HomeMy WebLinkAbout10-18-12` EX (01-10) 1505610143
J REV-1500
OFFICIAL USE ONLY
PA Department of Revenue pennsylvania County Code Year File Number
Bureau of Individual Taxes DEPARTMENT OF REVENUE
Po Box.2soso~ INHERITANCE TAX RETURN 2 1 12 0 5 14
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
04 28 2012 08 07 1928
Decedent's Last Name Suffix Decedent's First Name MI
SCHERRER JOSEPH J
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
® 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death
prior to 12-13-82)
^ 4. Limited Estate ^ 4a. Future Interest Compromise ^ 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
0
^ g Decedent Died Testate ^ ~. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Liti ation Proceeds Received
^ g
^ 10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95) ~ 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
THOMAS S BECKLEY 717 233 7691
*~~
First line of address
PO BOX 11998
State ZIP Code
PA 17108
REGISTER LS USEt')}VLY
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Second line of address
City or Post Office
HARRISBURG
Correspondent'se-mail address: becks@pa.net
Under pens ' f perjury, I decl t t I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, ct and lete a ation of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNA F P O ESg E FOR FILING RETURN DATE
Brian J. Scherrer lU~3 ~ Z
ADDRESS / ~
4 Enck L/Circle, Enola, PA 17025
SIGNA TU R~I3F PREPAFj~R OTHER THAN REPRESENTATIVE - DATE
Thomas S Beckley
ADDRESS /
P.O. Box 11998, Harrisburg, PA 17108
Side 1
1505610143 1505610143
` ~ 1505610243
REV-1500 EX
oe~eeenrsName: SCHERRER, JOSEPH J.
Decedent's Social Security Number
RECAPITULATION
184,300.00
1. Real Estate (Schedule A) ......................................................................................... . 1.
165,684.00
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.
26,521.80
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... . 5.
11,110.56
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............ . 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested ............ . 7.
387,616.36
8. Total Gross Assets (total Lines 1-7) ...................................................................... . g.
34,647.57
9. Funeral Expenses & Administrative Costs (Schedule H) ................................ ......... 9.
5,696.36
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ....................... ......... 10.
40,343.93
11. Total Deductions (total Lines 9 & 10) ............................................................. ......... 11.
347,272.43
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.
347,272.43
14. Net Value Subject to Tax (Line 12 minus Line 13) ........................................ ......... 14.
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .00 15.
16. Amount of Line 14 taxable 3 4 7, 2 7 2. 4 3 16
at lineal rate X .045 .
17. Amount of Line 14 taxable
at sibling rate X ,12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18.
19. Tax Due ................................................................................................................... .. 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
15,627.26
15,627.26
Side 2
1505610243 1505610243 J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21 - 12 - 0514
DECEDENT'S NAME
Schemer, Joseph J.
STREET ADDRESS
1478 Clover Road
CITY
Camp Hill STATE
PA ZIP
17011
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. CreditslPayments
A• Prior Payments
B. Discount
3. Interest
15,499.86
781.36
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
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.
Total Credits (A + B) (2) 16,281.22
(3> 0.00
(a) 653.96
(5)
Make Check Payable to: REGISTER OF WILLS, AGENT.
.i°: .__ -
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred :.................................................................................. ^
b. retain the right to designate who shall use the property transferred or its income :.................................... ^
c. retain a reversionary interest; or .................................................................................................................. ^
d. receive the promise for life of either payments, benefits or care? .............................................................. ^ 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? ....................................................................................................................... ^ 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... ^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate 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
P
y the surviving
spouse is 3 percent [72
.S. §91
6 (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
1
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rom
ax, an
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e statutory requ
rements for di sclosure 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 ears 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) (y.2)].
(1) 15,627.26
• 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. 69116 ta) (1.3)1. A
sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether y blood or adoption.
I
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
FILE NUMBER
ESTATE OF Scherrer, Joseph J. 21 - 12 - 0514
All real property owned sole)y or as a tenant in common must be repported at fair market value. Fair market value is defined as the pace
at which property would be exchanged between a willing buyer and a wilting seller, neither being compelled to buy or sell, both having
reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on
schedule F.
