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� 1505610105
EX(oz-ii)(FI) � _
REV��SOO OFFICIAL USE ONLY
PA Department of Revenue pennsylvania
Bureau of Individuat Taxes DEi�RTMENfOF11EVENUE County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN /� r �� �
Harrisburg,PA 1'7�28-o6oi RESIDENT DECEDENT ��'
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
08/04/2012 12/12/1932
DecedenYs Last Name Su�x DecedenYs First Name MI
Quinn Evelyn
(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 FlIED!N�UPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1.Original Return O 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 12-12-82j
C� 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 T0:
Name Daytime Telephone Number
Michael A. Scherer, Esq (717)249-C�3 �,
:t� '°-�►
REGIS � ILLS USE,,,_ONLY�„� �
•� � � .,,�C � �
1'`� C.'J
First Line of Address � �� � �-.,� :
Baric Scherer LLC � �� � , =� -��
' �� � `� � �
Second Line of Address `�� � �'' � '�p� �
19 West South Street '� "�r c_ , '�: w`�
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DATE FILED >..,,,. ;s;
City or Post Office State ZIP Code
�: � �
Carlisle PA 170�3 �t -•--
Correspondent's e-maii address: mscherer@baricscherer.com
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 of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SI U E OF PE N RE P SIBLE FOR FILIN�TURN . DATE
, - _��_�
ADDRESS
2670 Spring Road, Carlisle, Pennsylvania 17013
SIGNATU R PA ER T ER THAN REPRESENTATIVE DATE
L1.2�•�3
ADDRESS
19 Wes South Street, Carlisle, Pennsylvania 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
� 150561�105 1505610105 J
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� 1505610205
REV-1500 EX(FI)
Decedent's Social Security Number
--- -____.
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DecedenYs rvame: Evelyn Quinn �
RECAPITULATION
1. Real Estate(Schedule A). ............................................ 1. 157,000.00 '
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. ' 38,996.30
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. ; 195,996.30 ';
9. Funeral Expenses and Administrative Costs(Schedule H)................... 9. ' 40,158.56
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............... 10. ; 88,187.57
;- - ,
11. Total Deductions(total Lines 9 and 10)................................. 11. ': 128,346.13 ';
12. Net Value of Estate(Line 8 minus Line 11) .............................. 12. ' 67,650.17 '
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. ; 67,650.17
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116 i- -__..._ _.___ __ ___-- __-_ __-._______� _ _ ___ _ __ _____ __ _ _ _ __ _
(a)(1.2)X.0- � 15. ,
16. Amount of Line 14 taxable { �� �
at lineal rate X.0 45 � 67,650.17 16, ` 3,044.26 '
17. Amount of Line 14 taxable ""��..'����_......__..._._.��_�..._..e ;.___�__..�._._ �__�__.___.._.__,._......�.._... _._..__..__._.____.
at sibling rate X.12 i 17.;
,..._. -----__.u.._.u.._..___.. Y.____._�.�.....�,...�..__..._..._�_.�__..� :._.�..��.....__.._._._._....__,_.___._.._._.. ____.___._.__...._._.._._......
18. Amount of Line 14 taxable �
at collateral rate X.15 '; � 18. �
......__..___.._..__..__.___._.............__.._........__..__..........__.____._...._._......_. �____.
19. TAX DUE......................................................... 19. 3,044.26
� __�_--------___._--------------..___._-------.________._
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT C�
Side 2
�
1505610205 1505610205 �
i
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENTS NAME
Evelyn Quinn
STREET ADDRESS
2670 Spring Road
CITY STATE ZIP
Carlisle PA 17013
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 3,044.26
2. Credits/Payments
A.Prior Payments 5,850.00
B.Discount 152.21
Total Credits(A+B) (2) 6,002.21
3. Interest
(3) 2,957.95
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)
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.
:��- ��
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PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred.......................................................................................... ❑ �
. b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ �
c. retain a reversionary interest.............................................................................................................................. ❑ �
d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ �
2. If 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?.............. ❑ �
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
containsa beneficiary designaiion? ........................................................................................................................ ❑ �
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.
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REV-1502 EX+(12-12)
� pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Evelyn Quinn 21-12-0919
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• 2670 Spring Road,Carlisle,Pennsylvania 17013: sale price in arm's legnth transaction. 157,000.00
TOTAL(Also enter on Line 1, Recapitulation.) $ 157,000.00
If more space is needed,use additional sheets of paper of the same size.
REV-15o8 EX+(o8-iz)
� pennsylvania SCHEDVLE E
DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIOENT DECEDENT
ESTATE OF: FILE NUMBER:
Evelyn Quinn 21-12-0919
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. Orrstown Bank;checking account#1430002235 2,342.83
2. Orrstown Bank;savings account#743000204 4,486.12
3. Orrstown Bank;certificate of deposit#4000004837 10,385.27
4. Orrstown Bank;certificate of deposit#4000024816 7,259.81
5, Orrstown Bank;certificate of deposit#7000026667 10,376.42
6, Miscellaneous personal property 2,170.00
7, 1996 Buick LeSabre(Kelley Blue Book value) 1,764.00
g. Automobile insurance refund 211.85
TOTAL(Also enter on Line 5, Recapitulation) $ 38,996.30
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+(10-09)
� pennsylvania SCHEDULE H
DEPARTMENT OFREVENUE F U N E RA L EX P E N S E S A N D
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Evelyn Quinn 21-12-0919
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' Hoffman Roth Funeral Home&Crematory, inc. 7,637.64
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
City State ZIP
Year(s)Commission Paid:
2• Attorney Fees:
7,500.00
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation,)
c�aimant Valerie Harring
Street Address 2670 Spring Road
city Carlisle state PA ZIP 17013
Relationship of Claimant to Decedent daughter
4• Probate Fees: 319.50
5. Accountant Fees:
6, Tax Retum Preparer Fees: 95.38
�� The Sentinel(legal advertising) 189.00
8. Cumberland Law Joumal(legal advertising) 75.00
s. County,Township and School real estate taxes 1,272.90
�o. Seller assistance for real estate transfer 8,279.64
��. Real estate commission 7,902.00
�2. Realty transfer tax,recording fee,settlement fee for real estate transaction 1,660.50
*C TTACHED SHEET
TOTAL(Also enter on Line 9, Recapitulation) $ 40,158.56
If more space is needed,use additional sheets of paper of the same size.
