HomeMy WebLinkAbout04-01-13 J 1505610105
REV-1500 1:x(02.11)(n)
lvania OFFICIAL USE ONLY
PA Department of Revenue penn sy
NH
Bureau of Individual Taxes . nty Code Year F' Number
PO BOX28o6o1 IERITANCE TAX RETURN Cou u jl/
Harrisburg,PA 17128-0601 RESIDENT DECEDENT l oL VV
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
177-24-7449 06/26/2012 05/04/1930
Decedent's Last Name Suffix Decedent's First Name MI
FRANK DOROTHY E
(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
GC 1.Original Return t= 2.Supplemental Return O 3. Remainder Return(Date of Death
Prior to 12-13-82)
O 4.Limited Estate O 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
Gp 6.Decedent Died Testate O 7.Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9.Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
STEVE C. NICHOLAS, ESQ. (717) 540-7746
REGISTER OF WILLS USE ONLY
CIA
c-?
First Line of Address C'"'
C Q rn
2215 FOREST HILLS DRIVE Cc
Second Line of Address m C
SUITE 37 Z Cn �
City or Post Office State ZIP Code -b�FI
HARRISBURG PA 17112 C= -' Cj
o � Cj
;0 -s
—t p
Correspondent's e-mail address: y N
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief.
it is true,correct and complete.Declaration o reparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE ERSON R N OR FILING RETURN D TE
ADDRESS
4153 Sad le Line,West Bloomfield, MI 48322-1647
SIGNATUR PIREPAW OTHER THAN REPRESENTATIVE PATE
�3
ADDRESS
2215 Forest Hills Drive, Suite 37, Harrisburg, PA 17112-1099
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505610105 1505610105 J
1505610205
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name: DOROTHY E. FRANK aka DOROTHY FRANK 177-24-7449
RECAPITULATION
1. Real Estate(Schedule A). ............................................ 1. 219,000.00
2. Stocks and Bonds(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. 299,763.19
6. Jointly Owned Property(Schedule F) O Separate Billing Requested ....... 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested........ 7.
8. Total Gross Assets(total Lines 1 through 7)............................. 8. 518,763.19
9. Funeral Expenses and Administrative Costs(Schedule H)................... 9. 28,432.17
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............... 10. 12,471.88
11. Total Deductions(total Lines 9 and 10)................................. 11. 40,904.05
12. Net Value of Estate(Line 8 minus Line 11) .............................. 12. 477,859.14
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. 477,859.14
TAX CALCULATION-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.0- 15.
16. Amount of Line 14 taxable
at lineal rate X.0 45 477,859.14 16, 21,503.66
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. 21,503.66
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT COD
Side 2
1505610205 1505610205
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
DOROTHY E. FRANK
STREETADDRESS
3921 CHERYLBROOK DRIVE
-- ---- - -- ------
......................................_----- ------CITY STATE MECHANICSBURG PA T�0 17050
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 21,503.66
2. Credits/Payments
A.Prior Payments -2.21.0-0.9.0-0
B.Discount 1,157.89
Total Credits(A+B) (2) 23,157.89
3. Interest
(3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2,Line 20 to request a refund. (4) 1,654.23
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5)
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.......................................................................................... ❑ 0
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?...................................................................... ❑ 0
2. If death 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 death?.............. ❑ 0
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
containsa beneficiary designation? ........................................................................................................................ ❑ N
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994,and before Jan. 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after 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)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
REV-1502 EX+(12-12)
is pennsyLvania SCHEDULE A
DEPARTMENT OF REVENUE
REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
DOROTHY E. FRANK aka DOROTHY FRANK 21 12 1017
All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property that 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,
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1 3921 Cherylbrook Drive,Mechanicsburg,PA 17050 219,000.00
Hampden Township,Cumberland County
PIN 10-17-1035-035
TOTAL(Also enter on Line 1, Recapitulation.) $ 219,000.00
If more space is needed,use additional sheets of paper of the same size.
