HomeMy WebLinkAbout07-05-13 (2) -� REV-1500 E"c°,—,°, � 1505610143
�? OFFICIAL USE ONLY
PA Department of Revenue pennsylvania co�ncy code Year File Number
Bureau of Individual Taxes oeanRTn+eNroFaeveNUe
PO Box 2soso� INHERITANCE TAX RETURN 2 1 — �3� u35
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
04 09 2013 09 24 1934
DecedenYs Last Name Suffix DecedenYs First Name MI
MCWILLIAMS HUBERT A
(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 Originai Return ❑ 2. Supplemental Return � 3.Remainder Return(date of death
priorto 12-13-82)
� 4. Limited Estate � 4a. Future Interest Compromise � 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
1
� 6 Decedent Died Testale � � Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy ot Trusq
� 9. Litigation Proceeds Received � �p, Spousal Poverty Credit(date of death ��,Election to tax under Sec.9113(A)
between 12-31-91 and 1-1-95) � (Attach Sch.O)
CORRESPONGENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
HOLLY M KERWIN 717 362 3215
REGISTER OF WILLS USE ONLY
� - �';
First line of address C�,` r,., `--�' �: �"4
4245 STATE ROUTE 209 � � .�' �''
C _._. r—, . -- . _
Second line of address � � � �
- ; -: ...:
c'� ,.
._. . t-.: .
` �DA7'�FIL�p�, �
City or Post Office State ZIP Code < ., - , -- -
ELIZABETHVILLE PA 17023 - :-, � �.._, �-:-- n�°�
._ ' �.., vJ C;_�
=%" -�,j 'i i
Correspondent�se-ma�iadaress: hmkea kerwinlawfirm.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.
SIG -i "OF F'ERSON RESPONSIBLF_FOR FILING RETURN DATE
Lynn M. Gilmore - 7 _
ADD
107 Par 3 Drive, Millersburg, PA 17061
SIGN���URF.OF PREF'AP.ER OTH[:R THAN EPRESENTATIVE DATE
___�/����� ��.�,t,c� Holly M Kerwin _ � — � `3
�DDRFSS
4245 State Route 209, Elizabethville, PA 17023
Side 1
� 1505610143 1505610143 �
� 1505610243
REV-1500 EX
DecedenYs Social Security Number
r�e�Pde��SName MCWILLIAMS, HUBERT A.
___ - ----- ----------
------ -- -------- - --
RECAPITULATION
98 , 000 . 00
1. Real Estate(Schedule A).......................................................................................... 1.
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.
34 , 432 . 69
5. Cash, Bank Deposits&Miscellaneous Personal Property(Schedule E)................ 5.
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............. 6.
7. Inter-Vivos•Transfers&Miscellaneous Non-Probate Property
(Schedule G) ❑ Separate Billing Requested............. 7,
8 Total Gross Assets(total Lines 1-7)....................................................................... g. 1 3 2 , 4 3 2 . 6 9
- --- --- - ---------- - --
24 , 656 . 40
9. Funeral Expenses&Administrative Costs(Schedule H)......................................... 9.
10. Debts of Decedent,Mortgage Liabilities,&Liens(Schedule I)...................... ......... 10.
11. Total Deductions(total Lines 9&10)................................................................... 2 4 , 6 5 6 . 4 0
11.
12 Net Value of Estate(Line 8 minus Line 11)............................................................. 12.
107 , 776 . 29
13. Charitable and Governmental BequestslSec 9113 Trusts for which 3 , 5 0 0 . 0 0
an election to tax has not been made(Schedule J)................................................. �3.
14. Net Value Subject to Tax(Line 12 minus Line 13)................................................. 14.
104 , 276 . 29
___ ___-------- ----
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 10 4 , 2 7 6 . 2 9 �g. 4 , 6 9 2 . 4 3
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X �2 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18�
19. Tax Due..................................................................................................................... 19. 4 , 6 9 2 . 4 3
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ❑
$IC�@ 2
� 1505610243 1505610243 J
� _. _ _
�._�.���_�...�..v: _
REV-1500 EX Page 3 File Number 21
Decedent'S Complete Address:
DE EDENT' NAME
McWilliams, Hubert A.
–-- ----------------
STREET ARDRESS
335 Beverly Road
-- - - ---- ---- - ------ ---- -- — --- ---- -------- - -
------
CITY STATE ZIP
Camp Hill PA 17011
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 4,692.43
2. Credits/Payments
A Prior Payments 4,018.8 3
B. Discount 234.62
Total Credits(A +g� (2) 4,253.45
3. Interest
(3) �.0�
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
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) 4 3 8.9 8
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:................................................................._.......... .._ l� rx�
b. retain the right to designate who shall use the property transferred or its income:.................................... r 1 �x�
c. retain a reversionary interest;or.................................................................................................................. U �X�
d. receive the promise for life of either payments,benefits or care?.............................................................. n �x�
2. If death occurred after December 12, 1982,did decedent transfer property within one year of death without
receiving adequate consideration?.................................................................................................................. . . I � �X�
3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?..... ... � � �x�
4. did decedent own an Individual Retirement Account,annuity,or other non-probate property which
containsa 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 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 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)J. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of
assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
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 decedenYs lineal beneficiaries is 4.5 percent,except as noted in
72 P.S §9116 1.2)[72 P.S.§9116(a)(1)].
•The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.69116(a)(1.3)1. A
sibling is defined under Section 9102,as an individual who has at least one parent in common with the decedent,wFether by blood or adoption.
SCHEDULE A
COMMONWEALTHOFPENNSYLVANIA REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
. . _ �.:_. � . ' ._.. . _. .. _ _ __..____.____-__-- - -_- _ __-_ _._ ._. ___-_ __ ..
FILE NUMBER
ESTATE OF McWilliams, Hubert A. 2�
-- -_ ____.. -------- —
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 wiifing seller, neither being compelled to buy or sell, both having
reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on
schedule F.
Attach a copy of the settlement sheet if the property has been sold.
Include a copy of the deed showing decedenYs interest if owned as tenant in common.
ITEM VALUE AT DATE OF
NUMBER DESCRIPTION DEATH
________ - --- - - _ __
1 Residential real property located at 335 Beverly Road, Borough of Camp Hill, Tax Parcel 98,000.00
#01-21-0273-045. Sold on June 27, 2013 for a sale price of$98,000.00.
TOTAL(Also enter on Line 1, Recapitulation) 98,000.00
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
�°M^^°Nw���H°�PENNS���^N�^ PERSONAL PROPERTY
INHFRf�ANCF TAX RETURN
RESIDENT DFCEDENT
..._..__._._ _ . _ . .__-____._ ---_1_ __ _-_-_
' _ _ _ ___ __._._.____- __'__-'______-. _._ '_____-___- _-._-_.. .____. _._ -_ _. -_ -_ _ ._ ___'
FILE NUMBER
ESTATE OF McWilliams, Hubert A. 2�
Inciude 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 VALUE AT DATE OF
NUMBER DESCRIPTION DEATH
1 PSECU Account#0309323917 14,459.01
2 PNC Bank Account#51-4004-0795 (ownership joint with spouse Carolyn McWilliams, who had 8,899.82
prede�eased Decedent)
3 Refund -AAA 79.00
4 Erie Insurance Co. -collision settlement payment 7,208.16
5 IRS - income tax refund 1,183.83
6 Credit- Lines 407, 408, 409, HUD-1 real estate settlement for taxes and sewer paid in 529.96
advance.