, '
Estate of Evelyn Quinn
No. 21-12-0929
Schedule H continued
13. Lowe's: home repair supplies for house sale $1,967.58
14. A.H. Reiff Landscaping: landscape supplies $ 256.52
15. Ben Souders Landscaping: landscape house $1,300.00
16. Carter Lumber: supplies to prepare house for sale $ 158.97
17. Valerie Harring: reimbursement for supplies,
fees and charges for preparing house for sale $1,543.93
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REV-1512 EX+(12-12)
� pennsylvania SCHEDULE I
DEPARTMENTOFREVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Evelyn Quinn 21-12-0929
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• Champion Mortgage Company 87,464.18
2. North Middleton Authority(waterlsewer bill) 243.70
3. Comcast 89.29
4. Century Link 99.40
5. PPL 255.00
6. Ambulance Billing O�ce 36.00
TOTAL(Also enter on Line 10, Recapitulation) $ 88,187.57
If more space is needed,insert additional sheets of the same size,
REV-1513 EX+(01-10)
x � pennsyLvania SCHEDULE �
' DEPARTMENT OFREVENUE
INHERITANCE TAX RETURN B E N E FICIARI ES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Evelyn Quinn 21-12-0919
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• Valerie Harring daughter 100
2670 Spring Road
Carlisle,Pennsylvania 17013
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.
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�'
�' LAST WILL AND TESTAMENT
�:� .
� OF.
�:= EVELYN �INN '
��
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I, EVELYN QUINN married woman, of 2670 Spring Road, Carlisle,
• Cumberland County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereb.y,.tnake, publish and declare this as and for my Last Will and
Testament hereby revol�ing and making void any and all Wills by me at any time
heretofore made.
1. I direct my hereinafter named Executor or Executrices to pay all of my
just debts and funeral expenses as soon after my death as may be found convenient to do
so. I further direct that all inheritance, transfer, succession, estate and death taxes,
including interest and penalties thereon,which may be payable on account of my death
j shall be payable from the residue of my estate regardless of whether the assets upon
which such taxes aze based are included in my probate estate.
2. I declare that I am married to Jack E.Quinn and that I have one(1)child,
VALERIE HARRING. I further declare that I have no other children.
3. All of the rest, residue and remainder of my estate, real, personal and
. mixed, and wheresoever the same may be situate, I give, devise and bequeath to my
husband, JACK E. QUINN, his heirs and assigns, to the exclusion of my child or
children, born or unborn, provided my said husband shall survive me by a period of
ninety (90) days. In the event that my said husband should predecease me or fail to
survive me by the aforesaid period of ninety(90)days,then in such event all of the rest,
residue and rema:nder of my estate,real,personal and mixed,and wheresoever the same
; may be situate,I give,devise and bequeath to my daughter,VALERIE HARRING,but
should she predecease me or fail to survive me by a period of ninety(90)days,then the
share she would have otherwise received shall pass to her issue per stirpes.
4. I hereby nominate, constitute and appoint my daughter, VALERIE
HARRING,as Executrix of this my Last Will and Testament,and i further direct that she
shall not be required to post any bond to secure the faithful performance of her duties in
the Commonwealth of Pennsylvania or in any other jurisdiction.
IN WITNESS WHEREOF,I have hereunt�t my hand and seal to this my Last
Will and Testament written on one(1)page,this,zo day of �,�� ,2004•
�
�° � (SEAL)
��VELYN UINN
Signed,sealed,published,and declared by EVELYN QUINN the Testatrix above
named,as and for her Last Will and Testament,in our presence,who,in her presence,at
her request, and in the presence of each other,have hereunto subscribed our names as
attesting witnesses.
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�Jushrti, • �'�a-�
Page 1 oJ 1
� ,
s �`"�:'`�'�#; OMB Approval No.2502-0265
�*�'' �� A. Se#tlement Statemen� �HUD-1�
�.e,.�
: . . .
1.�]FNA 2. X[�RHS 3.Q Conv.Unins. �`����������' 7•Loan Number: 8.Mortgage lnsurance Case Number:
13-34 1188096155
4.Q VA 5.Q Corn.lns.
G.Nate:Th9s forrr�is furnished ta give you a statement af actua!settlement cosis.Amaunts paid ia and by the settlement agents are shown.Items marked
"{p.o.c)"were paid outside the clasi�g;they are shown here for informational purposes and are not included in the totals.
D.PJ2(tt8�At�C�F@SS Of B4�('QW�C: E,�tame&Address af Seller: F.Name&Address of Lender:
Kevin S.Jones Es#ate of Evefyn Quinn Re!lant Funding Group,ISAOA
18 W�lcrest�rive,Cariisle,PA 17415 2670 Spriny Road,Ca�lisle,PA 17015 Manor Oak 11,1910 Cochran Road,Suite 545,
Pittsburgh,PA 15220
G.Praperty Lacation: H.SettlementAgeni: 1.Settlement Date:04/9 21201 3
2670 Spring ftoad The Law Office of Andrew H.Shaw,PC Disbursement Date:04/12/2013
Carlisle,FA 17013 200 5.Spring Garden Street,Suite 11,Carlisle,PA i7013
� North Middieton 7ownship
7elephone:717-243-7135
Place of 8ettlement: TitleExpress
200 S.Spring Garden Street,Suite 11,Cariisis,PA 17013 Printed p4/1212013 at 3:57 pm
by SDC
i i i i i t �
100. Gross Amaunt que from 8arrovuer 400. Grass Amaont Due to Seller
401, Contrac#sales�xi� 357,fl00.� 441. Car�te�t sales price 157,40Q.OQ
: 102. Persanal ro 402. f'ersanal ro R
� 103, Settlement charges to barrawer(line 144(}} 14,244.04 403.
