HomeMy WebLinkAbout10-10-13 i
.-�-� REY-15Cl0°`��,-,"> � 1505610143
PA Department ot Revenue p��y�� ��w-USE GNiLY
8tlroau of MdiviCUal Tal(9s °E"�^Y1e^^�'� �K µ'�1`
Po eox.z8oso� 1MH�RCTANCE TAX RETURN 21 i 2 0 Q 5 5 6
HerttaFwrg,PA l7t28-0667 RESIdENT DECEpENT
! R DECEDEl/T IMfORMATpN 9ELDW
Sodat Securiry Number Data M D�th Date W Birth
44 29 2012 08 03 1942
DecedenYS Laet Pteme SuCflx 6ecedenYS Fkst Name Mi
H09P71RD FRANR 4P
(@ MWkabN►E�r$urvivkip SpouN's IMormetlon Mkrw
Spouse's Laet Ndne SuiAx Spouse's First Name MI
5pomse's Sod�Secwlty Nwnber THI8 RETURN MU8T BE Fp.ED IN bUPUCATE N11TM THE
REGISTER QF WILLS
RLL9N APPROPRIATE OVAL$BELOW
❑ ,. orqa�.i ww�� $f z. s�oq�en�ai wwm ❑ a.�r raw��ta.m or aeNn
prior ro ta-13�8z)
Cj d. Limked Ee1Me � da.F�+�^��^° - � 5. Fetlenl Estate Tu ReWm RepNred
�e.r w a.m rw+a�xax>
Q g. (���) ❑ 7. (O�wd�t�,ti.N��w�a e LINne Trus� � 8. To1a1 Number ai SaM Depack Boxas
AWth C
[] 9. LMIpAtlon ProCeetl9 ReeNvad � 70.��t231 1 arq i.7��� ❑ 71.Ebctbn b lut im0er&x.9173(A)
{Atmch Sch.O}
CORRESPONDENT�TH18 BFCTION MU87 9E COMPLETED.ALl CORRESp'OMDENCE AND CdlIFIdENTiAI.TAIf INFORMATpN BMpULD 8E OMEC7Ep TO:
#t�tn� DsYtNIN T�Npl�s l�br�' .
S1YJ�VSL L ANDSS 71?�,761 53'�1 -� �
c �.,
r�� �
r�o�ioF wwuirae oN�t'
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, S._ f.� ;,�
fint Nnr1 ot sddrtwp r- ' � ��� O .a °�
r � �, ,..�
575 N8RT8 12TH STRBBT ; _ ` "'� "'� .�
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�:3
S�cond Nnt oF addrost : s ' , � �
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- .'::� �� �
CpY dr Pwt Oflle� Spb �Codt :�f1ATE FILE(►�V �'.
L�MOYNE 8A 17043 :
corr.i�pona.ree,..�n.�,a�ws: lawandas�aal.cam
ur� a v.�r:� a,.0 nrw s�u�w,w a,�na�,, .�n�,c u�,.aas dw wor,�s.ana m tiw esa armr kno�Mruo.�a�.
, ftb GOmIXandtAmWM_�k�ImoFO�aP�rerofMrtlMtt+risp�raqmaM�dVabb�wdonaFib'domqlbndwHchp'spiterh�wrykMfwktlps.
FOR LR1f3
Therosa J.Paiuscio
318�AountNn ,Dlllsburg,PA 77019
SlfiNlt P NTATNE p�
i� $BRtuei 1.Al1f1� {. C�[� ,`3
i
525 North 12th&nat,Lemoyne, PA 17043
$ide 1
� 1505810143 150561p143 �
��
._
` J 15056102d3
REV-1500 EX
DecxdenPs Sodel Searrity NumDer
�'_� WdWARD, FRANK W.
�cu�uu�
1. Reel Eslate(Schedule A).......................................................................................... 1. 18 8 . 5 0 0 . 0 0
2. Stocka and 8arxia{Sd�etluie S}............................................................................... 2.
3. CloaNy Held Coryxxatlon,PeMership or Sole-Propriemiahip(Scheduln C).......... 9.
. 4. Mor�apes&Notes RecNvaWe(SchaiWe D).......................................................... 4.