Attach a copy of the settlement sheet if the property has been sold.
Include a copy of the deed showing decedent's interest if owned as tenant in common.
ITEM I DESCRIPTION I VALUE AT DATE OF
NUMBER DEATH
1 Real property located at 1478 Clover Road, Camp Hill, PA 17011 (see attached settlement
sheet -sale price ($190,000.00) less seller help ($5,700.00) to arrive at fair market value of
$184,300.00).
184, 300.00
TOTAL (Also enter on Line 1, Recapitulation) ~ 184,300.00
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Scherrer, JOSeph J. 21 - 12 - 0514
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION UNIT VALUE VALUE AT DATE OF
NUMBER
1
I
i
it
I
I
Edward Jones Account
i
i DEATH
165,684.00
TOTAL (Also enter on line 2, Recapitulation) 165,684.00
i
SCHEDULE E ~,
CASH, BANK DEPOSITS, & MISC.
COMMONWEALTH OF PENNSYLVANIA PERSONAL PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Scherrer, Joseph J. 21 - 12 - 0514
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM DESCRIPTION
NUMBER
1 PNC Savings Account
2 2007 Buick Luzerne LX (33,000 miles)
3 Comcast Refund
4 Miscellanous personal property
5 Highmark Insurance -refund
6 John Hancock -long term care insurance
VALUE AT DATE OF
DEATH
10,672.63
11,500.00
43.99
1,000.00
395.13
2,910.05
TOTAL (Also enter on Line 5, Recapitulation) ~ 26,521.80
SCHEDULE F
COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT _
ESTATE OF FILE NUMBER
Scherrer, Joseph J. 21 - 12 - 0514
If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
Brian J. Scherrer
A 4 Enck Circle
Enola, PA 17025 Son
Lisa A. Dugan
g 2603 Weddington Place
Marietta, GA 30068 Daughter
InInITI V n\nlNFr1 PRnPFRTY•
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT [~F~SCRIPT.IO~C~F PRO~'ERTY
Include name o Inanclal Ins I u Ion an bank account numbe
or similar identifying number. Attach deed for jointly-held real
estate.
DATE OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENT'S INTEREST
1 A, B , 02/06/1984 PNC Bank Checking Account s,s~a.~i 33.4% 1,328.89
2 A '~i 07/06/2007 Members 1st Savings Account io,o~sss 50%
I 5,036.85
3
A
i
07/06/2007
i
Members 1st Checking Account
I
s,ass.s3
li ~
50%
I
i
4,744.82
i
~_.
TOTAL (Also enter on line 6, Recapitulation) 11,110.56
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATNE COSTS
ESTATE OF Scherrer, Joseph J.
FILE NUMBER
21 - 12 - 0514
Debts of decedent must be reported on Schedule I. _ __
ITEM DESCRIPTION AMOUNT
NUMBER FUNERAL EXPENSES:
A. 1 Neill Funeral Home ; 7,585.12
2 Jones Funeral Home 1,180.90
B.
1.
z.
3.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Brian J. Scherrer
Street Address 4 Enck Circle
city Enola state PA zip 17025
Year(s) Commission paid 2012 and 2013
Attorney's Fees Beckley & Madden
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
20,000.00
3,500.00
4.
5.
6.
7.
