl Mo a e
206. 5W.
20J SW. D R disb. as roceetls)
2~ 508.
P09 509.
Ad'usfinen[s Far /tams Un HB Seler Atl' ffirrenls For hems Un eitlB Salver
210. CM .Ta:ms to 510. CO(T .Taxes W I
211. SGrod Ta)as to 511. Sdiool Taxes re
212. Asseaments b 512, Aaessments to
213. 513.
214. 514. . __
215. 515.
21fi. 516.
21 J. 517.
218. 518.
219. 519.
220. TOTAL PAID BY/FOR BUYER 2,000.00 520. TOTAL REDUCIIQN AMCUN'T DUE SELLER 12,052.42
300. CASH AT SERLEMENT FROMRO BUYER: 800. CASH AT SETTLEMENT TOIFROM SELLER:
301. GossAmount Due From Line 120 204,595.98 001 GroaAmount OUe To Seller Line 420 200,968.08
302. Lea Amount PaidB /Fore (Line 220) ( 2.000.00 802. Less ReducOons DUe Seller Line 52D ( 12,652.4
3Ct? CASH (X FROM] ( TO(HUYER 202,545.90 003. CASH (X TOf ( FROM) SKLER 188,315.88
ayvpm WY~e4is Aabna(bbsTHa'rie vstnNMp ~gRQacunP®+~9/ u ww ~ ~^
wms
L SETTLEMENT CHARGES
]00. TOTAL COMMISSION Based on Price $ `Yo 9,995.00 rwo vaou
aJVSxs Iwo nzou
seuexs
DM)bn OfCGTlIrI590n lITa 700 86 fQ10WS
]Ot.$ 4,99].50 to Re/Max tstPdvanls e FUN86AT
s6rrl~Nr FUNO6AT
,ETTrSifxr
]02. $ 4,997.50 ro RrJMex Rea Advantl a
]03. Commis9on Pail at Settlement
]04. Broker Fee ro RaMlex reel{yAdvdntage I
000. ITEMS PAYABLE IN CONNECTION kMTH LOAN
BOt. Loan Ck' ination Fee % to
002. Loan Dismunl % to
295 00 9.995.00
803. Appral6al Fae b
804. Cretlit Report b
805. Lentler's Inspection Fee to
806. Mon a Ir¢ .Fee to
80]. Psvmption Fes to
808.
809.
810.
811.
900. ITEMS REGUIRED BY LENDER TO BE P/11^ IN ADVANCE
901. Inter~tFrom to $ /deY ( days
902. MIP T011ns. for LileOlLoan for months to
903. Hoard Insurance Premium for 1.0 rs m
%)
904.
905.
t 000. RESERVES DEPOSITED WITH LENDER
1001. Hazard lnsrance monNS $ Par month
t 002. Mo a slnsu2nm months $ ar month i
11:03. COZf .Taxes months $ m monN
1004. $(11ppl Tawas months $ er month
1005. Asesnenfs months $ per month
100b_ mantis $ ev monM
100]. monhs ~ $ Per month
1000 rmnths $ er month
1100. TRLE CHARGES
1101. SettlameMor GlosN Fes ro
1102. MstrarY m TiOe Smirch to
1103. TNe Eramma0on to
1104. Title Insuranm B'ntler to
1105. DoameM Re ara5on ro
1106. No Fens ro
110]. Allomeys Fees to
mdudasabora item numbers
1108. T~Le Insvence fo I n G Com n
Mdudes aboee dam numbers'1101(1104/t 10] 1
1 218.38
1109. Lender§COVerage $
1110. Ownefs Coverage 199,900.00 Relssae Rate
1111.
1112.
1113.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. RemMin Fees D6etl $ 65.50; Mongage S RNeases $
1202. Ci Coun TaxfSiam s Deed 1 999.00 Mo a e
t 203. State TerJSfam s Deed 1999.00: Mo a
65.50
1,908.00
999.GJ
1204.
1205.
1300. ADDITIONAL$ETTLEMEM CHARGES
1301. Su to
1302. Pest lnsperiion ro
1303- 2012 Coun lTw .lax to Tax ColletlOr
658.42
1'09.
1305.
1d00. TOTAL SETTLEMENT CHARGES Enter on Lines 707. Secllon Jand 502 SectionK
3,5A.8
8 12,85242
Certfied to be a tme mpy.
Tne undersignetl hereby arknmvledga re~pt of a mmpletetl mpy of pages 1 &2 of this 5atement 8 any etteolments refenetl ro herein.
Buyer Seller ~ _.
Eric E La:1gh state of RObertA Lddidc
Sherd L. LeMlgh 1hY Jaen Iran, Fxeatrix
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