7 Household goods 2,000.00
8 Refund -Comcast 72.91
TOTAL(Also enter on Line 5, Recapitulation) 34,432.69
SCHEDUIF H
�' FUNERAL�CCPENSES 8�
COMMONWEAL7H OF PENNSVLVANIA /���� 'c�p/���/�/'►��'��+
INHERITANCF TAX RETURN /�uJ�y�INh7 1 fV'\1 1 V C\IW 1�7
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF McWilliams, Hubert A. 2�
------ _
- - - _
Debts of decedent must be reported on Schedule I.
ITEM
, - -- --—- —
- T-—-----------------
NUMBER ' DESCRIPTION AMOUNT
FUNERAL EXPENSES: I
______----�-- ----- --
� ------------ -. __. -r--_ __ -----
_. .
A. 1 j Costir Funeral Chapel i 7,931.50
i
2 � Myers-Harner Funeral Home � 1,916.94
,�
�
B. I ADMINISTRATIVE COSTS:
1. I Personal Representative's Commissions
� Name of Personal Representative(s)
I
�
�
Street Address
� City State Zip
�
� Year(s) Commission paid
2. i Attorney's Fees Kerwin & Kerwin, LLP -- Holly M. Kerwin 4,635.14
3. j Family Exemption: (If decedenYs address is not the same as claimanYs,attach explanation)
i ciaimant Candace S. Bell 3,500.00
' Street Address 335 Beverly Road I
, City Camp Hill State PA Zip 17011 I
Relationship of Claimant to Decedent daugher �
;
4. Probate Fees � 358.50
, �
I
i
' I
5. Accountant's Fees �
i
6. � Tax Return Preparer's Fees I
7. ; Other Administrative Costs
1 'i Certified Mail - Safe Deposit Box 6.11
i
,
—-- --------- _ - -_ .
TOTAL(Also enter on line 9, Recapitulation) 24,656.40
Schedule H
�" Funeral E�enses&
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN A,dminish�ative Costs c�ntinued
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF McWilliams, Hubert A. 21
_ _ __--------- --
2 �; Wells Fargo - replacement of key fee 20.00
3 i The Sentinel - Estate Notice 252 gq
�
4 � Cumberland Law Journal 75.00
i � "
5 � PPL -.electric bill 77.49
�
I
6 � Borough of Camp Hill -sewer I 176.25
7 ; American Water 49.43
8 UGI - gas 40.76
9 i Vital Records - Death Certificate for Carolyn McWilliams 23.00
10 � Verizon
22.81
I
11 i Line 703-HUD-1 - broker's commission � 2,450.00
i
12 ! Line 1109-HUD-1 - notary fees 10.00
,
13 ! Line 1110-HUD-1 -Tax Certification Reimbursement Fee 10.00
14 I Line 1205-HUD-1 - 1% transfer tax 980.00
15 , PA American Water i
� 16.17
I
16 � PPL - electric bill i 3g 22
� ;
17 � UGI -gas , ' 8.62
�
i
18 ' DFAS (overpayment of Military Retirement) � 1,552.75
19 Register of Wills - filing fee for First and Final Account 265.00
20 Locksmith - house � 120.00
� �
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� i
I �
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Page 2 of Schedule H
Schedule H
� � Funeral F�er�ses 8�
COMMONWFALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN A�dministrative Costs corrtinued
RESIDENT DECEDENT
. ....._-- --_.... .._...__--------��----- - -
FILE NUMBER
ESTATE OF McWilliams, Hubert A. 21
_ _ _ _ ------------ --- -- -- ---
21 Key copies - house �g �7
22 ; Closing costs, e.g. postage, copies, additional house expenses 100.00
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Page 3 of Schedule H
,.,; � �. . T�,y. � �: �.�. :,,. ,, �... �� , _ � ,�
REV-1513 EX+�11-08)
'��. ' � SCHEDULE J
COMMONWFAt.TH O�PENNSVLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIUENT DECEDENT
. __....._.. ._.----� -------- ----�------------..--...
ESTATE OF FILE NUMBER
McWilliams, Hubert A. 2�
_ —__ ------ -----..----------__
' RELATIONSHIP TO T SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER ' NAME AND ADDRESS OF PERSON(S) I DECEDENT � (Words) ($$$)
RECEIVING PROPERTY Do Not List Trustee�s) �
_ _ --- ___ _----- --- — - -- __ _ _ �-------- __
I. '�TAXABLE DISTRIBUTIONS(include outright spousal
distributions,and transfers �
under Sec.9116(a)(1.2)J i
1 ; Lynn M. Gilmore � daughter j 1/2 residue
; 107 Par 3 Drive I. ,
,' Millersburg, PA 17061 �
I
i I !
' i
�
2 ' Candace S. Bell daughter � 1/2 residue
', 335 Beverly Road !
Camp Hill, PA 17011 i
' (address at time of Decedent's death) j ;
� �
� ! ;
' 801 Spruce Street ! ,
! Middletown, PA 17057 � '
' (current address) � �,
� �
, I '
' �
: �
i ;
I I I
!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
1 � Indiana University 2,500.00
P.O. Box 500, Bloomington, IN 47402
2 ; Poplar Grove Cemetery c/o Poplar Grove Methodist Church 1,000.00
I 6413 North Baltimore Road, Monrovia, IN 46157
i
�
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 3,500.00
=,,;,iiiili�,�= A. Settlement Statement (HUD-1} v���tl~���UV���VU.�JFINAL
.- .
1.Q FHA 2.Q RHS 3.[�Conv.Unins. 6.File Number: 7.Loan Number: 8.Mortgage Insurance Case Number:
13-1136GC
4.�VA 5.Q Conv.Ins.
C.Note:This form is furnished to give you a statement of adual settlement costs,Amounts paid to and by the settlement agents are shown.Items marked
"(p.o.c)"were paid outside the closing;they are shown here for infortnational purposes and are not included in the totals.
D.Name 8 Address of Borrower: E.Name&Address of Seller: F.Name&Address of Lender:
Seymore Brothers Construction The Estate of HubeR A.McWilliams
335 Beverly Road,Camp Hill,PA 17011
G.Property Location: H.Settlement Agent: I.Settlement Date:06/27/2013
335 Beveriy Road Guardian Trans(er Corporation Disbursement Date:06/27/2013
Camp Hill,PA 17011 4075 Market St.,Camp Hill,PA 17011
Camp Hill Sorough
717-909-4100
Place of Settiement: TitleExpress
4075 Market Street,Camp Hill,PA 17011 Printed 06/27/2013 at 1:45 pm
by SLC
� . ,
1�0. Gross Amount!Due from'.Borrower `:;'. 400. ::Gross=Amount.Due to:5eller•. ` i'. ` ''
101. Contract sales price 98,000.00 401. Contract sales price 98,Q00.00
t02. Personal ro e 402. Personal ro eR
103. Settlement charges to borrower(line 1400) 2,241.00 403.
104. 404.