1
Street Address
City State Zip
Relationship of Claimant to Decedent
Probate Fees Register of Wills
Accountant's Fees
I
Tax Return Preparer's Fees
I Other Administrative Costs
Cumberland County Law Journal
445.50
75.00
TOTAL (Also enter on line 9, Recapitulation) 34,647.57
Schedule H
Funeral Eames &
COMMONWEALTH OF PENNSYLVANIA /~~min~~ ~+,~,,.,1... ~nued
INHERITANCE TAX RETURN /~W ~JOIa
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Scherrer, Joseph J. 21 - 12 - 0514
2 The Patriot-News 158.03
3 Postage 25.00
4 Photocopy charges ~ 25.00
5 UGI 135.49
6 PA American Water 101.28
7 PP&L I 293.15
8 Highland Gardens 123.10
9 Estimated closing costs 1,000.00
Page 2 of Schedule H
SCHEDULEI
DEBTS OF DECEDENT, MORTGAGE
COMMONWEALTH OF PENNSYLVANIA LIABILITIES, & LIENS
FILE NUMBER
ESTATE OF Scherrer, Joseph J. 21 - 12 - 0514
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM DESCRIPTION AMOUNT
NUMBER
1 Holy Spirit Hospital 142.72
2 Continuing Care Rx 364.23
3 Bethany Village 843.32
4 East Pennsboro Ambulance 130.00
5 UGI Utilities 68.00
6 PA American Water 59.89
7 PP&L 64.63
8 Hess Garage (car repair) 70.27
9 Brown Schultz Sheridan (accountant) 500.00
10 Lower Allen EMS 75.00
11 Calvary Family Services 190.00
12 East Pennsboro Township (sewer) 138.00
13 Debbie Lupuld, Treasurer (real estate taxes) 1,651.80
14 Capital Area Health Associates 197.83
15 Home Paramount 102.60
16 Millerbuilt Construction 263.00
TOTAL (Also enter on Line 10, Recapitulation) ~ 5,696.36
i
SCHEDULEI
DEBTS OF DECEDENT, MORTGAGE
COMMONWEALTH OF PENNSYLVANIA LIABILITIES, & LIENS
INHERITANCE TAX RETURN
RESIDENT DECEDENT continued
FILE NUMBER
ESTATE OF Scherrer, Joseph J. 21 - 12 - 0514
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM DESCRIPTION AMOUNT
NUMBER ~
17 Comcast 63.07
18 Travlers Auto Insurance 432.00
19 Travelers Home Owners Insurance 340.00
Page 2 of Schedule I
REV•1513 EX+ (11.08)
SCHEDULE J
COMM ONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Scherrer, Joseph J. 21 - 12 - 0514
RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$)
RECEIVING PROPERTY Do Not List Trustee(s)
I. TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116 (a) (1.2)]
1 Brian Scherrer Son One-third
4 Enck Circle
Enola, PA 17025
2 John A. Scherrer Son One-third
3350 146th Avenue, NE
Ham Lake, MN 55304
3
Lisa A. Dugan
Daughter
One-third i
2603 Weddington Place
Marietta, GA 30068
Enter dollar amounts for distributions shown above on lines 1 5 through 18 on Rev 1500 cover sheet, as appropriate.
II. NON-TAXABLE DISTRIBUTIONS:
A A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
I
I
I B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
i
i
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00
R~.a~. _.ry...~.;~ ww .~ ..~ A. Settlement Statement (H -. ., ,~, .. , ;
~tlllll*. u~-~~ ~~~~I
,e
3. type or Loan
6. File Number:
7. Loan Number: -
8. Mortgage Insurance Case Number:
I. Q FHA 2. Q RHS 3. ~ Conv. Unins. 20120458 14675219
3. ~ VA 5. ~X Conv. Ins.
Note: This form is /urnished to give you astatement o/actual settlement costs. Amounts paid to and by the settlement agent are shown.
C
.
Items marked "(p.o.c.) "were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
D. Name and Address of Borrower: E. Name and Address of Seller: F. Name and Address of Lender:
Matthew W. Ha!I Estate of Joseph J. Scherrer
M8T Bank
Alison L. Hall 1478 Clover Road
107 Rosemont Ave Camp Hill, PA 17011 One Fountain Plaza
New Cumberland, PA 17070 Buffalo, NY 14203
G. Property Location: H. Settlement Agent: I. Settlement Date:
1478 Clover Road Law Offices of Peter J. Russo PC
PA 17011
Camp Hill 5006 East Trindle Rd. September 21, 2012
,
Pennsylvania
Cumberland County Mechanicsburg, PA 17050 Ph. (717)591-1755
, Place of Settlement:
801 East Park Drive
H~rriehura PA 17111
J Summary of Borrowers transaction K Summary of Seller's transaction
enn r_...~~ e...nnnf rlne to Keller
100. Gross Amount Due from Borrower:
000.00
190 ~~~ ~~~°°~ °~~--~~~ --- " --
401. Contrad sales rice
190,000.00
101. Contract sales rice , 402. Personal ropert
102. Personalpropert
103. Settlement Char es to Borrower Line 1400) 8,626.91 403.
404
104. 405.