104. 444.
105. 405.
Ad ustmen#s for i#ems aid h selier in advance Ad astments far items aid b se!!er in advance
146. Cftyltown ta��es to 406. Cityltown kaxes to
107. Cgunty taases 44/12(2093 to 1?J31/2013 366.80 407. County ta�ces 04/12I2013 to 1213112p13 356.80
148. School Ta�ces 04/12l2013 to 46l3012013 422.80 408. School Taxes 04/12/2013 to 06l3012013 422.80
109. 409.
110. 410.
111. 411,
112. 412,
72d• Gross Amount Due from Borrower 168,023.64 4Z0. Gross Amount Due to Seller 'i57�7�9•sb
200. Amaunts Paid b or in Behalf of Borrower 5Q0. Reductians In Amount Due to Se[ler
201. Deposit ar eamest money 1,000.00 501. Excess deposit(see inshvctions}
2d2. Principal amaunt of new iaan{sj 180,204.OQ 502. Settlement charges ro se}ier(iine 140d} 10,138.87
203. Existin ioa s taken sub'ect to 503. Existin ioa s taken sub'ect to
: 204. 504, Payoff of first matgage loan ta Champion MaRgage 87,464.18
Co.
205, 505. Payoff of second mo�tg�e ioan
206. Sellers Assist 8,279,64 �. Sel#e�s Assist 8,219.64
207. 5Q7.
2�8. 50$.
209. 5p9.
Ad usfinents for itesns un aid b se1ler Ad astments for ilems un aid b seller
210. Ciry/town taxes to 51 p. Cityltawn taxes to
211. Counly taxes to 511, County ta�ces to
212. School Taxes to 512, School Taxes to
213. 513.
214. 514.
. 215. 515.
216. 5ifi.
217. 5i7.
218. 518.
219. 519,
��� Total Paid b lfor Borrower 1B9,d83.6d 520. Total Reduction Amount Due 5eiier 105,882.69
300. Cash at Setttement fromito Borcower 600. Cash at Se�tement#otfrom Selier
3p�, GroSS amount due fram barrower(line 12�} 168,023.64 gQ�, Gross amoun#due to seller(#�ne d20} 157,779.60
302, I.ess amounfs paid by�or borrawer((ine 22t}} 189,483.64 602, L.ess reductions in amount due selle�(line 52�} �{y��g�2,gg
303. Cash ❑ From X[�To Barrower 1�4�a•ap 603. Cash �X, Ta ❑ From Saller �'��$�s•�'�
. e spo u an o o m« on t s im a rvunu alt per nnpoms a np,rdv arnnp,• npo np �paiwy m�y s m ar on,a you ara n nq r o eo s
W�tam,unlw�U 6spl�ys e curteaqy vaNd iZMB eontaol mimmb��.Na conflMnGMUy la essuretl:thlsdlednwro U m�ndetory.Thle i�de�lpnsd W provide ths pertlss to r RESPA eqvued Vans�etlon MN inlam�tlon dwinp tha
. astiMMant prqsss
Previaus editions are t�bsolete Page 1 of 4 HUD-1
,
.
b •`
700. Total Real Estate Broker Fees $7,�2•IX} Paid From P�id FrOm
Division of commission Ifne 700 as fallows: BorrOwer''s Seller'S
74i. $34gp,� �� NeIpUSeUDetwflerRealty Funds at Funds at
7��. $4,452.00 ta Pruderrtiai Nomesale Senrices Graup Settlemenfi 5ettlerner�t
7Q3. Commission paid at settlement 7,�2.0p
7U4. Broker Fee ta Prudenlial Nornesale Services Group 295.Od
800. Items Pa able in Cannectian with l.oan
8(!1. Our otigination charge {Includes Origination Point 4.000%or$0.04j $6,260.70 {from GFE#i)
802. Your credit or charge(points)for the s�cific i�terest rate chosen $-5,576,74 {from GFE#2}
803. Your adjusted origination charges {from GFE A} 684.00
804. Appraisal fee to iM4rt s Senrices $46Q,QQ P.4.C.B'(from GFE#3)
805. Credit report to {from GFE#3)
BQB. 7ax service to from GfE#3
807, Flood certif�atifln to Reliant Fundia Grou ,ISAQA (from GFE#3) Z0.00
808. to
980, ttems Re uired b Lender ta be Paid 3n Advance
901. paily interest charges from ftom 4112/2013 ta 05/0112013 @$15.Ofi91/day {from GFE#10) 285.38
9Q2. Mortgage insurance premium #or ����to USDA (from GFE#3) 3,2�4.0$
9C}3, Homenwner's insurance for ears to M�AG tnsurance ((rom GFE#11) 368.00
904. fot months to
1 0. e es Lte osited with Lender
1001.Initial depasit for your esaow account (from GFE#9) 1,784.�
10Q2.Homeowner's lnsurance 3 months $ 30.67Ir�xxtth $92A1
1003.Mortgage insurance months $ 52.92Jmanth �
10Q4.Praperly ta�ces mankhs $ 4.40lmonth $
i005.CountyRwp.T�es 3 months $ �1,95/month $125,85
1006.5chool Taxes 12 monkhs $ 15�.54lmonth $1,890•48
4007.Aggregate Adjustment $,323.74
1100.T�fe Cha es
1101.TiBe services and iender's title insurance ta The taw t3ffice of Andrew F from CFE#4 1,585.Q0 4Q,00
1902.Settlement w closing fee �o $
1143.t�n+ner's title insurance-Securiry Title Gurantee Ca.of Baltimare fc�n CfE#5
11a4.Lende�'s title insurance-Security Title Gurantee Ca.of Baitimore $1,205.00
19Q5.Lendec's title policy limit$160,244.�Ler�fer's Pt�licy
1106.tJwner's 6tle palicy iimit$157,ti00.00 Owner's Policy
1107.Agent's�rtion of the total tikle insur�nce premEum $964.00
to The Law Office of Andtew H.Shaw PC
1108.Underwrite�'s pertion of the total title insurance premium $241.OQ
to Securit "i'i8e Gurantee Co,of Baitimare
1109. to $
: 1200.6overnment Recordin and Transfer Char es
1201.Government recording charges $ (from GFE#7j 1�8.00
1202.Deed$62.00 Mart e$Sfi.00 Release$
: 1203.Transfer taxes $ (from GFE#8j 1,570,Oti
. 1204.CitylCounty ta�s/stamps p��$y,�7p.pp Ma�i a e$
1205.State Ta�stamps Deed$1,57d.00 Mort e$ 1,570.00
'�2�. E?28t}$ �l{41# �
: 1207.Re(ease Recording Fee �.�
1300.Additional Seftiement Char es
1301.Required services t�at you can shop for (from GFE�&}
1302.SuNeY to $
1303. to
�3Q4.Home Inspection to Ins ctor P!Nome Ins tions 300.00
: 13{l5.2Q13 CauntylTwp.Taxes to Robin Soilenbe er 493.3
1306.Finai WatedSewer Acc#1100026 to NMTMA 83.07
��r � . •� • + • • t • 10�2A4.04 1 Q,13$.87
'Paid autside o#ciosing by{S}orrower,�8)eller,(tj�nder,(I)nvesiar,Bro(Kjer.'•Credit by lender shown on page 1."""Credit by seller shown on page 1.
