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HomeMy WebLinkAbout12-07-12-~ REV-1500Ex`01-10' 1505610143 PA Department of Revenue ~ OFFICIAL USE ONLY Pennsylvania county code veer Fee u~mr,er Bureau of Individual Taxes of=^A~aN*~r aE~EH~E Po Box.zaosol INHERITANCE TAX RETURN 21 1 1 0 0 7 4 6 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth Decedent's Last Name Suffix Decedent's First Name MI ARENSDORF K. DEAN R (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, Remaintler Return (date of death prior to 12-t3-S2) ^ 4. Limited Estate ^ qa, Future Interest Compromise ^ 5. Federal Estate Tax Return Required (tlate o/ tleath after 12-12-92J ® 8 Decetlant Died Testate (Anacn Copy or wily ^ ~ Decetlenl Maintainetl a Living Trust (AUaoh Copy of Trusp 8. Total Number of Safe Deposit Boxes ^ 9. Litigation Proceetls Received ^ 10 Spousal Povady Cradil ((tlete or tleath 11. Election to taz under Sec 9113 A ' behveen 1231-91 and 1-1-95) ^ t i (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number ROBERT P KLINE 717 770 2540 First line of address 714 BRIDGE STREET Second line of address PO BOX 461 City or Post Office NEW CUMBERLAND Correspondent's a-mail address: _ Untler penalties of perjury, I declare that I have it is true, correct and complete. Declaration of p ADDRESS REGI~ ROOF WILL~OSE ONI~ ~t ` z n t'ry O ~y ,r . ' ti~ Zt2n~ v -{ cr ~ ~c v G7 C 1T ,~ ~ O ~r DATE FALED State ZIP Code ~ -.. ` ° ~ PA 17 0 7 0 =' }-~ r ~"'~ ~ o ., J accompanying schedules and statements, and to the best of my knowledge and belief, representative is based on all information of which preparer has any knowledge. Ashley I. Arensdort Street, New Cumberland, PA 17070 Robert P Kline ~ /. DATE 714 Bridge Street, New Cumberland, PA 17070 Side 1 1505610143 1505610143 J J 1505610243 REV-1500 EX Decedent's Social Security Number oeceaem~s name: ARENSDORF, K. DEAN RICHARD RECAPITULATION 1. Real Estate (Schedule A) ........................._........................_.............................. ....... 1. 2 4 5, 2 5 0. 0 0 2. Stocks and Bonds (Schedule B) ......................................................................... ...... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)....... ... 3. 4. Mortgages & Notes Receivable (Schedule D) ..................................................... ..... 4. 5_ Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ............. ... 5. 8 , 1 4 2 6 3 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............ . 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ............ . 7. 1 8 7 . $ 2 8. Total Gross Assets (total Lines 1-7) .................................................................. ..... 8. 2 5 3, 5 8 0. 4 5 9. Funeral Expenses 8 Administrative Costs (Schedule H) ..................................... .... 9. 5 3, 6 1 2. 7 2 10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) ............................. ... 10. 1 9 4, 1 7 0. 4 1 11. Total Deductions (total Lines 9 8 10)....._ ........................._........_..................... ..._t 1, 2 4 7, 7 8 3. 1 3 12. Net Value of Estate (Line 8 minus Line 11).........._ .............._........_...._._.......... ....12. 5 , 7 9 7 . 3 2 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J)........._........_........_...._......... ._ 13. 14. Net Value Subject to Tax (Line 12 minus Line 13)...._ ........................_.............. ... 14. 5 , 7 9 7 . 3 2 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 at lineal rate X .045 0 . 0 0 18. 17. Amount of Line 14 taxable at sibling rate X .12 17 18. Amount of Line 14 taxable at collateralrateX .is 5,797.32 i9. 869.60 is. Tax Due ................................................................................................................ ...i9. 8 6 9. 