HomeMy WebLinkAbout11-18-13 (2) � 1505610�40
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PA Q�rtn�t of Rw�M'W�s 0l�RCM4tt�E 0lN.Y_r,._._�_____
eurow of lndividua�Tsxes lI�iERtTANCE TAX RETURN �caods Yeeir �t�r
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oeo�rt's tiiat I�ne 3uM6c Qecedet�'s Fi�t Name M�
H O C H R U T H M
pf AppNctbl�j En�er 8wvhr�8pouN's�an�at BNow
Spo�nsti Lqt Name SufPoc Spows's Firat Narr� Allt
8pwNSy 8oc�1 Sswifly Ntwnbsr
THI8 RETURN MUBT B�FIIED IN DUPLICATE WITH THE
REC3iSTER OF WILLS
Fq.l.MI APPR!lPRIATE OVAL�B�.CW
(� t.Ori�h�Return [] 2.Supplerr�ental Retum [] 3.R�nrla�drr Req�(Os�o�D�h
Prior b 12-13-��
� 4.Lirni�d E�ta�s [� 4t.Fulure it�lerost Compt�omi:e{d�s of [� 5.Fedetal Eshle Tax R�unn Requirod
de�h�dbet 12-12-a2)
� 6.DsosdeM DMd Tistaa ❑ 7.D�d�M Illls�d a LHfny T�nt � &Toal Nun�er af 8afs Depo�it 800ns
{�►�h Copy of iN� tAt�c�Cop!►d Tru�t.)
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S�fATUf� �R !tE'1VR1�1 D�ATE
A001lE88
572 CHURCH STREET �,MT-J4Y,_____�,,, . PA 17552
81GNA7'IJ!!E 01�PREPARER OTHlR TtMN REPRESENTA7NE QATE
y0 EAST HIGH STREET CARLISLE PA 1�[113
._...� ..�...__.._�
PL�A�E tlQE OIqOM1At.FORM O�Y
Sid�1
� b5056b014D 150565014�
� 1505610240
REV-1500 EX(FI)
DecedenYs Social Security Number
DecedenYs Name: R U T H M• H 0 C H
RECAPITULATION
�. Real Estate(Schedule A) .............. ............ ..... ..... ... ... . �. 1 2 8 0 0 0 . 0 0
2. Stocks and Bonds(Schedule B) ..... .. ...... ... .......... ..... ... .. . . 2. 0 . 0 0
3. Closely Held Corporation,Partnership or Sole-Proprieto�ship(Schedule C) ..... 3. •
4. Mortgages and Notes Receivable(Schedule D) ....... ..... ..... ... ... ... 4. •
5. Cash,Bank De osits and Misceilaneous Pe�sonai Pro e 8 1 7 8 . 4 7
p p rty(Schedule E). ... ... 5.
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . ... ... 6. 1 1 5 9 9 . 5 2
7. Inter-Vivos Transfers&Miscellaneous N�p;Probate Property
(Schedule G) U Separate Billing Requested . ... ... 7. 0 . 0 0
8. Total Gross Assets(total Lines 1 through 7) ........ ..... ... .. ... ... ... 8. 1 4 ? 7 7 7 . 9 9
9. Funeral Ex nses and Administrative Costs Schedule H 9. 3 5 8 2 9 . 9 5
p� ( ) . . .... . . ..... . . . . .
10. Debts of Decedent,Mort a e Liabilities,and Liens Schedule I 10. 5 7 6 2 2 . 7 2
9 9 ( ) . . ... ... ... ..
11. Total Deductions(total Lines 9 and 10) . .. .. .... . .... .... .... . ... ... .. 11. 9 3 4 5 2 . 6 �
12. Net Value of Estate(Line 8 minus Line 11) .... .... . .... ..... ... .... .. . 12. 5 4 3 2 5 . 3 2
13. Charitable and Govemmental Bequests/Sec 9113 T�usts for which
an etection to tax has not been made(Schedule J) .. ..... . .... ... ...... . 13. .