REV-15o8 EX+(08-12)
10 pennsylvania SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
DOROTHY E. FRANK aka DOROTHY FRANK 21 121017
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorship must be disclosed on Schedule F,
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. BELCO Community Credit Union#163340#S-1 11.60
2. BELCO Community Credit Union#163340#S-40 1,001.81
3. Credit Union One#4254777#S-1 999.80
4. Credit Union One#4254777#S4 258,702.25
5. Credit Union One#4254777#S-38 8,912.63
6. Metro Bank#0538077686 1,710.93
7. Sovereign Bank IRA#0317-0057-818-0000052 13,582.79
8. Sovereign Bank CD#2313726910578113409 4,093.52
9. Sovereign Bank CD#2313726910578113417 652.65
10. Sovereign Bank CD#2313726910578113862 7,499.56
11. Sovereign Bank CD#2313726910578245797 1,337.06
12. Adjustments from sale of 3921 Cherylbrook Drive(See attached HUD-1)
a.2012 County[Twp taxes 58.32
b.2012-13 School tax 1,124.43
c.4th Qtr Sewer 75.84
TOTAL(Also enter on Line 5, Recapitulation) $ 299,763.19
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
DOROTHY E. FRANK aka DOROTHY FRANK 21 12 1017
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Funeral-Hetrick Funeral Home 9,573.46
2. Burial-Beth El Cemetery 2,175.00
3. Gravestone-Brachendorf Memorials 880.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions: 6,500.00
Name(s)of Personal Representative(s) Jerry L. Frank
Street Address 4153 Saddle Lane
City.._West Bloomfield_ State..__._M!..__..ZIP 48322
Year(s)Commission Paid: 2013
2. Attorney Fees:
7,112.50
3. Family Exemption:(If decedent's address is not the same as claimant's,attach explanation,)
Claimant
Street Address
City....................-------- State-, ZIP........_.....__.............................
Relationship of Claimant to Decedent
4. Probate Fees: 469.50
5. Accountant Fees:
6. Tax Return Preparer Fees:
7. Short Certificates-Register of Wills 8.00
B. Inheritance Tax Returns/Inventory-Register of Wills 30.00
9. Advertising-Cumberland Law Journal/The Sentinel 275.16
10. Fedex,postage,copies,notary-Nicholas Law Offices,PC 35.00
11. Attorney's Fees(MI)-Wright Beamer 550.00
12. Executor's Travel Expenses(fuel,food,lodging)from Michigan 823.55
TOTAL(Also enter on Line 9, Recapitulation) $ 28,432.17
If more space is needed,use additional sheets of paper of the same size.
REV-1512 EX+(12-12)
pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
DOROTHY E. FRANK aka DOROTHY FRANK 21 121017
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1• PPL Electric Utilities-open account 327.84
2. PA American Water-open account 97.22
3. Verizon Wireless-open account 64.24
4. Hampden Township-sewer 310.10
5. Marathon Landscape-landscape maintenance 810.00
6. McNelis Gutter Cleaning-home maintenance 525.00
7. Big B Window Cleaning-home maintenance 210.00
8. Bones Contracting-floor replacement 2,540.00
9. Comcast-open account 186.47
10. Greensward Turf Care-lawn care 127.13
11. Hampden Township Treasurer-2012-13 School Tax 1,820.98
12. 1-800-got-junk-junk removal 3,138.00
13. U-Haul-hauling 1,294.71
14. Hertz-vehicle rental 532.78
15. Delta-vehicle rental 25.00
16. UPS-overnight mail 184.93
17. FeclEx-overnight mail 10.60
18. Home Depot-supplies 36.40
19. Staples-supplies 0.48
20. Sears-supplies 230.00
TOTAL(Also enter on Line 10, Recapitulation) $ 12,471.88
If more space is needed,insert additional sheets of the same size.
REV-1513 EX+(01-10)
Pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
BENEfICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
DOROTHY E. FRANK aka DOROTHY FRANK 21 121017
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under
Sec.9116(a)(1.2).]