5. Cash,Bank Deposils&Miscellaneoua Personat ProPerty(Sdfedule E)................ 5. 2 � �3 9 . Q 0
6. JoiMly Ovmed Properry(SChedule F) ❑ Sepaiate BilYng Requested............. 6.
7. IM�r-VWOS Transteis&Miscrelleneous Non-ProbaRe Property
(Schedule G) 0 Separate BAAng Requestsd............. 7.
e. Taa1 crosa Atab(twai L�nas t-7)....................................................................... 8. 19 0 . 7 3 9 . 0 0
9. Funera!Expenses 8 ndminlatraeve Casls tSchedule M}._...................................... S. 14 . 13 O . 0 Q
10. Debt6 of DeaBdeM.MortOafye LiabNitl96�&Liens(3cheCule I)................................ 10.
N. Taal DW�eaons(ioml tines 9&10}...................................................................... t7. 14 . 13 d . 0 0
12. NNt V�Iw ot Esbt�(Line 9 minus Line 11)............................................................. 12. 17 6 . 6 p 9 . 0 q
13. Charnable aM Cwvemmen4al BequeefsJSec 9113 Truah for which
� an Meetloa to!au h�tmt been made(Schedufe J}..._............._....„......_............... 13.
14. 6Nt Valw SubJwct ro Tax(Line 12 minue Line 13)................................................. 74. 1 7 6 . 6 0 9 . 0 0
U4X CQMPUTATION•EEE M/STRUC710M$FOR J1PPtICABLE pATEB
�5, AunaaH�t3ne 14 taxeDk
at the spoussi tax rete,w
transfera under Sec.9116
�axt.z�x.00 tis.
fi8: AmauMaf�al4tanWe
at Uneel rete X •W5 18.
17. Amount of Line 14 ta�mbk
� atsktlingrateX .12 tt.
t$.. Nnqurn of L'me td taml�Ie
at cWlBteral rate X .15 18.
7a. rs�c ous..................................................................................................................... �e. 4 . 4 0
� 20.� flll.IN THE OYA41F Y4U ARE REt1UESTING A REFUND OF AN OYERPAYMENF. ❑
STde 2
� 1505610243 15036fOZ43 �
�
` REW1500HXPage3 �iaNwuwr 2i - 12 - 005$6
Oeicad�nt's Camplete Addr+eas:
Howard, Frank W.
STREETADQRESS
S26 Fairway Drive
CITY �� S7ATE� ZIP
e�►oi� �a 17d25
Tax Paym�nts and Crodks:
1. Tau Due(Page 2,t.Me t8} (i} 0.0(1
2. CradMalPalm�ents
A. Prlor Paymants
B. Discatmt
Tota�cred�a{n +e1 (21 Q.pO
3. Interest {3) 4.00
d. if Line 2 i��ter tlum Lwwa 1+l&ae 3.er�ihe diflerence. 'itds�ihe OV�lFAYIIENT. j4}
CMCk box on Pp�2 Lkr 20 ro roqw�l�rw(und
5. H Line 7 +Line 3 is greaier ihan Une 2,errter U�e diRerence. Thie is the TAX Dt,IE. (&) 0•��
Make Check Payabie to: REGISTER OF WILLS,A(�ENT.
PLEASE AN3WER 7HE FQLLOWMG QUESTIONS BY PLACING AN "X"IN THE APPROP'RIATE BLOCKS
t. CNd derxdent meke a transfx and: Ysa No
a. Main#�e�e a Inoome W 8re property trattafatred:..................................................................................
b. releln the right to deeipnate who shall we tha property GanMerted a ifs Income:.................................... 8
c. relsin a reverdonary iMera&;or.................................................................................................................. tJ
d. reoeNe the praMse for IMs of bNher peyrtleMS,benetitn or Clro7.............................................................. .
s. n c�n,«a,naa�o��z,�saz.a�n a�a�e u,��P�,�nmx�a,e�,�r a«m,yro�n O ❑
ro�xivirg eaea�.ro conswereao�v.......................................................................................................................
3. CNd deoodaft own an'in tnut for' a�payable uppn deatl�bank acxouM a securily at his a her tl�tlr7......... � �
4. Did dscede�ft awn sn�i R�iremant Ac�r�t��rxdty�or other mm-P�$ProPBrtY��
tanlalMa M�tefldsry tlerlgnatlon7...................................................................................................................... ❑ ❑
�� �TNE ANlWER TOlW1`#1HElYd6VE QkJE5T10li8 ki YES.YOtt MUST COMWfTf 8CHF.DtlIE G JYiXi FILE R AS PART OF TNE RETURfi.