14. Net Yalue Subject to Tax(Line 12 minus Line 13) .................... .. 14. 5 4 3 2 5 . 3 2
TAX CALCULATION•SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfe�s under Sec.9116
(a)(1.2)X.0 0 . � � 15. � . 0 0
16. Amount of Line 14 taxable
at iineai rate x.oa5 5 4 3 2 5 . 3 2 �s. 2 4 4 4 . 6 4
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 0 0 17. 0 . 0 0
18. Amount of Line 14 taxable
at collateral rate X.15 0 • � � 1 g. � • � 0
19. TAX DUE .. .... ........ .. ........ ... ...... . ..... ..... ... ....... 19. 2 4 4 4 • 6 4
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT OX
Side 2
� 1505610240 1505610240 �
REV-1500 EX(FI) Page 3 File Number
Decedent's Compiete Address: 2i i3 a23
DECEDENTS NAME
RUTH M.HOCH
STREET ADDRESS
3 PIN OAK LANE
CITY STATE ZIP
SHIPPENSBURG PA 17257
Tax Payments and Credits:
�• Tax Due(Page 2,Line 19) (1) 2,444.64
2. CreditslPayments
A.Prior Payments
B.Discount
Total Credits(A+6) (2) 0.00
3. Interest
(3)
4. If Line 2 is greater than Line 1+Line 3,enter the difference.This is the OVERPAYMENT.
Fill in ovai on Page 2,Line 20 to request a refund. (4) 0.00
5. If Line 1+Line 3 is greater than Line 2,enter the diffe�ence.This is the TAX DUE. (5) 2,444.64
Make check payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred ...................................................................... ❑ �
b. retain the right to designate who shall use the property transferred or its income ............................... ❑ �
c. retain a reversionary interest ..................................................................................................... ❑ 0
d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ (�
2. If death axurred after December 12,1982,did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... ❑ 0
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
contains a beneficiary designation?.................................................................................................. ❑ 0
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 suroiving 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)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 retum 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 p2 P.s.§9116(a)(1)).
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
REV-1502 EX+(12-12)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT D�CEDENT
ESTATE OF: FILE NUMBER:
RUTH M.HOCH 21 13 423
All real property owned aolely 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-ovmed 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. Real estate located at 3 Pin Oak Lane,Shippensburg,Southhampton Twp.Cumberland County, 128,000.00
known as Tax Parcel No.36-35-2385-008&being described in Deed dated S/23/98 and being
recorded in Cumberland Co.,Deed Book "J",Vo133,Page 318,and being conveyed to Ruth M.
Hoch,widow,Decedent herein. Value is actual sale value. See attached Settlement Statement.
TOTAL(Also enter on Line 1,Recapitulation.) s 128 000.00
If more space is needed,use additional sheets of paper of the same size.
REV-1508 EX+(08-12)
pennsylvania SCHEDULE E
D�PARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN
RESIDENT pECEDENT PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
RUTH M.HOCH 21 13 423
Inciude the proceeds of litigation and the date the proceeds were received by the estate.
Ali p�operty jointiy owned with right of survivorship must be disciosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Guberman Companies,Inc.,Comfort Keepers, refund 166.25
2. Allstate,car insurance refund 18.38
3. Century Link,refund 9.87
4. Property Tax Rebate 750.00
5. Dan Hershey Auction Service,proceeds from sale of household property 679.57
6. Allstate,homeower's insurance refund 146.31
7. 200 Chevrolet Cavalier,sale proceeds 5,000.00
8. Rea.l estate t�es, proration 1,408.09
TOTAL(Also enter on Line 5,Recapitulation) a 8 178.47
If more space is needed,use additional sheets of paper of the same size.
REV-1509 EX+(01-10)
pennsylvania SCHEDULE F
DEPARTMENT OF REVENUE JOINTLY•OWNED PR�PERTY �
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
RUTH M.HOCH 21 13 423
If an asset was made jointly owned within one year of the decedent's date of death,it must be reported on Schedule G.
SURVIVING JOINT TENANT(Sj NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A.Robin A.Rieck 572 Church Street Daughter
Mt.Joy,PA 17552
B.
C.