1. Jerry L.Frank,4153 Saddle Lane,West Bloomfield,MI 48322-1647 Son 33.33%residue
2. Harriett Weinstock,38 Wiltshire Way,Niskayuna,NY 12309-4904 Daughter 33.33%residue
3. Stephanie Millard,2164 Merrimac Ave,Mechanicsburg,PA 17055-5797 Granddaughter 16.67%residue
4. Eric Millard,375 Aylesford Place,Apt 3,Lexington,KY 40508-3083 Grandson 16.67%residue
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF 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:
1.
B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II— ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is needed,use additional sheets of paper of the same size.
rank Dorothy Will scnANW
LAST WELL AND TESTAMENT
OF
q `n
DOROTHY E.FRANK
I, DOROTHY E. FRANK, of 3921 Cherylbrook Drive, Mechanicsburg, Cumberland
County, Pennsylvania 17050, declare this to be my Last Will and revoke any Will or Codicil
previously made by me.
ITEM I: I direct that all expenses of my last illness and funeral, including my grave
marker and perpetual care, shall be paid from my residuary estate as soon as practicable after my
decease as a part of the expense of the administration of my estate.
ITEM II: I direct that all taxes that may be assessed in consequence of my death, of
whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as
a part of the expense of the administration of my estate,without apportionment.
ITEM III: I give, devise and bequeath all the rest, residue and remainder of my estate
of every nature and wherever situate,in equal shares, as follows:
a. One (1) equal share to my son, JERRY L. FRANK, providing that he shall
survive me by thirty (30) days. Should my son, JERRY L. FRANK,predecease me or die on or
before the 30"' day following my death, I give devise and bequeath his share of my estate to my
daughter-in-law, NANCY FRANK, providing that she shall survive me by thirty (30) days
Should my daughter-in-law, NANCY FRANK, predecease me or die on or before the 30 day
following my death, I give, devise and bequeath her share of my estate to my granddaughter,
EMILY FRANK,per stfrpes.
b. One (1) equal share to my daughter, HARRI[ETT WEINSTOCK, providing that
she shall survive me by thirty (30) days. Should my daughter, HARRIETT WEINSTOCK,
predecease me or die on or before the 30th day following my death, I give devise and bequeath
her share of my estate to her issue,per stirpes,that are living on the thirtieth(30th) day following
my death.
C. One (1) equal share to be divided equally, share and share alike, between my
granddaughter, STEPHANIE MILLARD and my grandson, ERIC MILLARD, providing that
they shall survive me by thirty (30) days. Should my granddaughter, STEPHANIE MILLARD,
predecease me or die on or before the 30th day following my death, I give devise and bequeath
her share of my estate to her issue,per sdmes,that are living on the thirtieth(30th)day following
my death. Should my grandson, ERIC MILLARD, predecease me or die on or before the 30th
day following my death, I give devise and bequeath his share of my estate to his issue, per
s rpe'S,that are living on the thirtieth(30th} day following my death.
ITEM N: I hereby authorize and empower my Executor hereinafter named to sell all
of the real property and any or all of the personal property not specifically bequeathed herein,
which I may own or to which I am entitled at the time of my death, in the sole discretion of my
Executor at private or public sale, without an Order of Court, at such time or times and upon
such terms as the said Executor shall deem proper for the best interests of my estate or of my
beneficiaries, thereby converting the same into cash. I further authorize and empower my said
Executor to execute, acknowledge and deliver all proper writings and deeds of conveyance and
transfer thereof.
ITEM V: The principal and income of any bequests created hereunder shall be free
from anticipation, assignment, pledge or obligation of any beneficiaries and shall not be subject
to an execution or attachment or to voluntary or involuntary alienation.
ITEM VI: I appoint my son, JERRY L. FRANK, Executor of this, my Last Will.
Should JERRY L. FRANK fail to qualify or cease to act as Executor, I appoint my daughter-in-
law,NANCY FRANK,Executrix of this,my Last Will.
ITEM VII: I direct that my Executor, or his successors, shall not be required to give
bond for the faithful performance of their duties in any jurisdiction.
1N WITNESS WBEREOF,I have hereunto set my hand and seal this day of
2012.