Previous ed�t�ons are obsolete Page 2 of 4 HUD-1
, '
`Com�'arison:of:Good.Faith:Estimate GF "`and HUD=1 Cha 'es �:Good:Eaith EstimaEe HUD•1
;Gha e�:T�ia#Canaot lncrease ' ' HUI3-1:U�te:Aln�ibec
urorigination:charge;.�.:. ;:#:801 6,260,70 6,260,70
,.
°Y4ur:c�edit;or:ch�rge(points}for the speci6c'.Interest.rate chasen:; ::#`842 . -5.576.7U -5,576.10
;Your adjusted onginaUorrcharges-,. ;;- - ;.;# :;843. . - ; B84.OQ 684.00
Transfer.t�aces' . , . ',:#;:1203 . ; :, 1,570.00 1�570.00
:,.
Cha e5 That irr_.1"otal Cannot lncrease More:Tharr 10%� .; , : ;= .::: . ` ;;GoodiFaith Estimate ' HUD-1
°:;Govemmerrt_ret�ding charges ; ;,:#.12{}1 . _. 152.Q0 198.00
Appraisal fee '#;804 460.00 460.00
Gredit'report #:845 . 0.04 O.OQ
, Taxservice ' ;°.�:-806._ O.QO 0.00
Fluod_:ce�#ification : ;#:'807...,,., : ; . 20.OQ 20.00
Martgage insurance premium � <:#;.�(}2 .:. 3,204.08 3,2{}4.08
Tltle servfCes:and lender's,:tille:insurance ` ,
�#;'1101 ::.. . . ,:. %::; 1,535.Q0 1,585.00
;Owner's�fittle insur�e Secun#yT��e:Guraritee C�of Balt�rrlore',;:; ^;#�11{I3 .,� ,. _;;"` 20.tK} O.OQ :
? � . 5,399.08 5,417.08 �
- - --_ —_. _
. •+ f . E . .• $ 26.(I(l� 0.4$23°l0
Cha es:Tha#Can'Chan e. . ;. '::,: :_. .: .,:`Gocd�EaEth fs#ti�ate ` HUL}-9
, epo. y ,: ; #�1001.:;. .. .::::: 2,662,96 1,784.60
Ini#iai d sit:foc aur esctow:account
Da�ly;inierest_chargesfrom . #;901. $�5:Q191/da 281.45 285.36
'Homeowner'sinsurance ;�'903 600.00 368.00
' #
; , , -:.:
:
#°
_ _ #:-
I.aan Terms
. Your Enitia!loan amount is' `. $460,244.Q0
Yauraoan;ferm is.: ' 30,years
Yaur irntial:interestrate is 3.3?50°!0
1`ou�iriitial tnanthly amous#owed for principal,interest,ar�d any mortg�e $761.�8 includes
insurance`is . [X,�principal
. ; X[,�{nterest
; Q Modgage lnsurance
Can you�interest rate rise? ` X[]N�. ❑Yes,ik can rise to a maximum of °lo.The first change
_ : wlil be on t ! and can change again every years aftsr / / .Every
change date,your inferest rate can increase or decrease by °k.Over the life of
' the loan,yaur interest�ate is guaranteed to never be lower than %or higher
`; #han �a.
Even�f-you:make:AaYmentg on time;can your.loan baRance tise? ' , QX No. ❑Yes�it can rise to a m�imum of$ .
�ven if you make`payments,on time;can your monthly amount owed for ` X[�No. ❑Yes,the first increase can be on ! / and the manthly
pt�nt�pal;interesf;and mor#g�e insurance nse? ; amoun#ow�cl can t�se to$ .
'` The maximum it can ever rise to is$ ,
t?pes�ouc loan'haVe a ptepayment pena3ty?:,', [�X, No. ❑Yes,yaur ma�cimum prepaymen#penalty is$ .
Dc�s yaiif loan have:a balibon paymeiit?. []X, Na. ❑Yes,You have a ballaon payment of$ due in
years on 1 ! ,
7ota1`monthly:amount owed induding escraw acc�unt payments : ❑You do not have a m�thly escrow paymenf for items;such as properEy taxes
and homeowner's insurance, You must pay these items directly yourself.
�X Yau have an additional man#hly escrow paysnent of$234.36
that results in a total initial manthly amount owed of$991.34, This inciudes principai,interest,any
mortgage�nsurance snd any i#ems checked belaw:
" ' Q Property taxes Q Homeawne�s insurance
: �Fla�insurance X[�Sch�l T�es
' ❑ ❑
Nate: If you have any questians abaut the Settlement Charges and Loan Terms listed an#his farm,please eantact your lender.