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERN %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENTS VALUE OF
NUMBER TENANT JOINT IDENT�FYING NUMBER.ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST
1. A. 11/2006 M&T Bank checking 97300396 23,199.04 50. 11,599.52
TOTAL(Also enter on Line 6,Recapitulation) t 11 599.52
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+(10-09)
pennsylvania . SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
RUTH M.HOCH 21 13 423
DecedenYs debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Folgelsanger Bricker Funeral Home,Shippensburg,PA 9,861.40
2. Spring Hill Cemetery,grave opening 750.00
3. Funeral reception and dinner 703.90
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Pe�sonal Representative(s)
Street Address
City State ZIP
Year(s)Commission Paid:
2, Attomey Fee.s: Martson Law Offices 2,500.00
3. Family Exemption:(If decedenYs address is not the same as claimanYs,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. pro����: Cumberland County Register of Wills 233.50
5 Acxountant Fees:
6. Tax Retum P�eparer Fees:
7. Additional Probate fee 125.00
8. Christine Pauley,reimbursement of estate administration expenses 1,713.36
9. Robin Riech,reimbursement of estate administration expenses 1,155.26
10 2013 School Tax 1,455.93
11. 2013 County Real Estate Tax 460.66
12. Cumberland Franklin Joint Municipal Authority,sewer service pending sale of real estate 110.25
13. Shippensburg Borough,trash/water service pending sale of real estate 79.30
14. Allstate,vehicle insurance pending sale . 196.10
15. Vehicle inspection fee,pending sale 44.52
16. Mr,Hotshine, cleaning vehicle pending sale 39.21
17. Postage 19.95
18. Penelac,electric service ending sale of real estate 143.66
TOTAI(Also enter on Line 9,Recapitulation) S 35 829.95
If more space is needed,use additional sheets of paper of the same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
RUTH M. HOCH 21 13 423
Decedent's Name Page 7 File Number
Schedule H -Funeral Expenses&Administrative Costs-B7.
ITEM
NUMBER DESCRIPTION AMOUNT
19. Service Line Warranties,pending sale of real estate 16.50
20. Tony Bauseman,home repairs pending sale of real estate 1,000.00
21. Reese's Plumbing&Heating,furnace maintenance pending sale of real estate 93.50
22. Home Depot,supplies for home repair pending sale of real estate 112.71
23. Lanta Construction,home repairs pending sale of real estate 650.00
24. Cumberland County Landfill,trash disposal fees 63.17
25. Sailhammer Real Estate,commission 3,200.00
26. ReMax Realty Agency,Inc.,commission 3,200.00
27. 1%Realty Transfer Tax 1,280.00
28. Thomas Gleason,Deed preparation 120.00
29. Shippensburg Borough,final trash/water bill 46.33
30. Cumberland Franklin Joint Municipal Authority,final sewer bill 55.74
31. Seller paid closing costs 6,400.00
SUBTOTAL SCHEDULE H-B7 16,237.95
REV-1572 EX+(12-12)
pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCETAXRETURN MORTGAGE LIABILITIES&LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
RUTH M.HOCH 21 13 423
Report debta incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expensea.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Wells Fargo,line of credit payoff 56,262.80
(See Settlement Statement)
2. M&T Bank Visa credit care**** **** **** 1899,account payable 228.43
3. Service Line Warranties,account payable 5.50
4. Moravian Manor,account payable 663.47
5. Williams Apothecary,account payable 85.57
6. Northwest EMS,account payable 115.00
7. Cumberland Franklin Joint Municipal Authority,account payable 105.00
8. HCR Manor Care,account payable 19.00
9. Century Link,account payable 39.87
10. Allstate,vehicle insurance,account payable 98.08
TOTAL(Also enter on Une 10,Recapitulation) S 57 622.72
If more space is needed,insert additionai sheets of the same size.
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
RUTH M.HOCH 21 13 423
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 [Indude out n'ght spousal distributions and transfers under
Sec.91'�6(a)(1.2).]
1. Robin A.Rieck Lineal 27,162.66
572 Church Street
Mt.Joy,PA 17552
2. Christine A.Pauley Lineal 27,162.66
127 Poplar Drive
Morgantown,WV 26505
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.
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
1.
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. s
If more space is needed,use additional sheets of paper of the same size.