For deMo M deeM pn ar aI1x,Wiw 1,7984 and bMore Jan.1,1995,the tex rate Impoaod on the net vaWe of tranelers to w for Me use of the survMng
spouae��.is 3 pa�rork[72 P.8.§9118(a)(1.7)(Ip.
Fw dp6p�6 of de�dih on o)r(apI�Y�. .M 1.1095.the ta�c rs�imposetl on ihe nM value M transfers lo a�for ihe use af tl�e wrvMng spauae is D percent �
f�a����a)(�z�re�rrf�sUH�ca�e�w�,'Xff n,e surv��sp use�b y��b�ene�ry ana me amwmry reyukements ror eisdosure or
FOt daUe W d88Sh bfl w8fter,lWy'1.'1000:
•7M1e tal�rate on Via nst vaWe of banafers from a deceaaed chNtl 21yea�s of age or younper at desth to w for Nre uBe of 8 natur8l parent,an
edocOVe veren or a s2epperent ar a,e cnild!s a pareeM[tz Ps.g91 te ta?tj�2)l�
•The taK rete hnposed on lhe rret value W trenafxs M or kr Me uae M the decedenPa Iineel beneHGaries is 0..5 pbroanl,except as npted Un
zzFS.���e Tz){�zps.§s�ae{a}{�}a.
•The tasc rale imPo�on tha rret vaWe af ltansMa�or for tlre use of Ure deced�YS sibNn9s la 12 pwcent j72 P.S.69116{a}(1.3 . A �
siMirg�hc definod under 5ecUon 9102,as�in�vtduat wfio has at t�st are peront in common witi�tlre decedeM,wrea,er by�or ado on,
_. ���i
�
� ( (
SCHEbULE A
�TM�„�,,,,,�„„�, REAL ESTATE
NNERRNiCETNf flETM1N
XEBqFNTOEGFUEHT
r t4G 1�YI�IpGA
ESTATE OF Haward, Frank W. 2t _�7_4q55g
Ali�wi propsrty awn�d or a�arw�t in eomrnon must bs at fair rr�rk�c wdus. F r market velua is defN+ed as the prl�e
ee wrd�n�apeny,�e r,� �a wxu�,�a,ya�ena a se�>r�,er�com �o�,y cr s�,�n�mvx,�
reaeonabls knov�Iedge af the reievarrt fads.Reat propartyr whieh is joi wkh ripht o►surviwrship must i»dfsdoMd on
schsduh i.
Attach a cwpy af ihe aMUament aheef if the ProP�Y haa been eoW.
Indude a oopy of tlia deed ahowing dacedenPa intereeR If owned sa tenar�t In canman.
NUM ER DESCRIPTION VALUE�A�T�TEOF
1 Single family residence at 524 FeinNay Drive, East Pennsboro Township, Cumbetland Counry, 788,500.OQ
Penrisylvania(vaiue determined by the sate of the property fotiowing decedent's death}.
NOTE: This is a change from the vatue iis#ed on tfie or�ginai return, on vifiich the value was
estabtished 6y the Cumberland Gounty assessment tecotds. Sirrce that time,the property was
soid to a disinterested third party in an arms-length trans�ction,for$188,500.00. The sale
pr�s mare accurateiy reflects the actuai vat�of ttre property an the date of death. A copy of
the settlement sheet from the sale of the property is altached hereto as Attachment A.
I
TpTAL(A1w sryber on Line 1,Rrcapltulatfa�} �$g,�},pp
�
� SCHEDULE E
CASN, BANK D�POStTS, & MISC.
`�'"`�"�TMOFt�'4AN" PERSONAi. PROPERTY
MiERfMNCE T/Jf IiET1RN
PEl06'M UECEUEIfT
E37ATE OF FIIE�ER
o ' Haward, Frank W. 2� - �2-oo55s
�nck,ae!fir��proceeds� arw uie dats u�e proceeds vrera rec�ved by tt�e estate.Ai�propsrty�ar�i}fowrwd wHh�»ri�t of
sarvFvast�p must bs dFsctosad af sahWuls F.
��M VALUE AT DATE OF
NUMBER DESCRIF'TION
DEATH
1 DecedenYs federal income tax re#und for caiendar year 2412. �,23g,pp
NdTE: This refund was receivec# in ApNI, 2013, but represented monies which the decedent
had deposited with the Intemal Revenue Service prior to his death which were refurided when
his tax retum was flied.