DOROTEYE.FRANK
2
The preceding instrument, consisting of this and two (2) other typewritten pages,
identified by the signature of the Testatrix, DOROTHY E. FRANK, was on the day and date
thereof signed, published and declared by DOROTHY E. MAW the Testatrix therein named,
as and for her Last Will, in the presence of us, who, at her request and in her presence and in the
presence of each other,have subscribed our names as witnesses hereto.
A-�� CAI, of
of 'W�mw"�' 4i
3
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA :
SS.
COUNTY OF DAUPHIN
I, DOROTHY E. FRANK, the Testatrix, whose name is signed to the attached or
foregoing instrument,having been duly qualified according to law, do hereby acknowledge that I
signed and executed the instrument as my Last Will; and that I signed it willingly and as my free
and voluntary act for the purposes therein expressed.
Sworn to or affirmed and acknowledged before me by DOROTHY E. FRANK,
Testatrix,this 't day o 2012.
DOROTHfE.FRANK
Notary Public
COMMONwF—Aa-TH OF PENNSYLVANIA
NOTARIAL SEAT _
CHRISTINA L.NICHOLAS,Notary Public
Lower Paxton Twp.,Dauphin County
My Carraission Expires.tune 20,2013
4
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF DAUPMN
WE, the undersigned, witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and say that we were present and
saw the Testatrix., sign and execute the instrument as her free and voluntary act for the purposes
therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed
the Will as a witness; and that to the best of our knowledge, the Testatrix was at that time 18 or
more years of age, of sound mind and under no constraint or undue influence.
Sworn to or affirmed and subscribed before me by the undersigned witnesses,this
day of flP K1 t- 2412.
J--t— Al
Witness
Witness
r
Notary Public
COfM[mot4WEALTH OF PENNSYLVANIA
WOTARIAL SEAL
CHMST#NA L.NICHOLAS,Notary Public
Lower Paxton Twp.,Dauphin County
W Conunissian Expires June 20,2013
5
11141`� OMB Approval No.2502-0265
�'llllllll : A.Settlement Statement(HUD-1)
B.Type of Loan
1.❑X FHA 2.7 RHS 3.F-] CONV.UNINS. 6.File Number: 7.Loan Number: 9,Mortgage Insurance Case Numbe,
4.[:] VA 5.❑ CONVAR CEN154-479 0000345741 446-1476104-703
C.Note:This form is furnished to give you a statement of actual settlement costa.Amounts paid to and by the settlement agent are shown.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&Address of Borrower. E.Name&Address of Seller. F.Name&Address of Lender:
Thomas G.Barr and Angela M.Barr,husband Jerry L.Frank,Executor of the Estate of Stonegate Mortgage Corporation
and wife Dorothy E.Frank,deceased by Steve C. 9190 Priority Way West Drive
200 Georgetown Rd Nicholas,Esq,Attorney in fact for Jerry L.Frank Suite 300
Mechanicsburg,PA 17050 Indianapolis,Indiana 46240
0.Property Location: N.Settlement Agent: I.Settlement Da
3921 Cherylbrook Drive T.A.of Central PA,LLC November 1le:6,2012
Mechanicsburg,Pennsylvania 17050 530 North Lockwillow Avenue
Lot 98,Plan No.7 of Ridgeland,Book 20, Harrisburg,Pennsylvania 17112
Page 13,Cumberland County,Pennsylvania 717-724-3724 fax:866-858-2780
Place of Settlement:
T.A.of Central PA,LLC
530 North Lockwillow Avenue
Harrisburg,Pennsylvania 17112
Phone:(717)724-3724
J. Summary of Borrower's Transaction K. Summary of Seller's Transaction
100.Gross Amount Due From Borrower: 400.Gross Amount Due To Seller:
101. Contract Sales Price 190 000.00 401. Contract Sales Pdce 190,000.00
102. Personal Property 402. Personal Property
103. Settlement Charges to Borrower line 1400 8,200.30 403.
Adjustments for Items Paid by Seller in Advance: Adjustments for Items Paid by Seller in Advance:
2012 Co/Township Taxes Nov 17,2012 thru 2012 Co/Township Taxes Nov 17,2012 thru
106. Dec 31 2012 58.32 406. Dec 31 2012 58.32
107. County/Parish Taxes 407. County/Parish Taxes
108. Assessments 408. Assessments
2012-13 School Taxes Nov 17,2012 thru Jun 30, 2012-13 School Taxes Nov 17,2012 thru Jun 30,
109. 2013 1,124.43 409. 2013 1,124.43
110 Sewer 4th Quarter Nov 17,2012 thru Dec 31, 75.84 410. Sewer 4th Quarter Nov 17,2012 thru Dec 31, 75.84
2012 2012
120. Gross Amount Due from Borrower: 199 458.89 420. Gross Amount Due to Seller: 191 258.59
200. Amounts Paid by or in Behalf of Borrower: 500. Reductions in Amount Due to Seller:
201. Deposit or Earnest Money 2,500.00 501. Excess Deposit(see instructions
202. Principal Amount of New Loan 186 558.00 502. Settlement Charges to Seller Line 1400 12 889.00
203. Existing Loans taken subject to 503. Existing Loans taken subject to
204. Seller Assist 6,250.26 504. Payoff of First Mortgage Loan n/a
205. 505. Payoff of Second Mort a e Loan
206. 506. Purchase Money Mortgage
207. 507. Earnest Money Held By The Broker(ref,701 2,500.00
208. 508. Seller Assist 6,250.26
Adjustments for Items Unpaid by Seller: Adjustments for Items Unpaid by Seller:
210. Ci /Town Taxes 510. Ci /Town Taxes
211. County/Parish Taxes 511. County/Parish Taxes
212. Assessments 512. Assessments
220. Total Paid by/for Borrower: 195 308.26 520. Total Reductions in Amount Due Seller: 21 639.26
300. Cash at Settlement from/to Borrower: 600. Cash at Settlement to/from Seller:
301. Gross Amount due from Borrower line 120 199 458.89 601. Gross Amount due to Seller line 420 191 258.59
302. Less Amount Paid by/for Borrower line 220 195 8.26 602. Less Reductions Amount due Seller line 520 21 639.26
303. Cash From Borrower: $4,150.63 603. Cash To Seller: $169,619.33
The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting,reviewing,and reporting the data.
This agency may not toll is information,and you are not required to complete this form,unless it displays a currently valid OMB control number.
No confidentiality is ured�this disclosure is mandatory.This is designed to provide the parties to a RESPA covered transaction with Information
during the settlerq nt pro S.
Borrower Initials` 1 Thomas G.Barr ab Angela M.Barr
Jerry L.Frank,Executor of
Seller Initials: the Estate of Dorothy E.
Frank,deceased
Previous editions are obsolete Page 1 of 4 HUD-1
November 16,2012 9:57 AM
File Number.CEN154-479
Settlement Date:November 16,2012 Loan Number.0000345741 FA L-5012742-0022868E 0-5011442-0054966E
L. Settlement Charges Paid from Paid from
700. Total Sales/Broker's Commission:$13,000.00 Borrower's Seder's
Division of Commission(line 700)as follows Funds at Funds at
701 5.025.00 to Howard Hanna Real Estate(4%N+$225) Settlement Settlement
702. 5,476.00 to Keller Williams of Central PA East(3%N
703. Commission Paid at Settlement 10 500.00