Previaus editions are obsotete Page�of 4 HUD-1
•
_ +
Ht1U CERTIFICATION OF BUYER AND SELLER
{have carefulty rev�ewed the HUG-1 Settlemeni Statement and to the best of my knowledge and betief,it is a true and accurate statement of aU receipts and
disbursements made on my accoun#or by me in this transaction.l further certiiy that i have�ecetved a aopy of the NUD-'f Settlecnen#3#a#emenG
.Z,�,,•�,1�/�,,_-. .
Kevin S.Jones
�
' � .�'' � ,�C'� ,
ESTATE QF EVELYN QUINN
..
The HUD-1 Settlemen#Statasnent c 1 have prepared is a true and accurate account of this transaotion.l have caused or wil!cause the funds io be
disbursed in accordance with tfiis.s,te nt.
.-
� , ����
SETTLEMENT AGENT DATE
WAf2N1�fG:IT lS A CRIME TQ KN{)WING�Y NIAKE FAi.SE STA7EMENTS TC?THE UlVITED STATES ON THiS Oft ANY SIMILAR FORNt.PENAi.TtES UPON
CONVICTION CAN INCLUDE A FINE AND tMPRISONMENT.FOR DETAILS SEE TITLE 18:U.S.CODE SECTIO(V 1001 AND SECTION 101Q.
Previous editions are absolete Page 4 of 4 HUD-1
�, s s i
Name af 8orr�rnrer: Name of Seller. File Number:
Kevin S.Jones Esfate af Evelyn Quinn 13-34
Prepared 04t12120i3 at 3:58 pm
Note:This page displays an ttemization of the charges shown an line 1101 of the HUD-1 Settlement Statement.This page
accampanies but is nat a part of the HUD-1 Settlement Statement.!f a discrepancy exists,#he infarmatian on the FiUD-9 Setttement
Statement appiies.
114fl.Title Charges Totai Cbarge Barrawar Selier
1�pj,Titie services and lander's tit{e insurance to The Law Office of Andrew H.Shaw,PC
Notary Fee to Sarah D.Dieckman $ 25.Q4 25.U4
OvemighE Fee to The taw 0#fice of Andrew H.Sh<$ 30.00 30.�
Document Prep.Fee to The Law Of6ce of Andrew H.Sh;$ 140•04 100.OQ
Natary Ca 5arah D.Diecicman $ 10A0 10.OQ
pvemight Fee ta The Law INfice of Andrew H.Sh�$ ��� ��•�
1(?0 Na Vio11140 to Law Office of A.H.ShawJSTGC($ ����a �a.�
30t1 Surveyt�00 to k.aw Office of A.H.ShawlSTGC{$ 5Q.00 50.p0
90Q EPL-Res1$,1 to Law Office of A.H.Shaw/STGCt� 5p�� ���
ClasingSvcLMCL to Law t}�ce of A.H.ShawtSTGCt$ 75.00 75.00
1102.Se�lement ar closing fee to $ �•�
1194,Lender's title insutance-Secur'sty TikEe Gur�to l.aw Otfice of A.H.ShawlSTGGC$ 1,205.00 1,205.00
1109. to $ 0,00
Tatals: S 1,625.00 0.00 1,585.00 4D.4?Q
5ellerlLender credits shawn on a e 1 P4C=Faid Qutside Closin CR=Lender Gredit
Previous edltions are obsolete Page 1 of 1 NUD-i
r � - .� - Monthly Reverse Mortgage ��atement
�1c��Y'1.�10►11��
1141QRTGAGE�
p'°.g°"�a°?2a P.O. Box 4�724
Lar�singM1489Q1-7924 Lansing MI 489C11-7924
Customer Service: (866}854-�02�
Tall Free Fax: (866)616-2160
Date Printed:August 03 2012
+ 03b8990 000051986 09tRM2-0949401-001-P1 A858
EVELYN QUiNN
2670 SPRiNG RD
CARLISLE, PA 97013-8756
'11'llllll���'�I�H1�1�"111'1'���""�1�1���ln�������l�1�1����1 ACCOUt1t Number: 1t1524$6
Loan Type: HECM
Current Payment Plan: �ine af Credit
Current Loan Sta#us: Active
: TH1S 1� NOT A BIL�
m Sta#ement Period:�June 34'�012 fo July 31 2�12 .
Pri�cioal Limit lnformatian Line-Of•Credit ir�forma ion
O►riginal Principal �imit $913,212.n� (�riginal Line-Of-Credit Reserve $69,810.59
+ Grawth of Principa! Limit $5.829.81 +Growth of�ine-Of-Credit $3,47Q.40 :
-Senrice Fee Set Aside $3,799.57 -Current l.ine-Qf Credit�aan Balance $42,959.94
-Current Total Loan Balance $8�,921.19 -Repair Set Aside $O.aO
-Repair Set Aside $0.�4 - 1st Year Praperty Charges Set Aside $O.�Q
-Tax& insurance Set Aside $0.00 :
- 1 st Year Property Charges 5et Aside $0.00 Current Availabie Line-Of-Credit $30,321.05
Current Net Principa! l.imit $30,321.Q5
Interest Rate information�,a�published on 5/29/12�, :
= MiP ates Index V�I ,�rg,[Q Laan lnterest Rates .