6 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^ Side 2 L 1505610243 1505610243 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 - 11 - 00748 N N Arensdorf, K. Dean Richard STREET ADDRESS 1705 Kathryn Street CITY !STATE. ~. ZIP New Cumberland PA 17070 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 869.80 2. Credits/Payments A. Prior Payments B. Discount Total Credits (A + B) (2) 0.00 3. Interest (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (q) Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) $ s 9. s ~ 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;....__....... _....._.__ x c. retain a reversionary interest; oc ................................................._......_....................._.....,..................._ ~. x d. receive the promise for life of either payments, benefits or care?.._.... ' x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............. . .......................................................................................................'~. x 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... j '. X' 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ..........................................................................._......_......_.......................x IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETUR For dates of death on or after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving~~ spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0 percent [72 P.S. §9116 (a) (1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 PS. §9116 1.2) [72 P.S. §9116 (a) (1)]. • sibengxs defnedounder Sehctiont9102eas arnrindividual who has ateeast o e padenttin common with(he decedent, wh§eihes by)lilood or adoption. i COMMONWEALTH OF RENNEYWANIA I INHERITANCE TA% RETURN RESIO SCHEDULE A REAL ESTATE ENT DECEDENT ESTATE OF Arensdorfi, K. Deanl RlChard FILE NUMBER 21 - 11 - 00746 All real property owned sole)y or as a tenant in common must be reported at fair market value. Fair market value is defned as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having chedulel Fknowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on 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 NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 1705 Kathryn Street, New Cumberland Borough, Cumberland County, PA; Parcel 245,250.00 #26-23-0541-308; Value based upon Sale Price: HUD attached. TOTAL (Also enter on Line 1, Recapitulation) I 245,250.00 SCHEDULE E CASH, BANK DEPOSITS, & MISC. `pMM°NWEALT"°R RE"NSVLVANIA PERSONAL PROPERTY INHERITANCE TAX RETURN RE51°ENT pECE°ENT ESTATE OF Arensdort, K. Dean RlChafd FILE NUMBER 21 - 11 - 00746 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 NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Fulton Bank Savings #1370-62726 2,711.75 2 Fulton Bank Checking #3624-43237 224 79 3 Fulton Bank Checking #3624-43235 414.59 4 Personal Property (auction proceeds) 4,791.50 TOTAL (Also enter on Line 5, Recapitulation) I 8 142.63 , COMMONWEALTH OF PENNSYLVANIA SCHEDULE G wRERITANOE TAx REruRN INTER-VIVOS TRANSFERS & RESIDENT DECEDENT MISC. NON-PROBATE PROPERTY ESTATE OF Arensdorf, K. Dean Richard :FILE NUMBER i, 21 - 11 - 00746 This schedule must be com leted and filed if the answer P to any of questions 1 through 4 on page 2 is yes. ITEM DESCRIPTION OF PROPERTY GATE OF DEATH EXCLUSION NUMBER Inclutle the name of the transferee, iheirrelationship to tlecedent DECOS TAXABLE VALUE entl the tlate o/inns/er. Attach a copy of tha tleatl for real estate. VALUE OF ASSET ~ INTEREST OF APPLICABLE) I 1 Fulton Bank IRA #391-1926595 ia~.a2 I 100% 187,8P I I i TOTAL (Also enter on line 7, Recapitulation) ~~ 187.82 LOMMONWEALTIi OF PENNSYLVANIA INHERITANCE TA% RETURN RESIDENT DECEDENT S(:FIEDULE H /F r IyAp E~R~A LpD MCP L ESN / S~ / E S~& /WI~IIIV~7 r r{r111YG VlN 1 J ESTATE OF Arensdorf, K. Dean Richard Debts of decedent must be reported on Schedule I. ITEM NUMBER FUNERAL EXPENSES: DESCRIPTION A. 1 Parthemore Funeral Home & Cremation Services B. ', ADMINISTRATIVE COSTS: 1, '~ Personal Representative's Commissions Name of Personal Representative(s) Ashley I. Arensdorf ___ FILE NUMBER 21 - 11 - 00746 AMOUNT 3,874.37 5,000.00 Street Address 1705 Kathryn Street City New Cumberland State PA zip 17070 Year(s) Commission paid z. Attorney s Fees Kline Law Office 10,000.00 3. ~, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) '.. Claimant Ashley I. Arensdorf 3,500.00 Street Address 10 East Main Street (current address) city Shiremanstown state PA zip 17011 Relationship of Claimant to Decedent son (lived with decedent @ time of death) a. probate Fees Register of Wills 473.50 Advertising (Patriot News & Cumberland Law Journal) 265.73 5. Accountant's Fees Accounting Associates 180.00 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 TriCounty Abstract 50.00 ___ TOTAL (Also enter on line 9, Recapitulation) 53,612.72 Scfiedt~le H Funeral F~~~eyrues & COMMONWEALTH OF PENNSYLVANIA ~\ilJ4lu ~nu~ INHERITANCE TAX RETURN NlJ41u 1 RItA.! RESIDENT DECEDENT _ __. _. _ __. ESTATE OF Arensdorf, K. Dean Richard FILE NUMBER 21 - 11 - 00746 2 P. Scott Archibald Real Estate Appraisals 3 Settlement Costs Related to Sale of Home (HUD attached) 4 PPL Electric Utilities 5 Waste Management of Pennsylvania, Inc. 6 Grime Solutions 7 Temp Tech, Inc. 8 MRS Flooring 9 Shriner Insurance Agency I 10 Boro Of New Cumberland 225.00 23,005.00 3,468.20 414.80 225.00 265.00 1,484.12 1,167.00 15.00 Page 2 of Schedule H SCHEDULEI DEBTS OF DECED~+ENT, MORTGAGE COM NHER TANCE TA%RETURN ANA LIABILITIEJ, & LIENS RESioervT oeceoeNT ESTATE OF Arensdorf, K. Dean FILE NUMBER Richard 21 - 11 - 00746 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION __ -- _ _ _ - -- 1 Fulton Bank Mortgage #5700926470 (payoff on HUD attached) 2 New Cumberland Borough #4-7315 3 PPL Electric Utilities 4 Wells Fargo/Secco Inc. #4705000240469296 5 US Treasury (2009 Form 1040) 6 US Treasury (2010 Form 1040) 7 US Treasury (2008 Form 1040) __ _. TOTAL (Also enter on Line 10, Recapitulation) AMOUNT 162,742.08 1, 296.63 3, 641.73 3,163.87 15,646.21 4,166.14 3, 513.75 194,170.41 REV-151J EX+I11-O8) SC HED U L E J p /~ / p COM NDHER TANCE TAX RETURNANIA '. pENEF~V ~MR~ES I RESIDENT DECEDENT I ESTATE OF Arensdort, K. Dean Richard FILE NUMBER ~ 21 - 11 - 00748 NAME AND ADDRESS OF PERSONS NUMBER ( ) RELATIONSHIP TO DECEDENT ~' SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) RECEIVING PROPERTY Do No[Liat Trusteela) [, TAXABLE DISTRIBUTIONS[include outright spousal distributions, and transfers '~. '~. ' under Sec. 9116 (a) (1.2)] ' 1 Darby Muggio Sister-in-Law 5,000.00 1313 Overlook Street Dauphin, PA 17018 2 Erica Delancey .Friend 5,000.00 3 Lisa Rader Friend ' 5,000.00 4 Elliot Carter Arensdort Son 1/3 of residual 1705 Kathryn Street New Cumberland, PA 17070 Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet, as appropriate. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS '. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHE T 0.00 REV-151] EX+I9-001 SCHEDULE) COM NOERITANCEOA%RETURNANIA BENEFICIARIES COIItIIIU@fI RESIDENT DECEDENT ESTATE OF Arensdort, K. Dean Richard FILE NUMBER 21 - 11 - 00746 NAME AND ADDRESS OF PERSONS ~' RELATIONSHIP TO NUMBER O DECEDENT '~ SHARE OF ESTATE AMOUNT OF ESTATE '~ (Words) ~ $$$ RECEIVING PROPERTY Do Not Lint Tmsmalsl ~ ( ) ~, TAXABLE DISTRIBUTIONS[include outright spousal ~. dlstnbutlons, and transfers under Sec. 9178 (a) (1.2)] 5 Whitney York Arensdort Son 1/3 of residual 164 15th Street I New Cumberland, PA 17070 6 Ashley Ives Arensdort Son 1/3 of residual 1705 Kathryn Street New Cumberland, PA 17070 Page 2 of Schedule J LAST WILL AND TESTAMENT OF K DEAN RICHARD ARENSDORF ~~ a O ~ , ~ ~ ~ ~~> Cn _Z7 r '. D ~ W rJ= ' r_, r rl ~•~ I, K DEAN RICAARD ARENSDORF, of New Cumberland Borough, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. FIItST V I order and direct my personal representative hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate as soon after my death as is reasonably possible. However, my personal representative need not accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave mazker at the time of my death, I authorize my personal representative, in his, her, or its sole discretion, to purchase a burial plot and to erect a suitable marker at my grave, and to expend sums from my estate for this purpose. Page 1 of 6 Pages. SECOND I give, devise, and bequeath the sum of $5,000.00 each to my sister-in-law, DARBY Mi1GGI0, my friend, ERICA DELANCEY, and my friend, LISA RARER, providing that they survive me by sixty (60) days. I give, devise, and bequeath the rest and remainder of my entire estate together with all insurance proceeds thereon of whatever nature and wheresoever situate in equal shazes to my children, ELLIOT CARTER ARENSDORF, WHITNEY YORK ARENSDORF, and ASHLEY IVES ARENSDORF, providing that they survive me by sixty (60) days. FOURTH If, at the time of my death, any beneficiary of this my Last Will and Testament is under the age of twenty-five (25) years or is, in the judgment of my personal representative, mentally iisabled, I give, devise and bequeath said beneficiary's shaze to my Trustee, who shall be the spouse of my deceased son through whom such beneficiary inherits, in Trust for said beneficiary, in accordance with the paragraphs below. FIFTH During the terrns of any trust created pursuant to this Wil] the Trustee is authorized to expend and apply so much of the net income and principal of each such trust as the Trustee shall consider advisable for the health, maintenance, support, and education (including college education, undergraduate and graduate) of each such beneficiary until he or she attains twenty-five (25) years of age, or until all such amounts aze paid out of the Trust. When the beneficiary attains the age of twenty-five (25) years or is in the judgment of my Trustee mentally sound whichever event occurs later, the Trust shall terminate and the remainder thereof shall be paid to said Page 2 of 6 Pages beneficiary. If said beneficiary shall die before the termination of said Trust, the Trust shall temunate and the remainder thereof shall be paid in accordance with the paragraphs above. I drect that no Trustee shall be required to give or post bond for the faithful performance of the Tmstee's duties in this or any other jurisdiction. SIXTH My Executor and Trustee aze authorized and empowered to exercise from time to time in his, her or its sole discretion and without prior authority from any Court, in respect of any property forming part of any trust hereby created or otherwise in its possession hereunder, all powers conferred bylaw upon trustees or executors and I intend that such powers be construed in the broadest possible manner. SEVENTH I nominate, constitute and appoint my son, ASHLEY IVES ARENSDORF, Executor of this my Last Will and Testament. In the event ASHLEY IVES ARENSDORF is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my son, ELLIOT CARTER ARENSDORF, to serve instead. In the event ELLIOT CARTER ARENSDORF is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my son, WHITNEY YORK ARENSDORF, as personal representative of this my Last Will and Testament. I direct that my personal representative shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. I further direct that my personal representative shall be entifled to a fee in the amount of $5,000.00 for the faithful performance of his, her or its duties. Page 3 of 6 Pages EIGHTH I hereby declare it to be my expressed desire that my personal representative employ Kline Law Office of New Cumberland, Pennsylvania, for legal advice and assistance regarding this my Last Will and Testament, said attorneys having considerable knowledge of my affairs, views and wishes respecting any matters that may arise at the probate of this instrument, the administration of my estate, and the execution of the powers herein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and T!1- Testament this ~ day of _ ~i'J , 2009. ~~~=-. Witness K DEAN RIC ARENSDORF Witness Page 4 of 6 Pages COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS I, K DEAN RICHARD ARENSDORF, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to the law, do hereby aclmowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. K DEAN RICHARD ARENSDORF Sworn or affumed and aclmowledged before me by K DEAN RICHARD ARENSDORF, the Testator, this ~ day of ~E7afSc~Ci , 2009. 