704. Earnest Money Held By The Broker PO n/a ref 701 $2.500.00 _
705. Additional Commissions to Keller Williams of Central PA East 250.00
800. Items Payable in Connection with Loan:
801. Our origination charge (from GFE#1)
$6,743.88
802. Your credit or charge(points)for the specific interest rate chosen (from GFE#2)
7 462.32
_803. Your adiusted origination cha es (from GFE#A •718.44
804. Appraisal Fee (from GFE#3)
to Dart Appraisal(poc$450.00 by Borrower)_
805. Credit Report (from GFE#3)
to Credit Plug _ _ 38"83
_ 806. Tax Service
807. Flood Certification (from GFE#3)
to Stone-gate Mortgage Cory fbo Corel-ogic 19.0
900. Items Required by Lender to be Paid in Advance:
901. Daily interest charge from Nov 16,2012 to Dec 1,2012 @ 16.6113 !day for 15 (from GFE#10)
days
to Stonegats Mortgage Corporation 249.17
902. FHA Upfront Mortgage Insurance Premium (from GFE#3)
to Dept of HUD 3,208,63
903: Homeowner's Insurance (from GFE#11)
_ to The Cincinnati Insurance Company 543.00
1000.Reserves Da osited with tender:
1001. Initial deposit for your escrow account (from GFE#9)
to S one ate Mort a e Cor oration 876.11
1002. Homeownees Insurance 3 months 5 per month 136.7
1003 Mortgage Insurance(r9$189.25 per month
1004. Co&TwD Property Taxes 11 months 39.53 per month $434.83
1005 School Taxes 6 months gl2$151 75 per month $910.50
_1099 Aanregate Adiustment $-604.97
1100.Title Charges:
1101. Title services and lender's title insurance (from GFE#41 1.682.00
1102. Settlement or Closing Fee _
1103. Owner's Title Insurance(First American Title Insurance Company) (from GFE#5)
to T.A.of Central PA LLC(Risk Rate Premium:$1,350.00) 15.00
1104. Lenders Title Insurance(First American Title Insurance Company)
to T.A.of Central PA,LLC
- Lander's Premium $1,335.00
ALTA Endorsement 8.1(PA 900) $50.00
PA 100,300 Endorsements(PA short form loan policy _. $100.00
1105 Lenders Title Policy Limit$186,558.00,.,,-
1106 Owners Title Policy Limit$190.00.00
1107. Agents Portion of the Total Ti Insurance Premium $1,275,00
1108. Underwriter's ortion of the Total Title insurance Premium $225.00
1109. Tax Cart Reimbursement
to T.A.of Central PA LLC 10-00
1110 Deed Prep(Estate attorney)
1111. "
1200 Government Recordina and Transfer Charges:
1201 Government Recording Charges from GFE#7 137.
1202. Deed$63.00 Mo a 74.00 Releases 0.00
1203. Transfer Taxes _ fr m GFE 1,900.00
1204 Clw/County tax/stamps Deed$1,900.00 Mortgage$0 0
1205. State tax/t m s Deed$1,900.00 mortgage$0.00 1.900.00
1206. Other Tax 1
1207 Other Tax 2
1300.Additional Settlement Charges:
1301. Required services that You can shop for (from GFE#6
1302. Survey
_1303 Pest Inspection
1304. 2012-13 School Taxes(discount)
to Michael Langan.Tax Collector(Doc$1,820.98 by Seller)
1305. 2012 Cc&Twp Taxes(discount)
to Michael Langan,Tax Collector(Doc$474.31 by Seller
1306. Sewer/Trash 4th Quarter
to Hampden Township(poc$15&05 by Setter)
1307. Home Warranty
to Home Saourity of America 479.00
1400_ Total Softie Charges(Enter on line 103,Section J and line$02,Section K) $8,200.30 $12,889.00
Borrower initaa s: Thomas G.Barr Angela M.Barr
,A/ Jerry L.Frank,Executor of
Seller Initials: _ the Estate of Dorothy E.