105. 405.
Ad ustments for items aid b seller in advance Ad ustments for items aid b seller In advance
106. Cityltown taxes to 406. City�town taxes to
107. County taxes 06127/2013to 12/3ll2013 496.46 407. Countytaxes �6127l2�13to l2l31I2013 496.46
108. Schooltaxes 06/27/2013to 06/30/2013 26.25 408. Schooltaxes O6/27I2013to 06/30/2013 26.25
109. Sewer A1MiJ D6/27I2013 to O6/30/2013 7.25 409. Sewer AlM/J O6/27I2013 to O6/30I2013 7.25
110. 410.
111. 411.
112. 412.
120. Gross Amount Due from Borrower 100,770.96 420. Gross Amount Due to Seller 98,529.96
20�. Amounts Paid ti'�,or�irr,Befialf of�Botrower. � ;500.;`Reductions=:In AmountiDue to.Seller..
201. Deposit or earnest money 5,000.00 501. Excess deposit(see instruclions)
202. Principal amount of new loan(s) 502. Settlement charges to seller(line 1400) 7,468.83
203. Existin loa s taken sub'ect to 503. Existin loa s taken sub'ect to
204. 504. Pa off of first mort a e loan
205. 505. Payoff of second mortgage loan
206. 506.
207. 507.
2Q8. 508.
209. 509.
Ad ustments for items un a1d b seller Ad ustments for items un aid b seller
21o. Cityltown taxes to 510. City�town tanes lo
211. Countytaxes to 511. Countytaxes to
212. Schooltaxes to 512. Schooltaxes to
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
2z0• Total Paid b Ifor Borrower 5,000.00 520. Total fteductfon Amount Due Seller 7,468.83
_ , _ .
3D0 _:CasN;atSettlemenCfromlto:Borrower i;;. _'. ::, 600. ;;CashatSettlement.tolfrom.Seller..,; , ,
301. Gross amount due from borrower(line 120) 10�,77�.96 gp�, Gross amount due to seller(line 420) 98,529.96
302. Less amounts paid by/for borrower(line 220) 5,000.00 602. Less reductions in amount due seller(line 520) 7,468.83
303. Cash �]X From ❑ To Borrower 95,770.96 603. Cash QX To ❑ From Se�ler 91,061.13
u ic epo m0 u en or s a an o m a`ma on s s ma a e mmu e:per response or ca e�np,rev evnnp,en repo mp e a u e0ency may no co e is in oime ion,an you aro no requ o comp e e
I�IS folm,unlsef M dbpl�ys e curtenYy ve110 OMB conlrol number.Na ConMenllelily Is aa3ureU;Ub tllxlosun Is manEelory.T�ia ls OsslpmE�a 0/ovlEe IAa paMlea to a RESPA covsreE�nnseGion wilh Intormallon tlunnp I�s
seWemsnl qouse.
Previous editions are obsolete Page 1 of 4 HUD-1
� __ _.- �_.���� a�__,..�� ,-�, . »:y� �-�, �,. __,.. __��. w...��; ��,_�-r.. ��� ., , .. . P �
700. Total:RealEstateBroker;Fees . ;$:2,75D.00 Paid FroR1 Paid..Fr01T1
Divfsfonofcommission Iine700 asfollows. `BorrO�ver's Seller's
701, g0.00 to Funds;at Funds at
��2• $2,750.00 to Coldwell Banker Homestead Group Settlefrient ;Settlement.
703. Commission paid at settlement 300.00 2,450.00
800. ltems Pa ableiin:.Connectfon wkh.Loan
801. Our origination charge (Includes Origination Point 0.000%or$0.00) $ (from GFE#1)
802. Your credit or charge(points)for the specific interest rate chosen $ (irom GFE#2)
803. Your adjusted origination charges (from GFE A)
804. A rafsal fee to from GFE#3
805. Credit re rt to from GFE#3
806. Tax service to from GFE#3
8�7. Flood certification to from GFE#3
808. to
__._ . _ _
900. ,ItemsRe uired;b i:entlertobe�RaidinAdvance':.
901. Daily interest charges from from O6/27/2013 to 07/01/2013 @$0.00/day (from GFE#10)
9�2. Mortgage insurance premium for monihs to (from GFE#3)
903. Homeowners insurance for ears to (from GFE#11)
904. months to from GFE#11
1000:Reserves De osited:wtth Lender .
10�1.I�itial deposit for your escrow account (from GFE#9)
1002.Homeowner's insurance 2 months $ O.00lmonth $
1003.Mortgage insurance 2 months $ O.00lmonth $
1004.Property taxes 2 months $ 0,00/month $
10Q5, months $ 60.32Imonth $
t006.Assessments months $ 199.63/month $
1007.Aggregate Adjustment $
1100.TitletChar es ,__.
1101.Title services and lenders title insurance from GFE�14
1102. Settlement or closing fee ro $
1103. Owner's title insurance-Title Resources Guaranty Company from GFE#5 889.00
1104. Lenders title insurance-Title Resources Guaranty Company $
1105. Lenders title policy limit$Q.00 Lender's Policy
1106. Owner's title policy limit$98,000.00 Owners Policy
1107.AgenPs portion of the total title insurance premium $755.65
to Guardian Transfer Co ration
1108. Underwriter's portion of the total title insurance premium $133.35
to Title Resources Guarant Com an
1109. Notary Fee to Guardian Transfer 5.00 10.00
Cor ration
1110. Tax Cert Reimbursement Fee to Guardian 7ransfer 10.00
Cor oration
1200.:Govemment Recortlin and:TransfecChar es '
1201,Government recording charges $ (from GFE#7) 67.00
�202• Deed$67.00 Mort a e$ Release$
1203. Transier taxes $ (from GFE#8) 980.00
1204. City/County tax/stamps Deed$980.00 Mort a e$
1205. State Taxlstamps Deed$980.00 MoR a e$ 98D.00
1206. Deed$ Mort a e$
1207. S
130D.-.Additional Settlemenf Char`es: -
1301.Required services that you can shop for (from GFE#6)
1302. Inheritance Tax to Re ister of Wilis,A ent 4,018.83
1303. to
1304. to
1305. to
,�� � . . � i • . 2,241.00 7,468.83
'Paid outside of closing by(B)orrower,(S)eller,(L)ender,(I)nvestor,Bro(K)er."Credit by lender shown on page 1."`Credit by seller shown on page 1.