6 ~_ OTARY PUBLIC COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL SHARON R. FEISTER, Notary Public New Cumberland Boro., CumbeMod Co. My Commiealon Er<plroe Apd115,2011 Page 5 of 6 Pages AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ? SS We,-~.~!'~ ~ ~/n/G and ~C-y!///cs~~,u~ the witnesses whose names are attached to the foregoing document, being duly qualified according to the law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the Last Will and Testament as witnesses and that to the best of our laiowledge the Testator was at the time 18 or more years of age, of sound mind and under no wnstraint or undue influence. ~s.~ _~ ~~ Sworn or at~rmed and subscribed before me by i~,,//~~ ~ L ~w-~ and i r L~~ut this day of_1/~7i ~c ~ _, 2009. OTARY PUBLIC COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL SHARON R. FEISTER, Notary Public NewCumbedandBpro.,Cumbarland Co. My Commisaion Eirpirea Apn115, 2011 Page 6 of 6 Pages ~. wxweYr®_~; V- a.r.r._aw. ~ ~ _q~.. .~a ~~ wyl•: i'++E .: 17iC• DEEYq{RTMEhi~~~~` s Y[xliY p 4' • 1~-~ ' ~TS ~PEIy," rnx' +w~t~{s (~ 25:1 {rLl:_N ~es ~uu s tin) ( afl 1:~..,,. ' "=G .: MADE die SM .: ' . dy of ;tune, 1° ti1° Y^~ ometem 1®dlad aad eighty-flue (1985) 7sE1'VVEE11 HOMESTEAD SERVICE CORPORA7fON, a Pennsyylvania ~corpora4fon, having its VVr7nclpal offla at 120 South Unfon Street. Mtddletown,~Diuphln County, Pe{msylvanie, BraMOT', party of the First Pdrt, AND - K, DEAN RICHARp ARENSODRF and VICKI LYNN ARENSDORF, his wife, of 3600 .~ ~.MOMOUr Street, Harrisburg, Dauphin County, Pennaylvenla 17111, Branteas,~Pertles of the Sernrul, Part. ..... . _ I~ . VYrl'NESSETH, 15et la aoddesatlon~d ONE (f1.00)--------------------------------'- _ y _•__ d m a.od pud, the,coe{pt wberoot tr>~by.otmoWladgea, the oW B~ do of D0D°'' a °°d C0p`'n' E0 d10 "M &'+abss, their heirs and assigns. ~~. ALL THAT CERTAIN tract or _ County of C{mberlarwl, and CaPoa{ron~althaof Pennsylvanta~narp pagrtfcule~rly b~garidlad ~, and described as follows, to wit: BEGINNING at a point !n the rwrtherly right-of-way line of Kattiryn.Street et the dividing line between the preelses herein described and Lot No, 11 on the hereinafter merrtloned plan of lots; thence elo{g the dividing Ifne between the preeises~herefnafter descrlbetl a{M'LOt No:11'NOrth thirty-three "' (33) degrees thirty-Mna'(39) mlmites twenty-three (23) secorxls. EasLa distance of one hundred eigpht and eighteen one_h~reOthp.(908.18)'feet to a point; thence sloop the Q1vPdtrq line between the Prenfses here'1n ., . described aM Lot No. 12 on the hereinafter mer:ttoned p)pn o}.lots South a tdfstance(of)swN Aunadsnrrgy fghlveneid nlnetytslxfone hundrpedt(hs)(105 9ti) YeM describedterMhLo~Mpl tg p etj~vhelsp,ry~r ~t~ ~ plan ofaLOta South. thirty-six (36) dogrees thirty-two (32) ml{{utes thirty-two (92) seconds Nest a distance Of one hundred fifty-tlght pod thirty-one one-hundredths (S(tneetlaloaq tho arc of a curveahavlr~p a radfushof one hu{dred~aventy five (12))mire~tes one (a j~se~{M71~les~aar~erc dlst~i ela one~hundgrrd~tsp~~ nfnetY-one one-hundredths (102,91) feet to a pb1M, the point and Dlaca'of, BEBSNNINB.. • ea~cN32 facE 378 ~ ... ~. I~ i. BEING lot Mo. 19 On the Plan Of Nestover Gardens; rdltch plan !s recorded i~n the Office of the Recorder of Deeds of Cumberland County, Permsylvania,•in Plan Book 46, Page 726. ~ ' COMAINING 12,880.662 square feet. UNDER AND SUBJECT to all epplluble restrlctioru, reservations; easaeerlts, and rigyhts-of-ha of record Including but rrot limited to~a Declaration dated December 10, 1984 and reeorded on December f0, 1984 in the Offiee of the Recorder of Deeds of Cumberland Cowty, Pennsylvania, in NSsc. Book Yolume 301, Page 372. BEING PART OF THE SANE PREMISES granted and conveyed by the Estate of Maud H. Longnecker to Homestead Service Corporation, Grantor herein, by Deed dated May 11, 1984 and recorded on May 15, 1984 in the Office of the Retarder of Deeds oP CumberlarW Cowty, Pennsylvania, 1n Deed Book Yolrale 30-R, Page 358. aamsrseao er rlls ~ROOGNOFNEWCUMBERU{Np '~ /eA 19 G., ' NET Y 69.C ~ 31 vt.