TOTA4(Aho�rKrr a�Une 5�RseapftWaNCrt} 2,2S9.OQ
�
i
,r� SCFE'�DU.E�H *�y
Co1MaNwEntn�oFrUU»nvAwn ' *'^�"�'"GN"v7DG�Qc
•""�•"�T�`�", At1111�IS1RA7NE{70h5t5
�PiTDEtEO�M�
ESTATE OF Howard, Frank W. FIL.E I�q11M8ER
21 - 92-OU55Cs
__ Debts of decsdent must bs»ported on Schaduie i.
ITEM
NUMBER F����N�S, DESCRIPTIQN AMOUNT
A
8. ADMINIBTRAYIYE COST8:
1. Perounel Repreeentative's CqmmiseWns
Niane M Peraonai Representative(a}
SRr�bt/lddresa
City Shde Zip
Y68e(S)ComITN88fon peid
2. P1lomeys F�s
3. Famiy Ezempttan: (It tlecedenPs atldreas ia not the eame as dalmanPS,aUach e�larratlon)
Claiment
9troet Addre6s
Cky Stala 7.ip
� Relatlonahip of Claimant to Decedent
d, Probe�Fges
5. Accaur�tanYs Fees
6. Tax Retum Praparer's Fees
�, Otlier Aqminiatrative Costs
1 Cnsts incumed in sale of rea!estate{see Attachment 8 for breakdavm) 14,1�.�
TdTAL{Aisa s�rterr ay ilroe 9.Racapthriarion} f4.13Q.00
n��'��°'>�c � .-..... OMB ApProvat No.2502AP65
�`��� A. Setttement Stafement(HUD-1}
��M otJE
B. Typsdi_un
i.Q FHl� 2.Q RHS 3.QCarv.UnNU. 8. FW Number. 7. Lwn NumWr: & ldoMpliQe Inturana Caae Nwnber
1.[]VA 5.(7�COm.in�. 13162-0lB 1b4008B327
G. Nate: RYsLxmisfimbfMtlbqN+Y�:a1N�MataoltWSffiirmwYmah. MqmbP�brvWMlhra�Yrt�Nprntanahown.
ttsms aMnO YFO.eJ'ww�s PW!oWMS IM abMp;tlrY w MiaMn Mn MrXU6rmMbnUWsiwiy w/a�notMduWtlM IM bfala.
D. NanicanGAaC�s�sofBOmw�r. E. NtaMUNAddt�NOfSNhr: P. NunmdAOtlfMSOfleMar.
Jurtlen M.brady EtIMS of FfMk NOWarO EVafE��k
73i5 Metxir DrHe 52{FaMw�Y Oriw 907 W.8ry SVMt
Fhrtlabury,PA 171 t2 C�mp XNI,PA 770i i .I�duonWlM.PL 51202
6. Prpwrty Lbwlbn: H. $Mtl�n�ntly�nC I. Se�rn��pate:
62f F�kwey oMe fla'Men�MMaq.inc.
CamO Hill,PA 17071 8lY1 NoM FroM SfrMt ,NUie 16,2Q43
G+mbNt�M Courti.Pbmiytiunh titrtMOUtQ.PA 1711p ph. (7t7)YGt-lY28
w.0 a s.m.�.n�:
ses�ttan,��mu�
PA 17110
J:Supnw ut h4rMmHOn K u� d hWnMtlon
tOD. G/MePm�n1 hom6aiox�r .-,_ IW. Ora� Du�bB�Mr. _..._._._�
_ ��.
1tl7.CoMnd_ a „ � 7!l600.00 +101. r•��foi�-.._ _, t88600.�
t�. PMSarut$�, ,.__..__,_._._ �tOt. twndn�l�' ..._..,�,__....
109. SetlMmsM n. ,,,�w e,a,,,,ie.v u�e�.wo,�_ e e�e.ei MJ. ,
�a. a�. '
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�os.cq,rraw,F �n w �»4 � . �n3 m m+ns
107. CaunNTnqn . �8 b U1A1HI 71 .T t � 01A1H1 363.71
td6.Mw�unenh lYltlftlS b.p7AtMS !0&16 } � 6TA4ri3 1 :id
� fAD. SswqrtA TJwriOdittlSb07+1!!!t3 30.51 �OY.B4wr Jun� ON1tMab0Tqi/7J 9p.99
11b.
i ri. 411.