` � Current Daily Periodic Rate 0.00140°lo O.DOfi10%
=� Current Monthly Periodic Rate 0.04170% Q.18660%
°' =� Current Annual Percentage Rate 0.50U04°l� 0.2390U°le 2.Q000�°/a 2.23900%
z
0
°_ �Y
� =« Yau�lnterest Rate on Se tem e�01 2Q12 wilt be 2.246Q0°!�
=
�
= �
. �
— Detailed Transaction Informatian
: � Descri tion �ma�
Previaus Total Loan Balance $84,7d2.86
a7131/2012 Monthly Servicing Fee $25.04
�7131/2012 Monthly Interest $158,04 :
07/31/20�2 Monthly Mortgage insurance Premium $35.29
Current Total Loan Balance $84,921.19
' �-�
;
F►RSTC)��N
sA�1:E�
� A Tradition o,f Excellercce
August 30, 2012
: Baric Scherer LLC
Michael A. Scherer
19 West South Street
Carlisle, PA 1.7013
Fax: 249-5755
Re: Estate of Evelyn Quinn
Social Security Number 180-26-5789
Date of Death 8/4/2012
IT IS HEREBY CERTIFIED THAT THE AB4VE NAMED DECEDENT HAD THE
FOLLOWING ACCOUNTS WITH ORRSTOWN BANK:
S�4FE DEPOSIT BOX
Account No.- 64043
Box Type- 3xS
Date Opened- 4/1/2005
Joint Account(name/date)- No
Rental Amount- $15.00
Next Due Date- 4/1/2013
CHECKING A CCO Z17VT
Account No.- 143000?3S
Account Type- 50+Interest Checking
Date Opened- 8/l l/2004
Joint Account(name/date)- Jack Eugene Quinn,Primary(Date of Death 10/12/2004}
Balance- $2,342.�3
Accrued Interest- $0.02
.SA VINGS A C`CD UNT
Account No.- 743000204
Account Type- Statenlent Savii�gs
Date Opened- 7/7/2004
Joint Account(name/date)- No
Balance- $4,4$6.12
Accrued Interest- $0.63
2695 Philadelphia Avenue � Chambersburg, PA 17201
- CERTIFICATE OF DEPOSIT
Account No.- 4000004837
Account Type- 4$-59 Month IRA
Date Opened- 10/25/2004
Joint Account(nazne/date)- No
Balance- $10,385.27
Accrued Interest- �R�`��
Account No.- �000424816
Account Type- 12-17 Montli IRA
Uate Opened- 4l4/2008
Joint Account(na.me/date)- No
Balance- $7,259•81
Accrued Interest- $0.08
Account No.- 4004026667
Account Type- 36-41 Month Growth CD
Date Opened- 7/9/2008
Joinfi Account(name/date)- $���37b.42
Balai�ce-
Accrued Interest- $1 l.02
I am unable to close out any
accounts for you. Please visit your local Onrstown Bank bra�ch and
e resentative will be able to assist you with closing out any a.ecoun )
a Customer Service R p
Best Regards,
�:� � ���.� �:
� �
1 R.Wo��hington
Deposit Processing Clerk
�
EVELYN QUINN ESTATE
MISCELLANEOUS BELONGINGS
ITEMS ESTIMATED VALUE
_
Hospital Bed $100.00
Geriatric Chair $100.00
Jazzy (scooter) $400.00
Walkers (2) $ 10.00ea
Bedroom Dresser/w mirror $ 60.00
Bedroom Dresser $ 30.00
Dining Room table/w chairs(6) $100.00
China Hutch $100.00
Wing back chair $ 15.00
Curio Cabinet $100.00
Desk $ 25.00
Upright freezer $ 50.00
Sewing Machine $ 25.00
Pots and Pans $ 25.00
Dishes $ 20.00
China $150.00
Porcelain Dolls $250.00
Misc Knick Knacks $ 30.00
Kennedy Half Dollars $ 70.00
Jewelry (wedding ring/mothers ring/
Costume) $500.00
Clothes Donated �
Total estimate $2170.00
Refri erator/Stove/Washer/Dryer are being sold with home.
g
� 48500041046
REV-485 EX(05-04)
SAFE QEPOSIT �
BOX INVENTORY
PA Department of Revenue pLEASE U�E ORIGINAI.FORM t�NLY
Social Secur[ty ar Oeath Certiticate Number Date of Death Caunty Code Year Fale Number
..._.,.........................__.............._.__....__.._.__.._...__......_._....._.._..._...._..__...._; _ ...._._...._.
, ,._._w._.._........__._._....�....__.._....................__...._....._....__ , � ..._...._..... ..._......___. _.__........__._._...__-� ;
; : :
:
' P 18b27561 ; ':. 08/04/2012 � � 21 a919 ' -
:
� � � �
; � '
:.....__..._........._...;_w___._...__.._.....__._._......_..W____._._.__.......�.: ......_.___......._...__._._..__..._....______.___._____.� � ._..._._____.._._. _..�..._..._..._..._....__...._,..._......_....__
ao�z=
�_._..__._. � __1
Decedent s Last Name Su#�x First Name M�
........_........._........_._...._.___..............__.._.,.........�...�............_.__..__. ._..............__. ......_._....._..__.._.._....._...._.._......__....._..�....
, ..... ..._..._..__..._....._........_......_..__, ..�.._._.._...�.._..._......M� ;._._...�_.___.......__..._,._......_.___
, . ... _..i LL
` �
.z�.innw _ _; i Evel n ' :
.._._..--.:4.... n _.. .. - - .X�- _...
:..._....._.__............ ....._..__....�µ..._._.__,......._.�.....�.....�..._._._..._�.�._..._._.�...._....__._.. :._.
.... .. .__.._._: .._..._..�.................__..........._.._.......__._._..__._......__.._.._........_.._:._.__..
.. _�..,.._.........______...._..._._..__._.___.__... _._..
.._..._._.._._......_.._____...._...._.___..�.....__. ___...�..._�...__.___._..._...._.._::�...:�
_.. ._..._....._..._____._�___._�.._..�_�...__.___..._...
....,
ADDRESS 8F DECEDENT STREE7: ;,Ci'�; , STATE: ZIP GODE:
: � 2b70 Sgring Road Carlisle, PA 17013 .. .. ._...-.. � .
NAME ANO ADDRE$S t�F PERSON REQUES'{'INt3 THE t3PEMiNG 4F THE SAFB DEPtaStT BC}X
NAME• . �
�'alerie Harr�g, F�ecutrix and Michael A. Scherer Esquire
STREEZ7���R�ring Road Carlisle, PA 17013 ��TY sT��: zr�coa�, _
� NAME,ADDRESS AND REtA71dNSHIP{iP ANI�TO DECEDENT,CF PERSON(5j PRESENT AT THE BOX OPENING
_
a. NAME: RELATIONSNiP:
_ Valerie Harring Daugh�CerlExecutrix '
STREETADDRESS: CITY: STA7E: ZIP CODE: �
i �
; 2b70 S�ring Road Carlis�e, PA 17013
; �
b. NAME: REI�ATIONSHfP: !