^.1 379 ,.m.,E .r xs.:...-........... Comb. Q- fN. 14 E.J E.1.1. T,,..T.. Tw i S:~I , G„p C.. dd. (:.1. M. W~~ ' Sebml art. Comb. G. P.. oa tl.~b...A~ML11. ~. ~:~~1 .~9A~... ems.. lT Vh-1 C.wb. Ce. Ohl. d4 Ml. 9 I , ,NOME sERVt CORPORATION Br s.` .~~"' 'ice ..r .. ..__..:..~_ ~~ ~. ' . _ Qrarnr..as w Rscrosivice . . 3f ~t01~Wr~ traet~Nerr1, VA~17~111! s haeta b u [ollowu ..,.~~nF.`_.._.,__. • aamq..yr r.6rr_ . AND the aid granter ~ wm specially WARRANT AND FOAISVER DEFEND the pmpaHy. 1wbY om»yed. ~ ~ _ . IN WITNESa WHERPAP, the sNd Crantw hu aueod th4 Decd to Le Ngned by Rs PreNdwd or a Ske Pr~d®t, and ebo by 16 6°aebry, a by to AolNaot.Sacdary, of by Ib Trmemm, or 6y w Aesbtaot Treo- ameq aad tb Coeponb Seal to 6e hereunto aBaed, the dry tod yur Mt show weLten• . s j t ~ ~e a, (aoootaas eeou,>. _ .. ,.... nny.f~ena.~,ts 1 ~,t,_, aawHtx •~~~^ ~ ~ ~•, ~. 3rd ~ day of JtnK . ,leas . betnre me, the tmdeedgoed o®eu, t~l aPP~d S. Mark K]!ne ~ ~ ,who ulmowledQed hhmNf ~^ ~~ ~ President of tKMESTEAO SERVICE CORPORATION, ~0 P010R"b8 °0'P^se~. and that n eueh, h4 h0bb authodred 6y each eapotatlm b do to, °°°~ tJte faregamig deed fa the pmtwee therein oom(oed by et®Nog his n.ms tLeraoo o ~. ,....,,"'•.. .. • . t > . ••.h r , W W1TN6S8 WAE9EOP, 1 Law hsrwmto set my Lmd a y.. tl..,'•..' tod olBelN eeN. '..'.O ~. ~: •~. f IWAYII Ra.tMAt}MIIOa ~'~,o `C.:ee< nufamea lOW. aetlrale tarai7 ye., ~, ! L..•-b~F Htaetle6itea tLHD M.7.1M1 1`o~VW y `I;,;.,7 ~"N r }' rers-a.ersaeaswdnwata+w ~ eo~.;• tio~c~,?1 rest 3~:1 r YKlp p111q RRALiY TRANSFRR TAX AFFIDAVIT OF YALUi . Mrpn ^ wnI«breri ..c~.len .Is..el rA C.d. nwtl ^ Tiwrorro bdwnid e..d.Mpx Appal ybM iIldOWiO~DwAepwnl Ayddyy6dwrW Cppa.Myp, ls.. el rA CeM 91.dS1 ^ Tpndw y Cuw~ury. (du b Nv. fAe J 101!1 - ^ LapW Mwvu MWOd ~M pwd. 1A11sd mrydsypglwwlnv iprA•tu rpdpM dwdf Tu Mid lbb duds ~ .IfyH Mfad~01.S71 ^ Tnnd~n p 0..ns~.dA, b UYpd flax, ud5~ywwltla by eXt, o~drsiW N Y ew J esMunYU w Mdia4~. 1fp 61 rA Cedr 01lS1 ' ^ Lwhr hen nsnMyv p worge fu y iw a! krdwp~ (wMr is~ YrdN ply MMMM IuY WipMr . fsp Nxebx ~ . (Sx b Ne. fA6 J 1%fl . ^ Di.ertd. ,1~ ~A~T- ISw b.Ns. le A 1H1) . ^ SyrMe7 CaysrW Rwgsusxbn, A1xpr x lgAdwisn ^ qMr Irbx~ ~gbbi uxplu J.+.4 Y ed+r IW /W ~bwel . o . T1C. .i8~. 6::5~ ..- Nep Cunberlend Ci~bertard P~ME NTpt„ y 44 I~'II hq 2 ?`~* EU~Ui *~~ A. Settlement Statement (HUD'-1) ~~ b4N oEVE'~ OMB Approval No. 2502-0265 NUD-1 Page 1 of 3 B. Type of Loan 1. ^X FHA 2. ^ RHS 3. ~ Conv. Unins. 6. File Number: 7. Lean Number: 8. Mortgage Insurance Case Number: 4. ~ VA 5. ~ Conv. Ins. 401202397-CB 14692693 . NOTl: This fgnn Is Nmished ro glue you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked '(p.o.cJ' were paid outage tlx dazbg; they are shown here for IMOrmatlonal u totab p rposes and ere not Included In the D. Name antl Atldraas M Borrower DANIEL WIEDEMER AND AWSON WIEDEMER 608 SHOWERS STREET HARRISBURG, PA 17104 E. Name and Addraw o1 Seller ASHLEY I. ARENSDORF, EXKUTOR OF ESTATE OF K. DEAN RICHARD ARENSDORF, NK/A K. DEAN R. ARENSDORF 1705 KATHRYN STREET NEW NMBERUND, PA 17070 F. Neme and Addrou of Lender M6T BANK 1 FOUNTAIN PLAZA, BUFFALO, NY 19203 G. property Locetlon 1705 KATHRYN STREET, NEW CUMBERADND, PA 170]0 COUNTY: NMBERIAND N. Settlement Agent SENRED UND TRANSFERS, LLC 485 ST. JOHNS CHURCH ROAD , SHIREMANSTOWN , PA 17011 Phone : (717) 901-8392 PARCEL ID: 26-23-0591-308 TOWNSHIP: NEW CUMBERLAND BORWGH Place of Settlement 1068 HARRISBURG PIKE GRLISLE, PA I. Settlement Date '09/27/2012 Dlsbunemem Date 09/27/2012 ). Summa of Borrower's Tranaae[lon K. Summa of Seller's Transadlon 100. Grose AmourrL Dua from Bomowar 100. Grose Amount Dua to Seller 101. l.Odtract Sales Pnce 245 250. W 901. Contract gales Prke 295 250 00 102. Personal Pro 402. Personal Pm . 