Previous editions are obsolete Pege 2 of 4 HUD-1
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::Qurtonginatio�cl�arge ` ��� ;��,��v,;�,,,�,�#38�1,�,,�,;,.�,�;�-��s� 0.00 0.00
You�credit or�cf�argev(po�nls)fot��e�spe�ifc interes�,rate,choseg'�-� ,��;�#, 8Q2;��,����,��;?;��, _�_: 0.00 0.00
:Your6ad�ysted,ong�nation�eha,rges��;��xx,;�-,��„�,;�.kv���,��# 803.'����...rE�4 �.,,w,�: 0.00 0.00
Tran'sfer.tazes..,'� s,�,r,^�����. i;;�.,.���. .; . , ,� �s:.: . -.:�...#�1203s� , �z�..; F,..� 0.00 980.00
'Char es�T;liat tn,T.otal�Cannot+'Inc�ease MoC'e.�Than 10%J?�� �_..•:: ,.r,„,.: �":�_�. ;_��:�:�� ��,�Good?FaithREstimate�,,,.��e,�s._.�.;HUD-1 S„ :�;,'S :i
;Govemmenti�eeordirrgb�ttaGggs���;�,�„ r�-�r,�� _�„ ,�;�.#�1?01��,,,,�. �,,�«,,,_�:� 0.00 67.00
_Titleservlce"sand�(e�tle?s�tl,tle„Jnsu�anc��v,� r,�r{r,s_�-;�_�-k,,;�,�#71101��,,,�,,, _�: ,,,��;_ 0.00 0.00
.Owne�s title:insurance" ���;��`r���,�?�;����»�!� ,,_�;,�,�#„1103;�;;,� ,�,r;�, _� 0.00 889.00
i,�I�rs.��i�"��"���'��.";�Y�'���'?.�•.,,`�°�.d%,�^�s'�aa'�is_"`�'�#��tE"`�;+�'�E.,�,'�`'s,� �:?�-''
;�3+�.a.,.,r{�lY�.�.�����*$��5'�v£:`.su�"�"''.�,.���'r'�re�e•x��?issc�i�aufi0z�#z�',»�'{i.:�i"�';'i�-.. .�.'�e�x�a�
:�..��:'°'��.si..i'�:3#�a'�1�.'a,"�."a7���'�:ti�:"rc����,'�.�.;�'��rs� .r.;s �- �s.,.:.�^'�sy?��
�a"�..�3'�.F�.�'.�t'���k.as.�����.�.��a� `�,' ��a#�f ��: `�� .����:
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�::.c.':, ''�� '��'.�},'���c�a3�`.'�''.�5:���
0.00 956.00
. , � $ 956.00 � 999.9999%
sChar estT.fiatCaniCfiai�`e�;'�,.��,�^.�:.;;?���.�,�-,�,✓�x�_-,i;�u��rk?;`�t_ °�:�"',�'�.'��'" < .�2,Good:`Fa(th.Estimate�+,..�"�.,.�,x�'*.HUD�1z�{ �`. ;:
>.,�
:;Initial deposit for�you�scrow�accoun���#���,��,��„�,�,q,r1001� '����� 0.00 0.00
:paily�nt�restcharg�sfrom N''"" �",�',��"`'�-,�,�;�rr�,#�9�1��x ����$,�Id�' 0,00 0.00
;Homeow,ne�,sinsurance�'������� ��� ?,;�_ '�rr„�����#'903,�� �����,� 0.00 0.00
�a��a��r�s�'�3..�'' :��'� ��.�.�`-'�^;���..�:��:�#�.�a!�,<�'��f'v.'°'�'^�-'"�
,:�;� `''"�S�sa�'s`��.'�.�'+n.�n�'`"'`3'�'�`'_.�:�.'��.k.����k;�.' `.k:..'��°�#�§��.i4��:�..�:E�''" _
-+..�e,.�t�7';;^'�`':,r.te�ia'f�i,-�3g3�[a�-,'_ke��.'�"a°?s�rf::;�,.a...:"4cR:.�r..'�-..! f��,��.#�. ....�'. }��.r�.,t��':'��...i=.
Loan Terrns
You�initfal loan'amoun�3(s�'� � ��`x `"� ;'^'{�'��;`i s� �`� � $
.�,�-.�a��,'.^a.�. �y .a
.�,.u_...�. -. ,r_�.n>. c.�ar r.n#.1iP','n x:�.a�.;F � . ,.,,r
Ygur loan�ief�"ff1 Is���"�3'�'��� �� `'�"`�������=F� � �'�`
�.. _.�Ncap:x.x.�,����r����..yZEae'��;. ,�� .�. K..�' years
'�,a y^+#��{�S�aY3�t°'.��.* ta.re..`�,5�'§��' � t-' S �.:, �` r s.��:. o
Y.our Initial interest rate is �5�s-���~ -� � � /o
,a,r�.�. �_�>;�r� .� -c
�A,r r s�r.�r.€"'^zm§�..s���Ir�'� '�+�.� "t',�r xa�.�i � u�,.
Your initial monthly amount owed for�`pnncipal�`,�ntere"s4�an�nyymortg ge; $ includes
insufanceis�aw�i�'�'�`",��.��'�su�'�J'"���`��� �q ��f �Principal
: a" -.r. r,y.' ,� w' ��,�,``�'�c'.f� ��,i x�5- c�'� s. �
� „ � ��t �� � �,i`'fi��x���x�r v �� �f ',� ❑�fl}BfBSf
t
; ry{��,'g�'�-, y"�#�� ��,��'`�'}�4��»s�.�� �x�-�y�� �� �,r'� `� ❑Mortgagelnsurance
M1:�+l.A'a3f>,Tiibw..&•�i�r.fe'�f.'r5+.,i�4a'(N��.�:�'��d,,.�a. 'rr.h$,
Mo f�S� �t4'i1%' \ �t �u� Y P+'{`'` ..'... 0
Camyourr(rlterest ra�'e�`rise?���������.�� f� ;�;�...,,� � �..-�,-` Q No. ❑Yes,it can rise to a maximum of /o. The first change
,t '� �� �y��`�` �� � �„��-,�� �,�.� � � wili be on i � and can change again every years after � I . Every
�rt -dr�;rytY�,"�$'�.F .f �, � ���.��,.
�k s �+#�,��4�`,��, �� ? ��s,� change date,your interest rate can increase or decrease by %. Over the frfe of
�� t `���F��' ;�����-r� ��`�' �7� '3�{���` �' the loan,your interest rate is guaranteed to never be lower than %or higher
��v;M.�e�h�z �' � �1���k `� i��� ��� �°T��w � � lh2fl °{o.
.'".... `,rv..,da.. �.4w�t:.+ y.as��.�.-.f�'.,r. ..._. . �..;�
- .� t +k ��.+1A.�s-,€�.�4,�a'.'5+��'.aar .. k�1 cr.�`w. ^'t �"V
Even rf j�ouemake pa�`me,�ts��on�t�,me�canF�our loai��b8;ance rise7� � QX No. ❑Yes,it can rise to a maximum of$ .
` ,� � ,,-�� a�.rw 's: x�.'n��,.�d� x .�'t�...ss�a�
Evenfif you�'make pa�fne�'�ts'`�'bme,,canz�'our monthly amoUnt owed fdr�; XQ No. ❑Yes,the first increase can be on / / and the monthly
1 r''Ts:- rPSS!f �'�tf A F ".J� :�. � /',�w,,
principa( tnterest tantl,,m�o gaga,�insu:an�4e�nsa7 ��,�'� ,;�� � amount owed can rise to$ .
j�{����"��+��"�'�'� � 'fiµ''��` +�:�sr �r;��3 `� ' The maximum it can ever rise to is$ .