172. 41R.
17B.6ia�sA1110uM� iM6 1$7.6/8.ifl 490.9f9MAeY0MMOWtO�I 18l.9BD26
24i. or 9G00.0D !. �
202.A i Ofnw 171971.00 b /r00 1171L1.00
. EaNlf � b 501. b
t6i. 50t. flM
265.
EOE. l06.
FGt. dW.M
tM.
IQ4. SeMrbsiN 437Q.G0 4E70.OD
210. C own b 6Y0. nr b
tlt. CanHT�aqt ��. � ti. Tap M
273. AsMSnneM� b 517.ANManmh b
218 613.
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DNI5tO(lWfAlt!!R#5lOR�Ytt18TOOIu BOROWYI"! SNMI'�
i71.S 8 150.00 ro Re/Maz 1s1 Advan e Funea tl Fwa�Nt
St2.y b.fi55.0o tc C.oklweU Bani�Homestaad Group � S�krt�nt
U3.Cammissian peb ai aettlemaN �7
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oo.�u�a5lraUN 4f�rg�n�u on.,. .�"F':wn� � �:�i�.4.:,..;:.,, .�rK s.�:'�, +.. ,
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�Oi.Oal Intens�cFa fiom OBItOli3 b 67q1/1'J 21�J b.907'700 (iFE�17 33y.Y/
02.Mo aga imwana qemium for maMN W Ewib�M (fmm OFf i7} 2,92121
03.Homeow�arxinaurancetor tA tc ENCOMPASS (M1mmGFEitt 636.DD
M. /rom GFE Y11
U5. GFEitt
Y . !
bW�i�4 torY�ucrow�ocaunt �'a,{(romt#E�� 3tt.86
� d72.Mdneowner'ainarance 3.U00 moMM S 62.Y2 monlh S 7Sl.76
(103.M ineixc�e monW mo�61t
064.Pm itxp i 368.73
Cilvlrown 7a»s 5.000 nwnlhs 16. maNlr
sawm T.xe. z.aoo ta.sw ,nwxn
counryiaxna b.WO mpnlM S 97.l9 r nwnN
COS. i
OW. monu+s F riwnih i -
007.A ale A3 wfinenf mpntAs S r monih f �E5.E3
We. i
009. S Y
�... .Q . b`'� � ti h } y{3:"1,i N 'tite }�:`Yd^.-
101.T�s aarvkws ud hntleYS tlUS kruonw �flFE 4�T6t,68
702.SsklNment o�dml N�
� 103.drtietsB7MinauntrcebQid NWO�WITIYSkn.CO. (tromGfEtb 85.60
164.LsnUeYe lqN kuunnm b UM NWon�I7NY Im.Co. i 1.lM•'A
105.Lantlafa IqN timR S tTt 6T4,00
�� i08.Ownata�lie Nmft S tE8500.00
147. e�Ya oMon at IaW dIM Irounnw r�mN�m to�MMnd i 1�.86
t�.Undervrtibts INmMid9�Nuu+anoe �OW tYBon�i'fWM�.Co. 6 316.Cd
10B.CW1 Pralsctionlstlsr �o Okl IMWmITNNImWYna 76.00
�1M. Fee W MnbWNNr i t8.08
��1i1.7axGnXk�lion lo RM7d��FCannrorcNlAWh�rA Iro. S 10.00
.1tY.DesdP atlon b 8#muMAndss, 75AU
1719.
j ' "='d.S' .� av�.1-::, ,, i y,�...,�
1201.C,ovMabM b CiMIRsIMnd R'eold�iWDNd�'� UREt/ �15lAO
1442.Dssd 67.00 87.00 OtlMr
�. iI43.TntuNrtcaas 6c Cum6e�Ylnd MopN�r�{SSWt t#E� 1865.W
''.. �2114. n lawhMm it!l6.00�
'� 206.�aM 18lS.a0 � t EE4.U0
206.
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ISQ2.FbaiCS�bn to EYktsnAxSMVk�a i S6.d6
130.9.GaMN Rs in to PN1kY 84M 8 f 970.00
IJ04.Sswer CaAXkNivn fae b EW HMMlom T f 70.6�
i]06. S
. . . . . .. ., ;. ,. , .: ,.,:. ,. �;,': , i`': �. .,;�: : s . :. .f�:
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e�.pryqp.�aw.wnnt n..piwqwr rwwrap.qaw a.m�pYw wpyap.w:a aa
4CommercYl AMlnd,I�w.,6slMSmsn1 Ap�M
CArlifw0 b�e a true copy.