105.
Ad'ustments for items aid b Seller in advance Ad'ustments for items aid b Seller in advance
09/21/12 to 01/01/13
'
44.93
106. Ci flown Taxes 09/21112 to 01/01/13 44.93
01
96 frown Taxes
406. C
Coun Taxes 09!21112 to 01/01/13
407 96.01
107. Coun Taxes 09121112 to 01!01113
09!21112 to 07!01/13 .
1,280.71 .
408. School Taxes 09/21!12 to 07/01!13 128
108. School Taxes
00
15
Sewer 09121112 to 10/01!12
409 5.00
109. Sewer 09/21/12 to 10101112 . .
410.
110. 411.
111.
112. 412.
120. Gross Amount Due from Borrower
200,063.56
420. Gross Amount Due to Seller
191,436.65
Amounts Paid b or in Behalf of Borrower
200 500. Reductions in Amount Due Seller:
.
201. Deposit or earnest mone 2,000.00
00 501. Excess deposft see instructions
Settlement char es to Seller (Line 1400}
502
11.895.00
202. Principal amount of new loans
'
183,279.
.
Existin loans taken sub ed to
503
ect to
203. Existin loan(s) taken sub 250.00 .
504. Payoff First Mortgage to Money Held In Escrow 8,550.00
204. POC Borrower 505. Pa off Second Mort a e
205. 506.
206. 507. Deposit disb. as proceeds
207 508
208.
5,700.00 .
509. Sellers Assist
~ 5,700.00
209. Sellers Assist
Ad"ustments for items un aid b Seller
Ad'ustments for items un aid b Seller C' frown Taxes to
510
Cd frown Taxes to
210 .
. Coun Taxes to
511
Count Taxes to
211 .
. School Taxes to
512
School Taxes io
212 .
. 513.
213. 514.
214. 515.
215. 516.
216. 517.
217. 518.
218. 519.
219.
00
191
229 520. Total Reduction Amount Due Seller 26,145.0(
,
.
220. Total Paid b Ifor Borrower
Cash at settlement tolfrom Seller
600
300. Cash at Settlement from/to Borrower
56
063
200 .
191, 436.6!
Gross amount due to Seller line 420)
601
.
,
301. Gross amount due from Borrower line 120
00)
229
( 191 .
26,145.01
Less reductions due Seller (line 520) (
602
,
.
302. Less amount paid by/for Borrower (line 220) .
I ~ I From ~ To Borrower 8,834.56
303. Cash
603. Cash X^ To ~ From Seller 165,291.6:
The undersigned hereby acknowledge receipt of a completed copy of pages 1, 2 8 3 of this statement & any attachments referred to herein.
~ yN Seller ~~l/V'~,-~~ " ;~~~ I
Borrower ll~~~~ ~ ,~
Matthew W. Hall Estate of Joseph J tvtl rretr r- ~,..~_
:'Se'ttl~'t~'1TB'tic'c.'T1tirge5-""."^". .~ _,:.,, ..,,,_.,,~
~~ r °ro^'
Pso prom
3 9,700.00
00. ~fotal Deal Estate Broker Fees eo„wmrs i s~iors
• Division of commission (line 700) as follows:
Funds at
Funds at
___ _
01. $ 5 700.00 !r,_ Century 21 Realt Services seu'ement seniemeni
02. $ 4 000.00 to RefMax Realty Select -
9 700.00
03. Commission paid at settlement 295.00
04. Additional Commission to Century 21 Realty Services _
175
00
.
05. Broker Fee to Re/Max Realty Select
00. Items Pa able in Connection with Loan
01 Our origination charge Includes Origination Point % or) $ 985.00 (from GFE #1)
02. Your credit or charge (points) for the specific interest rate chosen $ (from GFE #2)
Your adjusted origination charges to M&T Bank (from GFE #A)
X03 985.00
.