1
STREE7 ADDRESS: CITY; STATE: ZtP CODE: ? :
i
�
c..NAME: RELATIONSHIP:
;
! :
STREET ADDRESS: CITY: STA7E: ZIP CODE: �
NAME ANO ADDRESS OF FINANCiAL lNSTlTUTit?N WHERE 7HE SAFE DEPOSIT BOX!S l.00ATED ;
NAME: �
� Or town Ban �
: �� �. �
: STREET ADDREBS: CITY: STATE: ZIP COOE:
2250 Spring Road Carlisle PA 17Q13 }
. E F PERSON J����S ' RY DAT ND 7lME�/`�T ENTRY,f•�/�l?.- � :
E r� /, {
: D E OF CO TRACT TO RENT BOX • NU BER OF 80X 1 TITLE tlNDER WHICH BOX t8 REQtlESTED i
04/t}l�/2045 �b4Q43 Evelyn Quinn
;
NAME AND ADDRESS OF PERSON(Sj HAVING ACCESS Tti Bt3X ;
,
�. NAME: b. NAME:
Evelyn Quinn Valerie Harring POA �
STREET ADORESS: STREET ADDRESS: -
2b70 Spring Road 2b70 Spring Road � :
CIlY: STATE: ZiP CODE: CITY: STATE: ZIP CODE: � :
Cai��sle Fti 17aI� Cazlisi.e PA iiv13
NAME AND TITI.E OF EMPLOYEE TAKING THE INVENTORY ;
Joan M McNeal Teller � :
WAS A WlLL!N THE BOX? �YES ❑ NO if yes, a.Date of will: J U 1 y 2�l 2 0 0 4 �
b. Name and address af persona!representative*if named in the wUl ;
�
NAME:
f
Val i H rr-�„A� '
STREET ADDRESS: CITY: STATE: ZIP CODE: f
267Q Spring Road Carlisle PA 17�13 � �
a. Name and add�ess of attorney,if any i
NAME: ' �
Michael A. Scherer, Esquire �
' STREET ADDREBS: CliY: STATE: Z!P CODE: {
� .._..._........_�....._._.._.....�
I9 We t o.. t. �
_�_._........�....._�.._.�,_._,5..�.r.���.._._.....C.�r..l.is 1.�..3....__......PA..._..._..1..7._�.1.3........._...__......_...._._.w_..__.�._. . . �
48500041�46 48501]04I,D46 �
� �
Page of
R��.�$�� SAFE DEPC��IT BC�X INVENTC�RY
#NSTRUCTIQNS
' (1) Cash:Report total only.
(2) Stocks:List in detai{every cacnmon ar prefe�red certifrcate�warrant or other righ#s found in box.Stocks are to be desigr�ated by
name of camp�ny,certiBcate number,date of certificate,name in which stock is regis#ered,and number of shares and class of stock.
(3) Obiigations of U.S.Govemmen#:Number of items,date af issue,face valtre,names in which registered and type of ownership, �
i.e.,}oin�y held,payable on death*etc.
(4) Bands:Designate by name�amount,seriaf number,or other designation.(Bearer Bonds}
{5} Bank and Savings and loan Passbaaks.State name of deposltorf number af book,last date appearing in book,name of bank
and branch,and baiance.
{6� Jewelry�Cr4f11Si Stamps,Manuscripts,e#c:�ist and describe as#uily as poss�bte.
(7) Deeds�Mortgages�Current insurance Policies or other evidences of indebtedness.List and describe as fully as passible.
{8j At1 other contents.
(9� Re#urn completed farm ta: DEPARTMENT OF REVENUE �-�1�
INHERI'EANCE TAX DIVISION �
DEP'1:280801
HARRtSBURG,PA 17128-OBQ1
�T�� ITEM DESCRIPTIO
r�o. .�.
,/ f/ � r �
�Gkz� L'��4' � ''7 .c� �` G��' a�G�?" �`'
� • � A � ` `
r �ga, �'
w.�j •
�! �-` �4�'l�l��� � �j � ./f� 33��- �°�
'� .. �'�4 �C��1�{�l?{�,�37 �,r�lr�.c��""�• ,�'��5��� .���� `�7'1/�d 9��f��
- �' �� � ���Y
t� �G .r,u..x- s �2e � �R..�e,o
� . . . �K �'�`/� . 1���-
- . _ * - � :
� � �
:
,,�8'� ' f ' 11�'i�
�
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�r � � � � � .
� .,..— �'.EJ � � . 8' �- � � �G�• ��''
� � !J G�d c��c�'�� !/a� -�"`,,� /�..5'J7j _ /�iJ-'
i CERTIFY UNDER FENALTY t3F PERJURY TEiAT THf ABBVE RECCiRD tS PERSCiN RECE1VtNG GCiPY OF
CORREC7 AND CO PLETE TO TH BEST OF; Y KNOWLEDGE AND BEUEF SAF EPOSIT BOX(NV � ORY: „
SIGNATURE ' Si �
�.
PRiNT NAME ti�� � t�,.,�, �� � � � I G GH���APPROPRt TE 80X tflW:
� r'I � �
PRiNT T►TlE DATE CHECK APPROPRtATE BOX:
/~ �Executor(Gixj Q Administrator(trittj
��� � /� r � tr
� � t� �r�""'�j �Estate Representattve �Joint ovmer of safe depasit box
NQTE;Attach additional8'l:"x 11"sheet{s}�f necessary or use duplicates of#h�s page of form.