103. Settlement cha es to borrower Ilne 1400 12 114.65 403. 104. qqq, 105. 905. Ad ustment for Items Id cellar In adsanw A uetmem for Items Id b teller In advance 106. CI own Taxes 906. CI own sexes 107. Coun saxes 2025.4600 r 09 27 12 [o Ol 0 13 531.27 407. Coun Taxes 2025.4600 r 09 27 12 to Ol O] 13 531 27 108. Assessments 408. AssessmenD . 109. School Taxes 3088.6700 r 09 27 12 to 07 01 13 2 3{4.00 909. School Tazes 3088.6700 r 09 Z7 12 to 07 O1 13 2344 00 110. Sewer - 7/8/9 229.4400/qtr for 09/27/12 to 30 O1 12 59,96 410. Bawer - 7/8/9 229.4900/qtr for 09/27/12 to 10 0 12 . 59.98 111. Trash - 7/8/9 40.5300/qtr for 09/27/12 to 30 O1 12 53.76 911. Trash - 7/8/9 40.5300/qtr for 09/27/12 to 10 O1 12 51.76 112. 412. 120. Grow Amoum Dua from Borrower 280 351.68 430. Grose Amount Dua m Seller 318 137.01 200. Amounb Paid by or In Bahatl M Borroweh 500. Reductlons In Amount Due to 6Nkr 201. De sK or earnest mon 2000.00 501. Excess De Its 202. Prlncl I Loan Amount from MBT Bank 237 273.00 502. Settlement Cha es [o Seller 25 509 13 203. Ezisdn loan s taken sub act [0 503. Ezbtin bans taken wb act to . 204. Od Inadon Fee POC 250.00 Payoli of First Mortgage Loan to Fulton Financial 205. SOq Cor ration 5162,805.65 206. 505. 207. 506. 208. 507. 209. 508. Ad uetmerro for Items un Id b aNhr 509. 210. C own Taxes A ustmenb for items un old seller 211. Coun Taxes 530. C Own Tazes 212. Aaseeaments 511. Coun Tazes 213. Seller Pald Clpsin Costs 7 300.00 512. Assessments 214. 513. Seller Pald Cbsln Costs 7 300.00 215. 514. 216. 515. 217. 516. 218. 517. 219. 518. 330. Total Pald for Borrower 348 833.00 519. 520. Total Reductlon Amount Due Seller 195 609.78 300. Cash at Settlement from/ro eorrower 800. Geh N 6altlamaM to/from Seller 301. Gross amount due /rom bortower Ilne 120 260 251.66 601. Grou amount due W selkr Ilne 420 248 137.01 302. Less amoums old b for borrower Ilne 220 246 823.00 602. Less reductions In amount due selkr line 520 195 609.78 303. Cash X Fmm To Borrower 13.{38.66 603. Cash X To Fmm Seller S;$37.33 i re rwee Hepaorq eurden ror vas corwlon N InMmedon b esamaktl N 35 minutes per rsapome far edbctlrG, revbwinp, enaraWrdrq tlro dab. Tab egenc/ ma not coAeq tale Inbrmsaon, erg you ere nd raquketl ro oonpleb tlds keen, uMaee H dbpleye a amengy vNb OMB eontrd nunber. No cpnadeNbNly b esarKed; b we is marNalory. TMs b deegned k proude tln pedks k s RESPA covered trmescdon wen Infamatlon tluniq me aeltlamenl process. Initial P,HENr~F y qP I~ (I y~ z G * ~~I~I~I *~}~ A. Settlement Statement (HUD-1) Gg64 A' DFVEI~P' OMB Approval No. 2502-0265 HUD-1 Page 1 of 3 B. Type of Loan 1. ~ FHA 2. ~ RMS 3. ~ Conv. Unlns. 4. ~ VA 5. ~ Conv. Ins. 6. File Number: 401202397-CB 7. Loan Number: 14692693 8. Mortgage Insurantt Case Number: . NOTE: This form is famished to give you a sb[emmt of actual settlement cosh. Amounts paid to ant by the settlement agent ere shown. Items marked '(p.o.c.)" were paid ou[sWe Me closin9~ they art shown here far IMormatlonal purposes and arc not Included In [he totals. D. Name and Address of Borrower DANIEL WIEDEMER AND ALLISON WIEDEMER 606 SHOWERS STREET HARRISBURG, PA 17104 E. Name end Address of Sailer ASHLEY I. ARENSDORF, E%ECUTOR OF ESTATE OF K. DEAN RICHARD A0.ENSDORF, A/K/A K. DEAN 0.. A0.ENSOORF 1705 KATH0.VN STREET NEW CUMBERLAND, PA 17070 P. Name end Addrop M Lentler M6T BANK 1 FOVN7AIN PLAZA, BUFFALO, NV 14203 G. Property Loutlon 1705 KATHRYN STREET, NEW NMBERIAND, PA 17070 COUNTY: CUMBERUND H. Seltlamem Agent SECURED LANG TMNSFERS, LLC 465 ST. JOHNS CHURCH ROAD , SHIREMANSTOWN , PA 17011 Phone': (717) 901-8342 PARCEL ID: 26-23-0543-308 OWNSHIP: NEW CUMBERLAND BOROUGH Plau of Settlement 1068 HARRISBURG PIKE GRLISLE, PA I. Settlement Data '09/27/2012 Disbursement Date 09/27/2012 ]. Summa of Borrower'B Tranaactlon K. Summa of Seller'a TransaDtlon 100. Grou Amount Dw from Borrower 400. Gross Amount Due b Seller 101. Contract Saks Prke 245 250.00 401. ComraR Sales Pritt 245 250 00 102. Personal Pro 902. Personal Pm e . 