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TKIS D�BD
� !lADE � a 3 r� da� o! � ia tb� r��: ot oas�Losd on� thou�and
:;!� Di�s 6uads�d �tiht�-sisbt (1986) �
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".� a� JOlCE t. EEAT?ZB. �ia=Z� xooan, o! 2s3 ih2nat 8tr��e, 8hipp�n�l�ur=,
�� P�nasrlvaaia, her�Lufter calied th� arantos�
;�
.w �
„� � WlT� M• �lOQt. Midar aad dagl� vo�aa. ot 3 pin Oalc Ls�. .
w SbiAP���rr, Paansylvani�t, h�rsiaaf tar ca],1�d eb� Grarit�a, ;
i�R1'D1EaSETH, tbat fo�.and ia cou�id�rattou ot th� aus of O�fE DpLLAA (=l.pp)• i�' . .
hasd psid, tlw rec�ipt vh�r�ot is bassby ackao�►led •d th� �
S . said Grantos dota hsr�by � ,
tr� �nd �onv�. ia te� siap2e. to th� aaid Gr:ats�, bes h�iss and sa�iaaa, � � •
Ai.L tbs follorius parc�l ot sround •itnat� in Shipp�tubnsa Tornship, Cwabsz2�etd � ',
Couat7►, r�onsylvsaia. baunded and describ�d a• follo�n, to rit: '
B&iI�liINO at an isop pin ae tht North�rn edg� ot Pin O�ic LaM at Lot 1io. 1; . � � �
th�s►c� aloas Lot No. 1, Nortb tort�-evo (42) degrees tifty-two (52) rtnut�� N�st . �
ons huadrsd tbirtr (130 test to an iron pin; tDeac� alons Iaada no�► or ,
torurl� oi Calea �$p�s, North forty-oae {�1) degrees tMO (OZ) sinutea East on� .
h��dr�d tn�atl►-�e�►�n aeW tiv�-t�nth� (127.5) le�t to a pointi thenc� throagh
Lot lio. 19 South lorty-tvo (42) d�`r�ea filty-tvo (52) 'iaute� L►ast one hund�nd
thirty� (130) f�et to a poiat at Pio Oalc Len�= theAC� �lon� Pin Oak Lane, South '
forty-ona (41) d��re�s t�ro {pZ) ��tet West one� handred twenty-aev�a and '
fivs-t.nths (127.S) leet to th� iron piA at th� placa of BECI1�tI1lG. Zt b�ins E, '
Lot 1[0. Z1 and th� Western half of Lot No. 19 in Nou�saia Viw Additton. �
accordin� to surv�� o! John EI. McCiellan, B.B.. dated April 19, 1962. aad
� recordsd ia CuRberland Cout�ty pe�d Book 16, at P:ge 28.
�HAVING �rscted ther�on a dwellix�s boase kao�n aa 3 Pi�a O�k Lana.
EEIN6 tha aase vhicb Jo�ca L. 3eattia, by her deed dat�d Daceabsr 17. 198�. u�d
recorded in Cw�erlaad Cotiaty Daed Book "C", oolums 33, at Pa�� S3, coav�yed to
xueb K. Hoch. •
TBI� IS A CO1tRECTIV$ DEED II�PPEetDBD TO C41tRE�? THE PRBVIOUB DEED WHEREIlt T8E TOW118NIP � . .
LOC�A?I0�1 OF T�8 1tEAL ESTATE W►S I�ICdR1t8CTLY STATED AS SWRFIAHPTON 1�1l�)SHIP. A CtW�iGB ' :
IN YOidNB}IIP DEBIGNATIOl1 OP TIiE �ROPBxTY OCCOgJtEp iJ�EDi TliE gpU�iD� LID1E BETW88N
SO11TltAi�T�i TOW�tS}IIP A�D SHIPPENSBUR(; lOWN$HIP WA$ ESTABLIS�lID BY Alf QRDBA OF COUIlT
DATTm11 J11KE 24, 1980;ANp Et8p0AT 0! C�iISSIOIiER DATED lIAACH 13� 1980. SAID 011DBR ADiD �
�AZ �nIN� BBEN EIiTE1tLD TO li0. 4601 CZVIL 1987, IN THE CAUH? OZ COl�II�IOI� PLEAS OF'
Co!lB��I.AivD COUNTT, PBetNtsY[.vA1tL►. �OOC 5� PA;:c" 3i�
M/►MK•M�[IOL[A►'�D PERKINS�ATTORf�V3 AT LAW-'ttS lfAST KMKi fTRELT-SMIPPENS�UIIp,pA.17ZS7
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. 1'his conveyanc�.is �ads and acaspt�d,sub�ect to th� foilarin= r�stsictiv� coran�acs,
rhich ar• uu�d� p�rt oE ch� cor�idarstioa of this copv�yanc�� aad phick� iC i� a�tr��d�
mgy b� �a�occed it�inat tha Cr�tnt��, h�r hairs �nd a�tigas i• h�r�laaie�r.yrovid�d,
eo atc:
R�srxicr�oxs
!. No lot ahall be us�d. except for ra4ideneial purpo�es. �nd ao buildin` shall b•
erscted. altared� placed or por�itted to resain on any lot .othit than on� (1)
d�tached, ei.ngle fasily dveiling honse, aot to �xcesd tvo and,ope-half �(2 � stosiss
ir h�ight, and. s private garsge. not larger than nacesaary to accomsodatt t�o (2)
paaaeng�r type sutamobile�. � .