.�,n.r�'�,.;k„�'v.�'. "�� r.��.`�t�2'.T?�3.�,,..ko-v::
'.' t.� -k�si.?w� �a'r� e�"�'&,"+� 'sk�t9� �i'"�fy �-�' ,n�`».'� �F. ^s+-w.
Does you�raloari have�kprepa$�`rt�'1`"ent�Pe�afty7�"�'���,,r�,�.��� � Q No. ❑Yes,your maximum prepayment penalty is$ .
Does y�ur�loan`have a b�o�n�,a,",�en? ��e`���,�`f�4�'r"�'�� � QX No. ❑Yes,you have a balloon payme�t of$ due in
` ��+��� z�u•' �,�.�:'�� .��;,<.,,'��{,�:� years on / /
.'�£r=, s �'
�F��a t� s�..,m 7`�, ,�'�f` S ts,Pu��u: "�� F.::
To��l m'o}�thly amo�in�o�3incl�dln :escrOk accoUn(,paym�ts�� � � Q You do not have a monthly escrow payment for items,such as property taxes
� Y �"����'`��4`�- ,��"�'`� -�'�, `'� �,r � and homeowner's insurance. You must pay these items directly yourself.
F te 3.� r.S� 'R��,�'+[ N�3 ',�i�'P�'�,m, s�� �-'�t .
y s h������ ���. � 3�,;� � �,��-v r� � ❑You have an additionai monthi y escrow pa yment of$
+"���"�"��� ����� ����" �j'�����.„� lhat results in a total initial monthly amount owed of$ . This includes principal,interest,
��i;�a���� ��� � �?��'��±�" any mortgage insurance and any items checked below:
�,��"���� ����x y cy . ���� ���w�'"�'°' ' � � � ❑Property taxes ❑Homeowner's insurance
� , � � � � 4
�rr�,�^s�� �Y��,,. ��� ��a�� �-���.��� � ❑Fiood insurance �
;I � �_''',b�.mx. �> ., �c.�'�. s p"�t't- *� ;y��
..... .."��;:�,t�s�ai."er�'x��c?t'.�'#`�.4'S4.�,' _���Z�a,��».�.?5`�i �� :� ❑
Note: if you have any questions about the Settfement Charges and Loan Terms listed on this form,please contact your lender.
Previous editions are obsolete Page 3 of 4 HUD-1
HUD CERTIFICATION OF BUYER AND SELLER
I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,it is a true and accurate statement of all receipts and
disbursements made on my account or by me In this transactlon I further certify that I have received a copy of the HUD-1 Settlement Statement.
/�+��O�c�V`'\ /�`�-
Seymore Brothers Co�rr�
THE ESTATE OF HUBERT A.MCWILLIAMS
�� � ��
, �
The HUD-1 Settlement Stetement which I have prepared is a true and accurate account of this transaction.I have caused or wilf cause the funds to be
disbursed in accordance with t ' ement.
��Z�I'c��3
SETTLEMENT EN DATE
WARNING:IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO 7HE UNITED STATES ON THIS OR ANY SIMILAR FORM.PENALTIES UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE TITLE 18:U.S.CODE SECTION 10Q1 AND SECTION 1010.
Previous editions are obsolete Page 4 of 4 HUD-1
: �,� �. �.�_.. -. �._����,� Y �_ �..,_ . µ �_ _ ..._ . __ �.xF� . ,
. . �
Name of Borrower: Name of Seller: File Number:
Seymore Brothers Construction The Estate of HubeR A.McWilliams 13-1136GC
Prepared O6/27I2013 at 1:45 pm
Note:Tfiis page dispiays an itemization of the charges shown on line 1101 of the HUD-1 Settlement Statement.This page
accompanies but is not a part of the HUD-1 Settlemenf Statement If a discrepancy exists,the Information on the HUD-1 Settlement
Statement applles.
1100.Title;Charges ' 7otal Cfiarge Borrower 'Seller
11p1,Title services and lenders title insurance �o
1102.Settfement or closing fee to $ 0.00
1104.Lender's title insurance-Tide Resources Gto Titie Resources Guarant Com <$ 0.00
Totals: b O.�U 0.00 0.00 0.00
Se1ledLender credits shown on a e�1 , •.'POC=Paid;Qutside Ciosin CR=Lender Credit •: :;
Previous editions are obsolete Page 1 of 1 HUD-1
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� i • TAo�rowd Nie�llrrdrrd��J Severrly-three(1973). . _� . �7�
" }�..�PYlUrPli Chb4RL1E V, TAYLOR and G�AOYS TAYLOR, his wtPe� oP Fairless ; �
� Htlls� Pennsytvania, Grantors, hereafter referred to as the Parties o!the � �
��. � _
�irst Part, .
s' � �'. �
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`"' hiUBEx2T A. N{cWILLIAMS and CAROLYN M. McWtLL1AMS, hts &i
� , wife, of Mechanicsburg, Pennsylva�a, Grantses, hereaPter referred to as )
� � the Par*_tes , �
� `
;, . . �
�; ... .
g� .' ' uj tAe usowd p�rt. �j f��P$�p#J� Tha!tha��id pari leso/f�a�Cr�!part,Jw aad in ropiidsra0ion '
� . � -- HIRTY THREE THOUSANO 33 000, --------- ___ _ � ,
oj th t�ar oJ— T � s. � .
i �
�' i � Do!(ara,laro(ul uoary o�tl�e Usited Statse oJ Auerica,w�/!and truly poid bq tks iad yarIeS oJ tFe terond
� ; 'Par!!u the aaid y�rtT�of the�trt!part,nt aad Lefora!hr ualing awd ddirnry o�I�ne prtasnla,the reo�ip! �.
�i , n+kn�o f u hereb y�ekaafvled ged, �j y e g►aeted,bsrgaiaed,
� rold,diewsd.eafeoffed.nlsaasd;eoavcysd,sad conJFmrd aud by l8ae p►etenft do graat,bargain.u!!.
I ; � aliee,ra(roJl.nleaee,rnaoeg.aad eoufira uelo IJ�e raid part iPS of Ike uoond parf their ,
� � � beitr pAd atign►,
� ; t ��l those two certain pieces or parcets oe tand, sttuate!n tfie Sorough oP . ��
Y � Carr�hitll, Cumberland County, Pennsylvania,more parttcuiarly bounded and • :
�• ! ; descrtbed according to a survey of W. B. Whittock, Registered Engineer, � �� ,
' } i dated June 11, t957, separately boundad and described as follows: �
�
� ; ; PARC£� NO, 1 -BEGINNING on the south�rty line oP Beverty Road where
. �
� Beverly Road runs generatly East-West, two hundred etghty-two and sixty one-
r ; ; hundredths(282.6�Peet rorYhwardly and eastwardly Prom Che norYheast corner
`a , ' of the intersecrion of Lincoln Street and BeveMy Road, also being at the divtding
's i lfne between Lots Nos. 4 and 5 0�the heretnafter mentioned Plan of Lots; .