4AII Frank,deceased
Previous editions are obsolete Page 2 of 4 HUD-1
November 16,2012 9:57 AM
File Number:CEN154-479
Settlement Date:November 16,2012 Loan Number:0000345741 FA L-5012742-0022868E 0-5011442-0054966E
Comparison of Good Faith Estimate(GFE)and HUD Charges
Charges That Cannot Increase HUD Line No. Good Faith HUD
Estimate
Our origin,t^]ion change #801 6,743.88 6 743. 8
Your credit or charge(points)for the specific interest rate chosen #802 -7,46232 -7.46 .32
Your adiusted on ination cherries #803 -718.44 -718.44
Transfer taxes #1203 1 900.00 1 900.00
Charges That in Total Cannot Increase More Than 10% HUD line No. Good
Est mFaith e HUD
Government Recording Charges #1201 190.00 137.0
Appraisal Fee #804 475.00 450.00
Credit Report #80 10&QO 38.83
Flood Certification #807 19.00 19.00
FHA Upfront Mort a e Insurance Premium #902 3,208.63 3,208,63
Title services and lender's title Insurance #1101 1,715. 1 682. 0
Owners Tite Insurance #1 )01 15.00
T( 131 5,550.46
increase between GFE and HUD Charges 187.17 -3.26°
Charges That Can Change HUD Line No. Good Faith HUD
_ Estimate
Initial deposit for your escrow account #1001 2,690,00 876.11
Daily interest charge from Nov 16 2012 to Dec 1 2012 16.6113 /day for 15 days #901 249.17 249.17
Homeowners Insurance #903 540.00 543.00
Loan Terms _
Your initial loan amount is $186,558.00
Your loan term is 30 years
Your initial interest rate is 3.25%
Your initial monthly amount awed for principal,Interest,and $1,001.16 includes
any mortgage insurance is [X]Principal
(X]Interest
X I Mortgage Insurance
Can your interest rate rise? [X]No. [ ]Yes,it can rise to a maximum of_%,The first change will be on
and can change again every after .Every
change date,your interest rate can increase or decrease by_%.Over the life of
the loan,your interest rate is guaranteed to never be LOWER then_ %or
HIGHER than
Even if you make payments on time,can your loan balance (X J No. [ ]Yes,it can rise to a maximum of$
rise?
Even if you make payments on time,can your monthly [X]No. ( ]Yes,the first increase can be on and the monthly amount
amount owed for principal,interest,and mortgage owed can rise to$
insurance rise? The maximum it can ever rise to is$
Does your loan have a prepayment penalty? f X 1 No. f I Yes our maximum prepayment penalty is
Does your loan have a balloon payment? [X J No. [ ]Yes,you have a balloon payment of$ due in_years
on
Total monthly amount owed including escrow account [ ]You do not have a monthly escrow payment for items,such as property taxes
payments and homeowners insurance.You must pay these items directly yourself.
[X]You have an additional monthly escrow payment of$236.53 that results in a
total initial monthly amount owed of$1,237.69.This includes principal,interest,any
mortgage insurance and any items checked below:
[X]Property taxes [X]School taxes
[ ]Flood insurance [ ]
X I Homeowner's insurance
Note:if you have any questions about the Settlement Charges and Loan Terms listed on this form,please contact your lender.
Previous editions are obsolete Page 3 of 4 HUD-1
November 16,2012 9:57 AM
File Number:CEN154-479
Settlement Date:November 16,2012 Loan Number:0000345741 FA L-5012742-0022888E 0-5011442-0054966E
B ers _
Thomas G.Barr Angela M.Barr
200 Georgetown Rd
Mechanicsburg,Pf 17056
f ellers
rry L.Frank,Executor a the Estate of
arathv E.Frank.deceased
PropertV Addresses
3921 Cheryibrook Drive
Mechanicsburg,Pennsvlvani
I have careful) le d th HUD-1 ettlement Statement,and to the best of my knowledge and belief,it is a true and accurate statement of all
receipts an isbu emen mad n my account or by me in this transaction. I further certify that I have received a copy of HUD-1 Settlement
Stateme
Bor t Seiler: —
Thomas G.Barr Jerry L.Frank,Executor of the Estate of Dorothy E.Frank,
/l deceased
Borrower:
Angela,M.Barr
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused or will cause the funds to be
disbursed in accordance with this tatement. / J FA L-5012742-0022868E 0-5011442-0054966E
Settlement Agent: Date: November 16,2012
Abby Wen ei
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form.Penalties upon conviction can
include a fine and imprisonment. For details see Title 18 U,S.Code Section 1001 and Section 1010.