2. No dwalliag hoas� coatiag laos thun =13,500.OQ (thirteen thous�nd� fiv� hundred)
inclndi� the price ot tha lot aha12 be erectsd or peraitted to ss�in oc aeyr lot.
3. No building, pert of a buildia�, porch or otbeY �tructur�,�bs12�b� built oa any
lot clos�r to tha center o� O1d Saltiaor� Road thsa 50 feet. t�o buildi�a�, part oi a
' twi2ding� porcb or aay qRhec atructure shail b� bvilt on any lot closet to�tlu aida
. of Pin Oak Laae than 60 (sixty) fe�t. '. '
4. No butlding. part of a buiidin�, porch or oth�r etructure ohall b� Ituilt on a�r
lot nearer than I5 (tiftaen) f�et to �n interior lot lia�. .
S. A lot and one-aai! ahall be conaidartd ona lot aa to th� h�raiAbetore-�oentioned
sestrictiana.
6. ?here is reserved fos the benefit of each lot an �asesent and tisht of passa=e 15
� • � (fifte�a) feet wid� alotns tbe rear of lots �lectric, telephona, gsa. wstes and ott��e
utilit�r liee� end for th�ir aaintenaace. �
i
7. No sfgn of �ny kind ahall be diaplayed to tt�a public visv on �ny lot axcept that ;
on any lot oa� psof�s,eions2 sign not l�trgar thaa one'(1) aquar� foot io anr sis• �yr �
ba ar�cted or dis�layed and ahould th� proparty b� for sale or for rent oa� sip� o�
not mor� ehan 2 (tan) aqusre feet in sise ,�ay bs •r�cted and diaplayed advesti�in� �
that the prop�rty 1s for eal• or for rent� but thia restriction ahall not be
conatrusd to prev�at the eraction and display�o! sigas used by a L�uild�s to sdv�rtis�
th� propert�► daring ths conatraction aad a�les period.
8. No aaioela. livsutock, or poultry of atay kind shall b• raiaed, bsad or kept apon
any lot� sxeept thae dogs, cats or other household pat� �ay be kept„ pravidad tbat
they ars not kept, bred or msintainad for aay co�escisl putpose.
9. No lot shsll be used or msintained as a dusping ssonnd for rubbiah. aad no tr�sb,
garbag� or otl��r vut• �aterial shall b� kept upon tlu lot, ssc�pt ta�porasilr in
saaitary coeteinsrs. and a11 incinarator� or othar �quip�ant for th� atora�s aad
' di�pos�l of such wat�rial siull be kept ia a clean aad sanitasy condition�.
Aad th� said Grantos har�b� covanaat• and agree� th+�t alu xill vasraat =�n�s�lly
tb� prop�rly htr�by coav�y�d. � �
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OMB Approval No.2502-0265
s�• �� A. Settlement Statement (HUD-1) �
�s,,w . ��wat;�a 1 FINAL
.
1.�FHA 2.[]RHS 3.Q Conv.Unins. 8.File Number: 7.Loan Number. 8.Mortgage Insurance Case Number:
CTA1508 77004038.91 446-1848431703
4.Q VA 5.Q Conv.ins.
C.Nots:Thia form Is tumishad to giva you a statement of actuat setWment cosb.Amounts paid to and by ths settkment a�sMs are shown Items marked
"(p.o.c)"wero paW outaide the dosin�they aro shoWm haro for informatbnal purposes and aro not inciuded in ttie totais.