.04. Appraisal fee to Kirchme er & Associates, lnc. (from GFE #3) POC:B425.00
.05. Credit Report to (from GFE #3)
(from GFE #3)
75.00
.06. Tax service to CoreLogic
(from GFE #3) 8.00
107. Flood certification to CoreLogic
(from GFE#3)
SOB
.
(from GFE #3)
509
.
(from GFE #3)
510
.
(from GFE #3)
311
300. Items Required b Lender to Be Paid in Advance
188
30
301. Daily interest charges from 09121/12 to 10/01!12 10 @ 518.830034 /day (from GFE #10) .
70
2 779
302. Mort a e insurance remium for 12 months to HUD from GFE #3
from GFE #11) .
Homeowner's insurance for ears to
303
.
(from GFE #11
304.
(from GFE #11)
305.
1000. Reserves Deposited with Lender
Initial de osit for our escrow account from GFE #9 654.91
1001
.
1002. Homeowner's insurance 3.000 months @ 5 38.50 per month $ 115.50
1003. Mort a e insurance months $ per month $
5 887.72
1004. Property taxes
County Taxes 8.000 months @ $ 42.14 per month
~
months $ per month
CitylTown Taxes @ ~
Assessments 4.000 months @ 5 137.65 per month
months @ 5 per month $
1005
.
months @ $ per month 5
1006
.
1007. months @ $ per month $
1008. 5
$ -348.31
1009. Aggregate Adjustment
1100. Title Char es
(from GFE #4)
1,665.00
1101. TRIe services and lender's title insurance
1102. Settlement or closin fee $
from GFE #5
30.00
Owner's title insurance to FirstAmerican Title Insurance Compan
1103
.
1104. Lender's title insurance to First American Title Insurance Company $ 1,470.00
1105. Lender's title poli limit $ 183,279.00
1106. Owner's title poli limd 5 190,000.00
to Law Offices of Peter J. Russo PC $ 1,275.00 End: 5127.50
i
um
1107. A ent's portion of the total title insurance prem
m to FirstAmerican Title Insurance Ct9npany225.00 End: $22.50
i
'
u
s portion of the total title insurance prem
1108. Underwriter
1109.
1110.
1111.
1112.
1113
.
1200. Government Recording and Transfer Charges
Government recordin char es to Cumberland Coun Recorder of Deeds (from GFE #7)
1201
156.00
.
1202. Deed 5 62.00 Mortgage $ 94.00 Releases 5 Other 5
900
00
1
to Cumberland County Recorder of Deeds (from GFE #8) .
,
1203. Transfer taxes
900.00 Mortgage $
Deed $ 1 1,900.OC
,
1204. CityfCountytaxlstamps
fstam s Deed $ 1,900.00 Mort a e 5
t
St
t
ax
e
a
1205.
1206.
1207
.
1300. Additional Settlement Cha es
1301. Required services that ou can shop for (from GFE #6)
10
00
.
1302. Sewer Certification to East Pennsboro Township
1303.
1304.
1305.
_ ,_....._..., r..e~ ~m co~rinn .t and 502. Section K) i`J
i 8,626.9
1 11,895.01
~4uu. local aelurmc~~< <...a. ~~ t~,......,........_ .--• ---- -
By sigrvng page t d tMS statement. me sigrelorie5 acknowledge receipt d a completed copy d page 2 d the tro page statemerk_ i-i. /' ^'
Law,Offlczs~of Peters usso PC~SettlementAgent
Cert~ed to be a true copy.