I✓ ' Y
P1ps 2 d'3 HU0.1
(BqADY,JOROAN.PFd13107•Wbl16)
-_ _
C,omprlaon of�Faieh Estimate(GFE)�ntl HUD-1 Chng�a Good FaiN EW m�te HUD-1
Charge�That Crnnot Incrense HUD-1 liM NumMt
4oro' Maiionchcrge •80f 2,823.58 2,823.58
Vaur uatlit or chprpa nints)iar Ihe f cific reta cl�paen �902 .1,573 56 �1,573.38
Yow 'vsietl OrigureHOn cha Cs #!03 1,250.00 1.25G.p0
Trenster taxes N12�1 1,885.00 1,BB6,00
CNrpM Thrt in Tobl Cannat IncreNe Mmtl t�an i%G Good Faltn E�tlm�tq HUC1-1
G9'umltM�rGCqlding ChdigG3 �1201 152.Oa 458.4D
Appraual�ee F Bb� .1Y5.00 3BCI.00
Taxwrvice M806 7f.00 74.W
Mo�ipcOm�nsurorvco Promium �COY 2,32421 2,924.21
Fbad Cerlil�utlan 11902 15.50 18.5Q
� TdN 2.990.71 2.88171
IPOMNWMN14t3FEYM}WDtC�ftyM { -24.Oaw -0A7
Chtryn ThN Can ChMya Gootl Radh 6stlmale MUO-t
b�ItWtlµwaR(orYawescrawaccount 11081 2,7M.98 277.88
� briy iMerost d�aryea t 8C1 i 15.i01740M.y 477.p! 331.94
FlomevAneta Msararrcw !9W 720.06 835.6D
TNk wrvlces and bnErofo ti1N iruunnce �1101 1,880.00 7,7&.60
Ow�pts t#ie Mwra`+ce ic Oitl RepubRC NetionN tllk im.Co, /t t83 85.00 85.40
-4ran Terms
Vour InMi�l Iwn�mount Is S 171,Y7�.OU
Your ban tarm b 30.U6yNn
Yaur inpiai Mbrxt qb k 3.3760%
YPUrinX4lmoMhyunouMmwdWtD„�W6��hn��and iT80.3YMdu0��
aM��6N�imwranct b � P�Indp�i
+� IM*n�t
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chugs wW be on_._mtl c,n tlM�ps pN^wery_montM aMr
. Ewry tlf��6p,y�lr N�tt il��M�m�W or tlluaus
by %. Owr tll�MN of tle bm,Ywrt InExe�t Me M pu�nMMd
to nnwt W Iw�rpwf %a'�qhsr tlMn %.
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tlIN M_.y��fl tln_
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younaM.
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MrvG�i�Imsrat�am mampil imunmis�M�ny M�ms Nwted wbw:
7�J PiWbMY� � Nom�aw'rf'sinauwnte
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Pp�9 0l3 HUO-t
(BRADY.JC7ROAN.PFW59104-0ESie)
HUD-1 Attachment
8ormwe�{�}:JbNan M.6rady Sattsi(s): Eat�e W Fn9nk Howerd
7345 Manor prive 524 Falrvray Drive
liarrirbutg,PR 4T112 Camp N'd'i,PA 1T011
t�nifrr:EvMpank
Sedd�minR Ay�t:RaNdentiel•Commbrcial Abstract,Inc. �
{717j901-89?B
w.a or SHtl�m�t:3821 NoM Front Street
tiartisburg,PA 47110
gNtNmant W4:June 70,2013
Property locatlan:52A Faitwey Drive
Cemp Hill,PA 170i 1
C�m6xte�Gw�rty�Pennsyh+an€a
AddiNonrt Adjustrnsnb For Itams Pald By SsINr In Adv�nar(Borrowsr DaWt)
prcriotlpn Mwurrt FrolnRhrouuh ProMW Amount
Sewer{ApriUNiay/JUne) 138.00 04/01M3 thmuyh08/3W73 30.33
Tattl L�n�tU81�Op 30.33
AdJustsd Q�Charpe D�11s
����
Originetbn Cllarge 2,823.58
ta E}+erbmK
Tahl 5 2.&49.58
oriblrwtlan CrodMlChar��polnb)ror ths�pscNk Mbiwt nb chwsn
Credff/Ch�ge -1,573.58
to Evierbank
Taql f -1.573.58
Adju�tetl ONyln�tlen Ch�rya t� 1,2BO.00
Raervu D�posibd witlt Lendsr
Haneownera Ineu� ' '158.76
� 3.000 at 52.92 per rrronth
CityRown 7:xea 79.80
5.000 at 15.92 per montlt
Sdmai Tsu�es 329.9�
2.000 et 1@A.98 per month
CouMy Twros 198.15
, 6.OIX1 et 87.&3 per montlt �
�� Agpregate AdJualmont �466.83
at per tttonth
7atd ; 2T1.N
Titls SawiaM Mnd l.�rM�e"s Tkk I�qurance DaUlls BORRONIER SELLER
Gouriar Fee 24.�Q
to ReaWentiai-Canmeroiel Abstract,Inc.