D.Name&Address of Borrower: E.Name&Address of Seller: F.Name 8 Address of Lender:
Olivia A.Leber,Garrett J.Lear Ruth M.Hoch,by Rob�A Rtedc,Executi�x,Ruth M. Matgage Netwalc,inc.,dlb/a MNET Mortgag
110i5 Deerfieid Commons,Shippensbu�g,PA 17257 Hoch,by Chris�ne A.Pauley,Executkx 300 Rosewood Drive,D�vers,MA 01923
3 Pin Oak L�e,Shippensburg,PA 17257
G.Praperty Locatiorr H.Settlement Ager� I.Setdsment Date:08/23i2013
3 Pin Oak Lane Franklin Re�Est�e Svcs&Abst Co.,Inc Disbursement Date:08/23/2013
Shippensburg,PA 1T257 273 Wcoln Way Ea�t,Chambersbutg,PA 17Z01
Shippensburg Township
717-264-3290
Piace of Setdement TiUe reaa
273 Lincdn Way East,Chambersbu�g,PA 17201 Print�08/23/2013 at 1:46 pm
by JLF
.
100. G�s AnwuM Dw fr�om BoROwrr ;. '400. Or�t AnauM��D S�.
101. Coniract 5alee pr�e 128.000. 1. ConKact saNa price 128,000.
102. Personal 402. Personad
103. Settlertlent ch�ges to borrOwet(line 1400) 7,468.64 403.
104. 404.
105. 405.
Ad uatmenb for itena selier in edvance Ad u�rnenb for iwa� sNi�tn�nc�
106. Ciry�own taxes ro 408. Citynown taxes to
107. County taxea 08/23@013 to 12/31/2013 163.57 40T. Count�r tazea 08lxi/2013 to 1?J3ti2Q13 163.57
108. Assessments b 408. Assessmen� to
109. Schod taxes OBI23J2013 to O6I301Z014 1,244.52 409. Sc�iooi taxes 08/231�13 b 06/3Q/2014 1,244.52
110. 410.
111. 411.
112. 412.
120. 131ost Amount Due front Borrowu 136,8T6.73 4Z0. 6ro�s Arrlount Dw Eo Seller 1T9�40s.�
200. Amowd�Paid or in Beh�M of Bonower !i00: Reducdaa.In An�au�t Qw to.8�
1. a�monep 1, . 1. (� )
20Z. Pr�c�pal arriount of new loan(s) 125,681.00 502. Se�t b seper(1�ne 1400) 9,358.00
203. Exis' s taken su to 503. a taken to
204. 504. Payoff of t�st mortgage ban b Weils Fargo 56,262.80
2(�. 505. oi seoond loan
206. 506.
207. Sel�Paid Cbsing Costs 6,400.00 507. S�ler Paid Cbsing Costs 6,400.00
208. 50�. <
209. 509.
Ad ior it�ms un aid b seliar Ad u�tme�rtt tor ihms un aid seli�r
210. ity ta�ces to 510. CityAorm taxes to
211. County ta�ces to 511. County taoces b
212: Assessments to 512 Assessrt�ents to
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
249. 519.
220. TotN P�kl r Borrorrer
133�081.OQ 520. Tobl Raductton AmauM Dw SNIu 72,020.80
300. C�h�t SMtlement iromfto Borrower 600. Cash d S�fle�rant bolfrom S�r
301. Gross�nt due from borrower(qne 120) 136�876.73 �, Gross arriount due to se�er(Ib�e 42� 129�408.09
302. Le�s amounts pafd bY�Or borrower(Une 220) 133,061.00 G02. Less reduc�iona in�nouot due se�(�ne 5Z0) 72,020.80
303. Cash Q From ❑To 8orrower 3,�.� 603. Cash �To ❑ From Se�Nu' S7,387.29
uaa roa�wr.a r .anwwr•wd ow oo�wa nunww.►+o�r+•w�r.at u�r awa�w r�nrma�y.n�r r a.ra�.a p p+v�.�n.v�a.net��av«w�w�are. Mra■rrn M.wir.n�w
a�
Previous editions are obsolete Page i o 4 HUD-1
��� � �
ToO. Total RaI Es�b BrokerFeea S 6, . Paid From Paid From
Divisbn�vommission Une 700 as fdiows: Borrowe�'s Sel ler's
701. �Zpp.pp ta Saimamer Real Estate Funds at Funds at
7 2• �3 2pp.pp to ReMa�c Realry Agency,tnc. Settlement Settlement
703. Comrnisaion paid at settlernent 6� •�
8�. Iterra in Camsdion with Loan .