:omparisen of Good Faith Estirna~e`(~GFE)~and'FItfDT"1'"'""4i
:harges That Cannot Increase
Tur origina?ion cha~ge_
our credit or charge (points) for the specific interest rate chosen
'our adjusted origination charges
~ransfer taxes
;harges That in Total Cannot Increase More than 10%
;overnmentrecording charges
~ppraisalfee
-ax service
'load certification
Aortgage Insurance Premium
-itle services and lender's title insurance
owner's title Insurance to First American Title Insurance Compai
harges That Can Change
nitial deposit for your escrow account
wily interest charges
-iomeowner's insurance
HUD-1 Line Number
# 801
# 802
# 803
#1203
#1201
# 804
# 806
985.00
3,800.00
Good Faith Estimate
218.00
8.00
# 807 2.779.70
# 902 1,872.13
# 1101 25.00
# 1103
Total 5,402.83
Increase between GFE and HUD-1 Charges $ -264.13 or
Good Faith Estimate
2,871.00
#1001
# 901 $ 18.8300341day 282.45
# 903
985.00
985.00
1, 900.00
HUD-1
156.00
425.00
75.00
8.00
2,779.70
1,665.00
30.00
5,138.70
-4.89
HUD-1
654.91
188.30
Ynur initial loan amount is
Your loan tens is
vn~~rinitialinterest rate is
$ 183,279.00
an .,~~.~
3.7500
Your initial monthly amount owed for principal, interest and
any mortgage insurance is
Can your interest rate rise?
c.,e~ it vnn make oavments on time, can your loan balance rise?
$ 848.79 includes
0 Principal
O Interest
^ Mortgage Insurance
^X No ^ Yes, it can rise to a maximum of _%. The first
change will be on and can change again every _ months after
Every change date, your interest rate can increase or decrease
by %. Over the I'~Fe of the loan, your interest rate is guaranteed
to never be lower than % or higher than °~
0 Np ^ Yes, d can rise to a maximum of $
X No Yes, the first increase can be on and the montniy
Even if you make payments on time, can your monthly ^ ^
amount owed for principal, interest, and mortgage insurance rise? The maximum it can ever$ise to is $
Does your loan have a prepayment penalty?
Does your loan have a balloon payment?
Total monthly amount owed including escrow account payments
0 No ^ Yes, your maximum prepayment penalty is $
^X No ^ Yes, you have a balloon payment of $
due in ,_ years on
You do not have a monthly escrow payment for items, such as property
taxes and homeowner's insurance. You must pay these items directly
yourself.
QX You have an additional monthly escrow payment of $218.29 that results
in a total initial monthly amount owed of $1,067.08. This includes
principal, interest, any mortgage insurance and any items checked below:
^X Property taxes ^X Homeowner's insurance
^ Flood insurance ^X School Tax
985.00
Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender.
~~ I i~UD-1, Page 4
' Borrower (s): Matthew W. Hall Sever(s): Estate of Joseph J. Scherrer
107 Rosemont Ave 1478 Clover Road
New Cumberland, PA 17070 Camp Hill, PA 17011
Alison L. Hall
Lender: M&T Bank
Settlement Agent: Law Offices of Peter J. Russo PC
(717)591-1755
Place of Settlement: 801 East Park Drive
Harrisburg, PA 17111
Settlement Date: September 21, 2012
Property Location: 1478 Clover Road
Camp Hill, PA 17011
Cumberland County, Pennsylvania
Additional Adjustments For Items Paid By Seller In Advance (Borrower Debit)
Descri tion Amount FromlThrou h Prorated Amount
138.00 07101/12 through 09/30/12 15.00
Sewer 15.00
Total Line 109/409
Seller Loan Payoff Details
Payoff First Mortgage to Money Held In Escrow
Loan Payoff As of
Total Additional Interest days @ Per Diem
Total Loan Payoff 8,550.00
Adjusted Origination Charge Details
Origination Charge 985.00
Origination Fee
to M&T Bank
Total 985.00
Origination CreditlCharge (points) for the specific interest rate chosen
Total
Adjusted Origination Charges $ 985.00
Title Services and Lender's Title Insurance Details BORROWER
25.00
Notary Fee
Law Offices of Peter J. Russo PC
15.00
Wire Fee
Law Offices of Peter J. Russo PC
30.00
Overnight Fee
Law Offices of Peter J. Russo PC
50.00
E-Mail Doc Fee
Law Offices of Peter J. Russo PC
~c nn
SELLER
Hl!^-', !°age ~! - Cantinu~d
I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and
accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further
certify that I have received a copy of the HUD-1 Settlement Sta%ement. ~
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AlisorS L. Hall l
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