Notery F� 20.00
ro Reqidentlrl-Commsrchl Absb�ct,Inc.
DaCUi�ent DowhloW Fae 25.06
ta Reeldentie4Commeroial AbstraG,Ine.
wMM�NO: RMa �iqA�p�m�knaMnpy�mMhW�Iwn�nuMtlwUMbdWWwtliNauy:rknNUhmn. P4�WIW Wnnwmk4onun
fneluMafNwuW�A t�we.a�s.,.r: r�tsu.s.waa.auvnamta�ekum»wa.
(BRADY.J6R6AN.PFOf13iQY-098H6}
� � NUi7-1 Aq�eirm�ett- CanUnuW
Lendera tide insuron� 1,644.50
to Oltl Repu6lic Natbn�l Title�na.Co.
Closing Protedion Letter 75.00
to OW RepuWk Natlenal Title insurer�CcmpanY
Tohl t 1.7N.60 i 0.00
OwnsYa 7We imunnu - BORRi3WER SEtLBR
Ownera PoNcy Premium 86.00
to OW Republic NeNonol Title Ina.Co.
Tohl # 86A0 f 0.00
Ze�dsrs f3d4 r����'��cg @ORRQNfER SELLER
•rw�ro�na�,�.uov.m r�n.a«viw.na y�na.rM tm.wm.nu o.uYs
Lendefa PoBqY RremWm 1,28p.00
W Oid RepWNic Natlonai F(tb ine.Ca.
Lendars Endoroament Chargen 3B4.SQ
Er�rsemMt Endonemsnt CF�ftge
PA Entlorsernent i00(Rutrk�ons) W.00
PA Entlota�ment 9flQ(SutveY} 50.00
PA Endpnement 1100(W�NM of Afbitrefipn) 100,p0
ACTA Endcrsemant Form 8.1{Envkonment�Prptedion 50.06
Lien)
ALTA EtWOnement Form 9(Reslriclions, 134.5D �
Encroa�hmmris,Min.}
T�i � 9,iN.6o i 6.ctl
1 have corelulty reviewvstl tha HUD-t SMtlwnant ShMmdnt and to tlrs best of my krwMAedye and belief,k k e Ws eM
aawrab�nt of ad1 reqeiPts utd ta rta�is at my a�M cr by rro in iMs hanasctifun. I further certiFy
that 1 have recaWeC a copy af the HU0.1 SMIkmeM SroMmeM,
`�"'� Eah t'd 'y
■n M.8redy �
B
J.P
WApNNiO: M 1.a C�•b ImoMnply mMM hW�b IM UrdMdltMU on MM o�a�y�NnIYw Mrm. PupI1M�upen conWOdon nn
fndutl��An��ntlMnOrNaNw�R RorANNNw: 7MM4lU.l.COtl►D�etlonl9M�q�qle�t1f10.
{BkADY,.I6RD1iN.PFOtiSi0Y�0!ltiby
Estate of Howard, Frenk W.
File No. 21-12-00556
ATfACHMfMT B
GOSTS tNCURRED IN SALE OF REAL ESTATE
i. Sales commission paid to Remax First Advantage and Coldweli $11,800,00
Banker Nomesiead 6roup
2. Realty transfer tax $1 gg$.p�
3. P€nkas Baild�ng and fto�ng{repa+rs requlred for settlement} $3�d.Od
4. Samuel L. Andes,Attorney-at-Law(deed preparation) 7 .00
Totel $14,130.UQ