Previous editions are obsolete Page 4 of 4 HUD-1
November 16,2012 9:57 AM
BELCO
C014MUNITY CREDIT UNION
DECEDENT ESTATE INFORMATION(On Date of Death)
1. Name(s)in which the account was held: DOROTHY E FRANK(Primary Owner)
JERRY L FRANK(Joint Owner)
2. Account number: 163340
3. Balance as of date of death: $1,013.15
Balance Accrued Dividends YTD Dividends Opened
Regular Saving: S1 $11.60 $0.00 $45.95 4/22/2008
Holiday Club S2
Money Market: S6 $0.00 $0.00 $48.28 3/30/2011
Checking: S4 $1,001.55 $0.13 $23.58 10/30/2008
IRA: S5
Certificates: Balance Accrued Dividends Certficate Number YTD Dividends
NONE
4 Name(s)in which Safe Deposit Box was held: NONE
5 Date the box was initially rented: N/A
6 Branch address at which the box is located: N/A
7 Loan Information: Balance Accrued Interest Per Diem Int
A. Unsecured Loans: N/A
L14 Classic Visa Card
B. Secured Loans: N/A
C. Mortgage Loans: N/A $ $
8 Miscellaneous:
3/5/12 Credit Union ONE
Click on History for prior account detail.
r � Account Summary - (All Accounts)
Notifications 1'�
Accounts
Account Description / History Account Number Balance
Rewards REGULAR,SHARES 4254777 - S1 999.80
History MONEY_MARKETPLUS 4254777 - S4 258702.25
Transfers CASH BACK_,CHECKING 4254777 - S38 8912.63
External Transfers
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(800) 451-4292
[ps://mfa.cuone.org/ibank3.asi) 1 j2
METRO
3801 Paxton BANK Harrisburg, Street
g PA17111 888.937.0004 t obank.com
11/18/12
Nicholas Law Offices, PC
Northwood Office Center
2215 Forest Hills Drive
Harrisburg, PA 17112
RE: Estate of: Dorothy E. Frank
Tax Identification Number: 177-24-7449
Date of Death: June, 26,2012
To Whom It May Concern:
This letter is in reference to decedent account information you requested for the
individual listed above.
We are able to provide the following:
Account Type:CK
Account Number: 538077686
Date Opened: 05/01/2008
Primary Owner: Dorothy E. Frank
Date of Death Balance: $1,710.93
Please feel free to contact me at (717) 412-6127 if I may be of further assistance.
Sincere
Jennifer Jacobs
Research Associate
Metro Bank
Sovereign Bank
ESTATE OF Dorothy Frank
SOCIAL SECURITY#: 177-24-7449
DATE OF DEATH: June 26, 2012
Account#: 0578113409 Type: IRA CD Open date: 3/26/1994
In the name of: Dorothy E Frank
Date of Death Balance: $4,161.21
Int.(YTD) from 1/1/2012 to 6/18/2012 $2.95
Accrued interest to date of death: $0.15
Other Info: Beneficiary: Linda S Millard and Harriet Wainstoch - Daughters and
Jerry L Frank- Son
Account#: 0578113417 Type: IRA CD Open date: 8/3/1994
In the name of. Dorothy E Frank
Date of Death Balance: $652.60
Int.(YTD) from 1/1/2012 to 5/31/2012 $0.60
Accrued interest to date of death: $0.05
Other Info: Beneficiary: Linda S Millard and Harriet Wainstoch- Daughters and
Jerry L Frank- Son
Account#: 0578113862 Type: IRA CD Open date: 7/14/1993
In the name of. Dorothy E Frank
Date of Death Balance: $7,489.46
Int.(YTD) from 1/1/2012 to 5/31/2012 $50.97
Accrued interest to date of death: $9.09
Other Info: Beneficiary: Linda S Millard and Harriet Wainstoch - Daughters and
Jerry L Frank- Son
Account#: 0578245797 Type: IRA CD Open date: 12/11/2006
In the name of: Dorothy E Frank
Date of Death Balance: $1,336.84
Int.(YTD) from 1/1/2012 to 5/31/2012 $0.83
Accrued interest to date of death: $0.15
Other Info: Beneficiary: Linda S Millard and Harriet Wainstoch- Daughters and
Jerry L Frank- Son
Page 1 of 1