� ; thence easlwardly along the southarly lt�e af Beverly Road, the same being an i�`
arc or curve to�he right having a radius of two hundred Pifteen(21�feet, one
� h u n d re d t e n a n d s e v e n t y o n e-hu n d re dt h s(1 10.7�Ye et t o a po tnt;thence south `i '
:• ; � thirty-three(3�degrees ftftee»(15)minutes east through Lot No. 8 of said f „,..
P1an, one h�dred fiva(105)1'eet to a point At the dividtng Ifne between Lots
� . : Nos. 23 c�nd 8 on said Plan; t#,ence�outh f'iPty-ona(b1)dec�rees PiPty-nine(69)
[ . minu[es w6st along same and along the dividing ltne benroeen Lots Nos, 8 and ,
� � 23 on ssid plan. Ptfty-n{ne(58) feet to a point at the dividing line b�twee» Lots
Nos.. 4 and 6 on said P1an; thence north sixty(6� degrees twenty-nina(29) • ...
� ' mtnutes west atong same, one hundred ten(11� Peet to a point, the f�tace oP
� ! ; BEGI�NIVING.
' � � . R�1NG Lot t�lo. 6 and part of L.ot No. 6, 91ock�'O"on Ptan of Bevsrly�ark,
� recorded in Cumberland County Rewrder's OPfice tn Ptan Hook 11-8, Page 19, �
� ' .
i .
� HAVING thereon erected a,one arid one-hatP story brick dwelting house, known ;;� �
' : ns 336 Beverly Road,.
i ; PARCEL NO, 2- DEOTNNIN�at a point� the aouthwast corr�er ot Lot No. B
� � i on thq herainaPter manttoned Ptan oP L.ots, thence aouth twenty-seven(27) �
� ; ;:; ' degrees thirteen(13) minutas wesL, Porty-two and�PGve one-hundredths(42.06'�
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eoox�z3r�ce 2�. . .
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feet to a point; thence north eighty-six(B6� degrees fourteen(tq) minutes east, �
seventy and forty-one one-hundredths(70,41) feet to a point; thence nprth three
(3) dec�rees forty-six(46� minutes east, sixty-n{ne and twenty-five one-hundredths �
(69,25) feet ta a point at the dividing line between Lots Nos, 6 and a3 on satd Ptan;
� thence south ftftyrone(51)degrees fifty-nine(59) minutes west along same and
along the dividing tine between Lots Nos. 5 and 23 on said Plan, fifty-nine(59)
feet to a point the place oP BEGINNING.
BEING Lot No, p3, Block!'O"on Flan of Beveriy Park, said Plan reeorded in ti
Cumberland County RecorderTS Office aforesaid,
BEZNG the same premtses which Anne E. Taylor and Charlie V, Taylor, her
husband, by deed dated January 6, 1969 and re�rded May�2, 1969 in Deed • i
, f3ook��F+�� Vol.�,^3, page 1�0, Cumberland County records� granted and '
convoyed unto Chariie V. Taylor. 'The said Chariie V. Teylor thereaPter irtter- . !
married with Gtadys Taylor who joins in the within de¢d. . •
i
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Pennsylvania State Employees Credit Union
� P.O. Bax 67013 Harrisburg, PA 17106-7013 1
800.237.7328 Member Number: 0309�•!�•*�
psecu.tom Staterr�ent Period: 04/01/13 to Q4/30l13
Direct inquiries regatding preauthorized ei�tronic
transter or ac�ount errors to ihe above address. Page Number: Regular 1 of 2
Account Balances at a Glance
Total Shares: $O.AO
36558 1 AV 0.360 00.583 00.054 T114 P1 Z�� Total Certificates: $0.00
� H A MCWILLIAMS Total Loans:
$0.00
335 SE1/ERLY RD
CAMP HILL,PA 17011-2814
�,qq�"���n���i�����I�ih�Plu�iltdliliNlml�l��li���lfi��
000817 07 011425 001 D S2 SAP:1,2,3,4
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YEAR TO DATE INF4RMATION
Description _ �_ Amount
Total Dividends Year to Date ` $9.60
SHARES
Posting Effective
Date Date Transaction Description Transaction New
— _ _ Amount Balance
:EGUU4R SHARES ID 01
04t01 Beginning Balance
04l05 Withdrawal By Check 19,333.39
04125 Withdrawat Membership -5,000.00 14,333.39
04i25 FROM 0309323917-01 TO 8936238438-1 -1.00 14,332.39
04�25 Withdrawal Membership -5.00 14,327.39
04/25 - FROM 0389-32391-7=01 T�89362384�8=1 -
_ _._.__
_
_ _ _ ____
4 26 Paymen�Dividend � -
Mnual Percentage Yield Eamed 0,150%from 04/01/13 through 04/30/13 1.55 14,328.94
Based on Average Daify Balance of 12,610.96
�4�26 Payment:Transfer From Share 04
?4/26 Payment:Transfer From Share 03 114.99 14,443.93
?4/26 Withdrawai Transfer 9•87 14,453.80
j4�26 Ta MCWILLIAMS, ESTA XXXX)(XXXXX Share 04 -4,000.00 1p,453,gp
'4�26 Withdrawal Transfer -10,453.80
4/26 To MCWILLIAMS, ESTA XXXXX)U(XXX Share 01 4.00
°�� lD Q1 REGULAR SHARES Closed
Ending Balance
Dividend YTD: Year to Date 0.00
9.56
:1STMAS SHARES !D 03
/01 Beginning Balance
9.87
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Pennsyfvania State Employees Credit Union N A MCWILLlAMS
� P.O. Box 67013 Harrisbu�g, PA 17106-7013
� 800.237.7328 Member Number: 0309,.....
psecu.com Statement Period: 04l01/13 to 04J30113
Page Number: Regular 2 of 2
Posting Effective Transaction New
qate Date Transaction Description _ Amount Balance
04126 Withdrawa!Transfer To Share Q1 -9.87 0.00
04/30 ID 03 CHRISTMAS SHARES Closed
Ending Balance 0.00
Dividend YTD: Year to Date 0.00
MONEYHANDLER ID 04
04l01 Beginning Balance .���98
04/26 Payment:Dividend 0.01 i 14.99
Annual Percentage Yieid Eamed 0.130°ta fram 04I01l13 through 04i30/i3
Based on Average Daily Balance of 95.82
04l26 Withdrawat TransferTo Share 01 - _q�q.gg a_��_.______ _
04/30 ID 04 MONEYHANDLER Closed
Ending Balance 0.00
Dividend YTD: Year ta Date 0.04
�PNCBANK
PNC Bank,National Associarion
Cashier's Check No. 11034271
0
Date May 3,2013
�
a
N Pay to ctie order of�-�j)'33ERT A MCWII,LIAMS DECD $ 8,899.82
�
° Ei ht Thou and i ht Hundred Ninet -nine Dollars And Ei ht -two Cents
W
Non-Negotiable Customer Copy
514004074�„
Remitter
'FOR1�ntooa72-o900 '
�P1V�BANK Your account was DEBITED for the following reason;
❑ Gheck# posted on encoding error�posted to incorrect ac�ount
� Closed accAUnt 5140040795
❑ BranCh adjustment(branch name)
❑ Serv+ce charge eaor
❑ Other: ,
Account Number File ID
AMOUNT $ s, 899.sa
5140040795 040
PNC Bank, Natioaal Associatioa
HUBSRT A MCWILLZAM5 DSCD FOR BANK USE ONLY
3 3 5 BEVBRLY Rb Branch#iDept. # Date
CAMP HILL, PA 1?011-2814 0000106 05J03/2013
Prepared Sy{PRiNT Name) Authorized By `
AMANDA L BFATTY I��y
Cust e3i's Adv1Ce of Charge
Regular Checking Account Statement � �°4 p1WCBANK
PNC Bank ��-
Primary account number:51-40040795
Page 1 of 4
For tl�e period 04/05/2013 W 66/06/2013 Num6erofenclosures:0
000949 For 24hou�danking,and transaction or
� HUBERT A MCWI L L I AMS DECD �interest rate information,sign on to
,{, 335 BEVERLY RD PRiC BankOnline Banking at pnc.com.