103. Settlement cha es b borrower Ilne 1400 12 114.65 403. 104• 409. 105. qp5, Atl ustment for Norm Id b seller In eMenu Atl ustment for Ibme aid b seller In advance 106. CI own Taxes 406. CI own Tezes 107. Coun Taxes 2025.4600 r 09 27 12 b 01 01 13 531.27 407. Coun Tazes 2025.4600 r 09 27 12 to O3 01 13 531 27 108. Assessmmts 408. Assessments . 109. School Taxes 3088.6700 r 09 37 12 to 07 Ol 13 2 344.00 409, School Taxes 3088.6700 r 09 27 12 to 07 Ol 13 2 344 00 110. Sewer - 7/8/9 229.4900/gh for 09/27/12 [o 30 01 12 g 98 S ' 410 Sewer - 7/8/9 229.4400/qtr for 09/27/12 to 30 O1 12 . 59.98 111, Trash - 7/8/9 9D.5300/qtr for 09/27/12 [0 30 Ol 12 53.76 411. Trash - 7/8/9 40.5300/qtr for 09/27/12 [o 30 Ol 12 31.76 112. 412. 120. Gross Amount Dus hom Borrower 260 251.66 420. Gross Amount Due to Seller 248 137.01 200. Amounb Pald by or In BeheH of Borrower 500. Reductions In Amount Dua b Seller 201. De sit or games[ mon 2 000.00 501. Ezcess De sits 202. Pnnci I Laan Amount from M6T Bank 237 273.00 502. Settlement Cho es b Seller 25 504.13 203. Ezistln loans taken sub to 503. Ezlstin ban s taken sub act to 204. On Inatlon Fee POC 250.00 Payoff of First Mortgage Loan to Fulton Financial 205. 504 Co ration 5162,805.65 206. 505. 207. 506. 208. 507. 209. 508. A uetmems for Nams un Id b seller 509. 210. C own Taxes p usbnanb for Items un Id b seller 211. Ccun Taxes 510. U own Taxes 212. Assessments 511. Coun TazeS 213. Seller Paid Closin Costs 7 300.00 512. Assessments 214. 513. Seller Paltl Closin Costs 7 300.00 215. 519. 216. 515. 217. 516. 21 H. 517. 219. 518. 220. Total Pald b for Borrower 246 823.00 519. 520. Tobl Reductlon Amount Due Seller 195 609.78 300. Gsh at Settlement hom/b Borrower 600. Geh at 9ettlemeM b/from Seller 301. Gross amount due from Domower Ilne 120 260 251.66 302. Less amounts old for borrower Ilne 220 246 823.00 601. Gross amount due b Seller line 420 24B 137.01 602. Less reductions In amount due seller Ilne 520 195 609.78 303. Cash % From To Borrower 13,428.66 603. Cash X Ta From Seller 52,527.23 cdbd ihh Irdonnetion, ant You ns mt rsquMea~ Ia maMetory. Thk Is deagned to provide tlro per HUD-1 Addendum File Number: 401202397-CB Settlement Agent/Place of Settlement: Property Address: 1705 KATHRYN STREET, NEW CUMBERLAND, PA 17070 COUNTY: CUMBERLAND PARCEL ID: 26-23-0541-308 TOWNSHIP: NEW CUMBERLAND BOROUGH Securod Land Transhrs, LLC 485 ST. JOHNS CHURCH ROAD , SHIREMANSTOWN , PA 17011 Phone : (717) 901-8342 Seller(s): ASHLEY I. ARENSDORF, EXECUTOR OF ESTATE OF K. DEAN RICHARD ARENSDORF, A/K/A K. DEAN R. ARENSDORF Buyer(s): DANIEL WIEDEMER AND ALLISON WIEDEMER Settlement Date: 9/27/2012 11:00:00 AM Disbursement Date: 9/27/2012 Loan Number: 14692693 Lender: M&T Bank Mortgage Broker: Buyer Charges Seller Charges New Loan Fees: Loan Origination Fee %to M&T Bank POC;250 $985.00 Loan Discount Fee % to M&T Bank ($593.18) Llne 803 Total: ;391.82 ;0.00 Appraisal Fee to KIRCHMEYER & ASSOCIATES, INC. POC;425.00 Flood Cert. Fee to CORELOGIC $8.00 Tax Service to CORELOGIC $75.00 Title and Escrow Charges: Settlement/Closing Fee Buyer to Secured Land Transfers, LLC $225.00 Notary fee to Secured Land Transfers, LLC $20.00 810.00 LendeYs Cove2ge to Secured Land Transfers, LLC $1,590.00 100/300/900 to Secured Land Trensfers, LLC $150.00 Insured Closing Protection Letter to TRGC $75.00 Processing/Tax Cert. to Secured Land Transfers, LLC ;10.00 Overnight Mail to Seared Land Transfers, LLC $35.00 Line 1101 Total: ;2,060.00 ;55.00 Owner's Coverage to Secured Land Transfers, LLC $40.00 Llne 1103 Total: ;40.00 ;0.00