The Deparkment is authorized by law,42 U.S.C.§405(c)(2)(C)(i),to require disclosu�e af S�iaf Security numbers in cannection wi�r adminisfering state tax laws.The Deparkment uses the
S�al Seauity number to�n�fy the�cede�t a��rsorral re;�esentatives of the estate.The Comm�anweaith may aisa use the information in exchange of tax informa�an agreements
with Federal and local taxin authorities.The sfats law prohibits the Commonweaith's personne{from disclasin confidentiai ta�t infom�ation except far offtcial purpases.
kKelley Blue Book � Page 1 of 2
�.
�
� Kelley 6lue Book The Trusted Resflurce`'
PADGI�Ell/!/E' $9900
� ,, . . �-�
��: r� __---- �►,,:
� The Name Your PricenTooi.Only from Progress+ve . • • • -
advertisement why ads?
Your Blue Book�Value
1996 Buick LeSabre
Style:Lim'ded Se�n 4D
Mileage:150000
J ?
Private Party Value Vehicle Highlights
Excellent MPG:City 17/Hwy 27 Max Seating:6
$2,539 Doors:4 Engine:V6,3.8 Liter
Very Good Drivetrain:FWD Transmission:Automatic
$2,364 EPA Class:Large Cars Body Style:Sedan
Good Country of Origin:United States Country of Assembly:United States
$2,264
-Fair`
$1;764
- ' Page 2 of 2
� Kelley Blue Book
t
;,.
. - .
Freysinger Pontiac Buick GMC
Call us today
1.866.293.1309
Visit us at
6251 Carlisle Pike
Mechanicsburg,PA 17050
advertLsement
Gtossary of Terms
��s��g�kp 7tacle.i�yalue-This is tfie amount you can expect m receive when you trade in
your car to a dealer.This value is ddermir�ed based on the style,cond�ion,mfleage and opdons
indiqted.
�B��g�k0 pmate party yalue-This is the starting point for negotiation of a used-car sale
between a private bWe�a�d seller.This is an"as is"value that does not inc�ude any warranties.The final
price depends on the cars acbual oorxlition and local market factors.
Excellent Condition:396 of a0 cars we value meet this a arhas an interior an bodydfree of wear and
mechankal condidon.It has never had Pair�t or bodYwor�
visible defects,l7ie car is rust-free and does not need reoonditioning.Its dean engine oompartme�t is
free of fluid leaks.It also has a c.lean bitle history,has complete and verifiable service records and wf��
pass safety and smog inspection.
Very Good Condition:23%of all cars we va�ue meet this aiteria.This car has minor wear or visible
defects on tfie body and interior but is in exoellent mechanipl oondition,requirin9 only minimal
` retonditioNng.It has Iitlie to no Paint and bodywork and is free of rust Its clean engine compartrnent is
{��fl�leaks,-fhe tires mabch and have 7596 or more of tread.It also has a clean title history,w�d'►
Rqst,ervice records available,and wiil pass safetY and smog inspectlon.
Good Condition:54%of all cars we value meet this criteria•This car is free of ma]or mechanical
problems but may need�ome rec�d�"ing.Its paint and bodywork may require minor touch-ups,wdh
�p�i�ble cosmetic defects,and its engine compartrnent maY ha�e minor leaks.There are minor body
scrabches or dings and minor interior blemishes,but no nisG The tires ma�a���50°N°or more of
tread.It also has a clean title history,with some service re�°�available,and will pass safety and smog
inspection.
Fair Condition:18%of ali cars we value meet it►is aiteria.This car has some mechanical or cosmetic
defects and needs servicin9.but is still in safe running conditlon and has a dean title history.The paint,
body and/or inberior may need professiona�se^����9•The tires may need rePlacing and there rrwY be
some repairable rust dama9e.
p 1995-20121Gelley Blue 800k Co�.Inc.All rights reserved•
p 2012 Kelfey Bfue Book Co.,Inc All rlghts rPServed.8/17/1012-8/23/2012 Editlon for Pennsylvania 17013.The speafic lnformatlon required to
determine the value/or thls particu/ar vehide was supplied by the person generating this report Vehlde valuations are opin(ons and may vary�rom
to M!s partiwlar v�de/o athe transad(on or the partles toa[he ba sa�dJon�Th s�potrt is Intended lurdMe lndividual use of[he peso 59e��U�4�nis�
report only anC shall not be sold or transmltted[o anotNer party.Kelley B/ue Book assumes no responst6111ty for errors or omisslons.(v.12083)
- - - . . , „• •�_� ..,.a,.... n a��.,o�,;,.�A;.�_RF 15 R/17/2012
y �
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219 North Hanover Street
Carlisle,Pennsylvania 17013
717.243.451 1
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� � � toll free 1.866.451.4511
��/� ���/ fax 717.243.3723
www.hoffmanroth.com
FUNERAL HOME �' CREMATORY, INC. info@hoffmanroth.com
May 1, 2013
Valerie Harring
2670 Spring Road
Carlisle, PA 17013
Statement of Funeral Expenses for: Evelyn Quinn
Date of Death: August 4, 2012 Account Id: 16624-186
PACKAGE:
Traditional Funeral Service
TRADITIONAL FUNERAL SERVICE PACKAGE $ 4,850.00
Sub Total: $ 4,850.00
MERCHANDISE:
Casket: Atlantic $ 2,340.00
Sub Total: $ 2,340.00
TOTAL FUNERAL HOME CHARGES: $ 7,190.00
CASH ADVANCES:
10 Certified Death Certificates at$6.00 each $ 60.00
Newspaper Notice-Sentinel $ 101.64
Clergy $ 100.00
Flowers $ 159.00
Hairdresser $ 40.00
Credit Hairdresser $ -40.00
2 Additional DC's From New Castle $ 27.00
Sub Total: $ 447.64
Total Funeral Expense: $ 7,637.64
Total Payments Made: $ 7,637.64
Payments Made:
Valerie Harring Cash Aug 10, 2012 420.00
United Of Omaha Life Ins Check 14731463 Oct 12,2012 7,000.00
Estate Of Evelyn Quinn Check 1003 Oct 18,2012 217.64
Balance: $ 0.00
SERVING OUR COMMUNITY SINCE 1 907
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