GAMP HILL PA 17011-2814 'a' ForcustomerservicecaN7-888-PNC-BANK
Monday-Friday: 7 AM-10 PM ET
Saturday&Sunday: 8 AM-5 PM ET
Para servicio en espar�oi,1-866-HOLA-PNC
Movingi Piease contact us at 1-888-PNC-SANK
�Wrhe to:Customer Service
_. __ � _ .____.._ __ __. _ . _---- ---_ ___.__ PO.BoxS03___
Pitts6urgh PA 15230-9738
�Visit us at pnc.com
� TQD term+nal:1-800-531-1648
For hearSng impaired clients oniy
=�utar Checioag Account Summa�y Hubert A McWilliams Decd
=ount number: 51-4Q04-Q735
=rdraft Prateotlon has not been estabiished for this account.
iease contact us if you would like to set up this service.
nkatt Covarage-Your account is cu�rentlyOptod-Out.
au or your joint owner may revoke your opt-in or opt-out choice at any time.
?learn more about PNC Overdraft Solutions visft us oNine at pnc.com�ovardraftsolutions.
;111-877-588-3605,visit any branch,or Sign on to PNC Onliee Banking,and salect the"Overdraft
.lutions"link underthe Account Services section to manage both your Overdraft Coverage and pverdraft
�tection settings.
nce Summary
Beginning Deposits and Checks and other Ending
balance other additions deductions Dalance
5,552.59 &,252.75 11,805.34 .00
Average monthly CBarges
balance and fees
6,3�9.�1 .tH1
action Samrnia�y
Checks paid/ Check Card POS Check Card/Bankcard
withdrawals signetl transactions pOS PiPI transactions
6 Q p
Totai ATM PNC Bank Other Bank
transactions ATM t2�sactions ATM transactions
0 0 0
�' Q��Ci��
:ts and ORher Additions There were 2 Deposits and Other Additions
Amount pescription totaling$6,2b2.75.
4,'700.00 Deposit Reference No. 523867549
1,55?.75 Direct Deposit-Ret Net
DFA�S-Cleveland�.1.�X8917
�
PNDMLTO�__inaon��a ��� ....-.--
x.� _ _��,
Regular Checking Account Statement
Fo�the period Q4705/2�73 to 05l06/Z013
�For 24hour information,sign on to Pi�1C Sank OMine Ba�king HUBERTA MCWILLIAMS DECQ
on pnc.com. Primary account number:51-40040795
Account numbes:51�1304-0'795-continued Page 2 ot 4
Checks and SWbstitute Checks
Check Date Referenca Check Date Refereace
humber Amount paid number number Amount paid number
7750 4�5.00 04/05 03�0737�9 7754 �,165.15 0�/08 a3532�2sa
7751 IW.9U 0�/05 os�777�0, 7755 172.37 0�/15 as5�7soo2
7753 * 8.00 0�/05 O�X�'173� 7756 34.10 04/12 0�7555X6
�Gap in check sequence There were 6 checks listed totaling
$Z.905.52.
4N1er Ded11Cl1o11s There were 2 Other Deductions totafing
�ate Amourrt Description 58,888.82.
)5/03 .00 Outstanding Item Close
5riJ03 8,899.$2 Debit Metno Reference No. K??379550
•3ity Balance Detail
ate BaianCe Date Baiance Date Bala�ce
xJ05 5,018.69 U4J12 7,519.�� 05f01 8,89g.82
��/0� 7,553.5� o�;15 7,3�#7.07 O.K�03 A�
.�.,
THE ESTATE OF HUBERT A. MCWILLIAMS
335 BEVERLY RD
CAMP HILL PA 17011
Insurer: ERIE INSURANCE EXCHANGE
Policy No.: Q07 1911641
Claim No.: 01 701 01 71 287272
Date of l.oss: 04-09-2013
CheCk NO.: i 21150352
CMS No.: LK50352
Check Ami.: $7,208.16
For: TITL�WI7HHOLqING TOTAL LOSS SETTLEMENT
COLLlSION
2005 BUICK VIN:1G4HP54K15U1593�6
Erie Insurance offers home,auto,business and life insurance.
Cali your local ERIE Agent to learn what is available in your area.
E � � ' '
W I L L O F
H U B E R T A. M C W I L L I A M S
I, Hubert �. McWilliams, of the Borough of Camp Hill,
Cumberland Count�r, Pennsylvania, declare this to be my Wi11 and
hereby revoke all prior Wills and Codicils made by me.
1. T direct that the expenses of my last illness and funeral
be paid from my estate as soon as practicable after my death.
2 . I hereby give, devise and bequeath the following:
a. $2, 500. 00 to Indiana University, Bloomington, Indiana.
b. $1, 000. 00 to Poplar Grove Cemetery, Monrovia, Indiana
for Perpetual maintenance of the grave sites for my wife and me.
3 • I give, devise and bequeath all the rest of my property
to 2 af my 4 children, to wit, Lynn M. Gilmore and Candace S.
Bell, in equal shares, the share of any such deceased child to pay
to his ar her desCendants, per stirpes.
4 . No interest of an� beneficiary of my estate or any trust
herein created shall be subject to anticipation or to pledge,
assignment, sale or transfer in any manner, nor shall any
beneficiary have power in any manner to charge or encumber his
interest, eithex in income or principal, nor shall the interest of
beneficiary be liable or subject in any manner while in the
possession of the executor, trustee, or guardian for the liability
of such beneficiary whether such liability arises from his debts,
contracts, torts or engagements of any type.
5. In the administration of my estate and any trusts herein
created, my fiduciaries shall have the following powers, in
addition to such powers as they may have by law:
(a} To retain all or any part of my property, real or
personal, in the form in which it may be at the time of my
decease, including any business owned or controlled by me, or any
closed corporation, partnership, or family enterprise in which I
have an interest, as long as in the exercise of their discretion
i� ma�r be advisable so to do, notwithstanding that said property
may not be of a character authorized by law, and to operate any
such business as a sole proprietorship, partnership or
corporation.
_ e�. _ .�
.,..�k,.� � a ��_._
L � � ♦ � i
(b} To invest and reinvest any funds held by them in an�
property, real or personal, even though such property would not be
considered appropriate or legal for a fiduciary apart from this
provision, it being my intention to give my fiduciaries the same
power of investment and reinvestment which I would possess if
present and acting.
(c) To sell, convey, exchange, partition, give options
upon, or atherwise dispose of any property, real or personal, at
the time held b� them, at public or private sale or otherwise, for
cash or other consideration or on credit, and upon such terms and
for such price as they may determine.
(d) To borrow money for any purpose in connection with
the administration of my estate or the trusts created in this
Will, to execute promissory notes or other obligations for amounts
so borrowed, and to secure the payments of such amounts b�
mortgages or pledges of any property which may be included in my
estate ar the trusts created in this i�lill.
(e} to make loans, secured or unsecured, in such
amounts, upon such terms, at such rates of interest, and to such
persons, firms or corporations as they may deem advisable.
(f} To renew ar extend the time for payment of any
obligation, secured or unsecured, payable to or by my estate or
the trusts, for as long a period or periads of time and on such
terms as they may determine, and to adjust, settle and arbitrate
claims or demands in favor of or against my estate or the trusts
created in this Will. .
(g) In div.iding or distributing an� property, real or
personal, included herein, to divide or distribute in cash, in
kind, or partly in cash and partly in kind, as they may determine,
and �o that end allot specific securities or other property or an
undivided interest therein to any share or part.
{h) To hold, manage, and develop any real estate which
may be held by them at any time, to mortgage any such property in
such amounts and on such terms as they may deem advisable, to
lease any such property for such term or terms, and upon such
considerations and rentals as they may deem advisable,
irrespective of whether the term of any such lease sha11 exceed
the period permitted by law or the probable period of retention in
my estate or in a trust; to make repairs, replacements and
improvements, s�ructural or otherwise, in connection with any such
property, to abandon any such property which they may deem to be
worthless or not of sufficient value to warrant keeping or
protecting, and to permit an� such praperty to be lost by tax sale
or other proceeding.
(i) To employ such brokers, banks, custodians,
investment counsel, attorneys, and other agents and to delegate to
them such duties, rights and powers as they may determine, and for
.s� _ .
s- . � � , . . . .
such peziods as they think fit .
{j) To register any such securities at any time in their
own names, in their own names as fiduciaries or in the names of
nominees, with or without indicating the trust character of the
securities so registered.
(k) With respect to any securities forming paxt of my
estate or the trusts created in the Will, to vote upon any
proposition or election at any meeting of the corporation issuing
such securities, and to gran.t proxies, discretionary or otherwise,
to vote at ariy such meeting; to join or become a party to any
reorganization, readjustment, merger, voting trust, consideration
or exchange, and to deposit any such securities with any
committee, depository, trustee or otherwise, and generally to take
all action with respect to any such securities as could be taken
by the absolute owner thereof.
{1) To determine, as to all sums af money and other
things of value received by them whether and to what extent the
same shall be deemed to be principal or income, and as to all
charges and expenses paid by them, whether and to what extent the
same shall be charged against principal or income.
6. I direct that all estate, inheritance and succession ta�ces
that may be assessed in consequence of my death, of whatsoever
nature and by whatsoever jurisdiction imposed, shall be paid out
of the principal of my general estate to the same effect as if
said taxes were expenses of administration; and all property
includible in my ta.xable estate whether or not passing under this
Will, shall be free and clear thereof.
7 . If any legatee or devisee under this Will shall die
within sixty (60) days after my death he shall be deemed to have
predeceased me for all purposes under this Will .
8 . I appoint my Daughter, Lynn M. Gilmore, as my executrix.
9. My fiduciaries shall not be required to post band for the
faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I, the said Hubert A. McWilliams,
herewith set my hand to this my last Will, typewritten on five (5)
sheets of paper, including the attestation clause and signatures
of witnesses, this � /� day of �,�, 2010.
f �
���.vl��,�`C`/,r�� " ��i�
Hubert A. McWilliams
.. ,. • - , .
On the `� �` day of �~� , 2010, Hubert A. McWilliam
declared to us, the undersigned, that the foregoing instrument was
his last Will, and he requested us to act as witnesses to the same
and to his signature thereon. He thereupon signed said Will in our
presence, we being present at the same time. we now, at his
request, in his presence, and in the presence of each of us hereby
subscribe our names as witnesses. Each of us further declares
that he believes this testator to be of sound mind and memory.
� ��X�/ residing at � j � � �
i . L�LCI�-
� residing at ,� f��
ACKNOWLEDGEMENT
COMMONWEALTH OF PA
: SS
COUNTY OF
I, Hubert A. McWilliams, the testator, whose name is
signed to the attached or forgoing instrument, having been duly
sworn 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 m�r free and voluntar�r act for the purposes
therein expressed.
��"����^���������
Sworn to and acknowled ed before Hubert A. McWilliams
me this �� day of �J�''�,,�
2010
d��/��
Notary Public COMMONWEALTH OF PENNSYLVANIA
Nota�ial Seat
Catherine M.Biafr,Notary Publlc
New Cumberiand Boro,Cumberland County
My Commisslon Fxptres]u�e 16,2013
Member,PennsManla�ssodatlon of Notarle5
AFFIDAVIT
COMMONWEALTH OF PA
: SS
COUNTY OF
We �YU- � ��
� ` and ` the
witnesses whose names are signed to �the��tached or �
forgoing instrument, being duly sworn according to law, do depose
and say that we were present and saw testator sign and execute the
instrument as his Last Will; that the testator signed willingly
and executed it as his free and voluntary act for the purpose
therein expressed; that each of us in the hearing and sight of the
testator signed the Will as witnesses; and that to the best of our
.
. - ,,.
, F ... ... ..
. �
knowledge the testator was
Years of at that time eighteen
influence. age� �f SO�d mind and under no constraint) °r more
or undue
Sworn to and acknowledged ��
before me this V� � ���'�/
�"� day of
�w 2010.
� �
Notar �
Y Public
CUMMONWEAl,1'H OF PENNSYWANIA
� � NoWrial Seal
Catherine M.elair,Notary Public
I NeH-Cumberland Boro,Cumbe�land County
� My C:ummfssion Expires]une lb,2013
��>^�t�er,Pennsyivanla AssodaUon of Notasies
� _.. �-ce.,�.
�_x_„� _ , ,
COMMONWEALTH OF PENNSYLVANIA REV-1162 EXi11-96)
DEPARTMENT OFREVENUE
BUREAU OF INDIVIDURL TAXES
DEPT.28Q601
HARRISBURG,PA 1 7 7 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CQ 017823
GUARDIAN TRANSFER INC
1000 N PRINCE STREET
LANCASTER, PA 17603
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
""--- fnld
"'"""" """"
101 ( 54,018.83
ESTATE INFORMATION: sSN: (
FILE NUMBER: 2113-0435 �
?ECEDENT NAME: MCWILLIAMS HUBERT A �
�ATE OF PAYMENT: O7j01/2013 (
-�STMARK DATE: 07/01/2013 (
}uNTY: CUMBERLAND �
TE OF DEATH: {�4/09/2013 �
�
TOTAL AMOUNT PAID: 54,018.83
^,RKS:
CHECK#26430
INITIALS: BAJ
RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
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