�1. Ow originaUon charge (lodudes ' Point O.00�i6 a 30.00) $550.00 (fram GFE#1)
802. Yau cxe�t a cha�ge(pdr�I ia the spe�fic int�est rate chosen S (irom GFE#2)
803. Yau adjusted originadon chargea (from GFE A) . 550.00
804. App�sal fee to Brk;ker A Services (fran #3) 440.
805. Cre�t repat to 8icchwood Credit Inc. (from GFE#3) 120.00
806. Tax service to from GFE#3
807. Flood c�tificatlon to LPS National Flood (from GFE#3) 10.00
808. Final it�apedion to Bridcer sal Servives (�� ) 1 .
809. FNMA LQI Upd�e to Bi�chwood Cre�t Servk�es Inc. (� E �
900. �aa t.mder bo b�PNd�t Adv�nce _ ,: ,
1. D U�t' b (fram #'I ) 1 .
• �8e�P►'�� � monihs to t MIP FHA { �) ,1 .
903. s nsuranc� for 1 ears to Goodvpie lNutual Casu Cc. (from 1) 4 •
�4. �' months to
d
1001.Initl�depoeit for your escrow account (from GFE#9) 610.19
1002.Haneowne�'s insurance 3 rtwnths S 40.83/month 5122.49
1003.Mortgage insurance rtanths 138.06/month S
1004.County Property taxes 7 monihs i 38.76hrronth S2T1.32
1005.School Properly Taxs 3��s S 123.80Imonth 5371.4U
,00s.�� � m«►u,s o.oam«,�► a
1007.Aggregate A�ushnent 5-155.02
1100.Title C
1101. tle and lenders�tle lnsurance fran GFE�4 1,320.
11�2.Settlement a dosing fee to S
1103.Ownei's C�insurarx,e-Old Republic Nadonal Tide Ins.Co. from GFE�5 10.�
1104.lender's Utle insurance-Old Repub�c Na�nal Tide Ins.Co. $1,2.55.00
1105.Lenders Wle poi�r limit i125,681.00 l.enders Pdicy
1106.Owner's tltle pdicy limit i128,000.00 Owners Policy
1107.AgenCs portion�the btal tltle insucanoe premium 51,035.30
to Ftankl(n R�I Estate Svcs�Abst Co. Inc
1108.Underwriter'a pation of the total ti�ir�su�nce premium 5229.70
to Oid b�c Natlonal'fitle Ins.Co.
1109.Deed Prepara�ion io Thomas Gleason 120.00
1Y00.Gov�nnant RecadM and Tn�nahr Cha ee
1 Z01.Govemment recording charges S (irom GFE� 193.00
,zo2.oeed ss2.00 � �a.00 �ase a �
1203.Transfer ta�ces S (from GFE#8) 1,280.00
1204.CilylCounty tan/stamps Deed s1280.00 S
1205.State Taxlstamps Deed i1280.00 Mat 1,280.00
1206. Dead 3
1207.Parcel CertlfiCatiat Fae 330.00
1208.Record Assigment of Mortgage 527.00
13Q0.Additlonai Setdement Cha
1301.Required servioes th�yaa can shop for (tan GFE )
1302 �
1303. to
1304.Final Wate� � ��i � 46.
13�.Final Sewer to Cumt�land FrardcUn Jdnt Munid Aut .7
1 .2013 Sch txs pat 2385�008 � L Tax CaNecbot � 1' '
, . 9�338.OQ
'Paid outside of d�in9 bf►(B)orrawe��(S�er�(L�r�(�Mvesta�Bro(K�r•"Cre�t bY IetMer shown an page 1."'Cre�t by se�shown at page 1.
Previous editions are obsolete Page 2 of 4 - HUD-i
.
Com , of Oovd FWtlt Edimab GF and HUD�1 C _ �� ,:: : Q�oad FaM6 E:tlmat� HUa1
Cfi That C�ot 6�r�s� _ HUa1 Une Numb�r _,
Oiu �lon arge # 1. . .00 550.00
Your ae�t a (points)for,the speaflc inter�st rate dbsen � 802 . 0.00
Yout a�us�d arges #; 550.
Trans er taxes 1 1, .00 1, .00
Cha es That in Tot�l Cannot Increaae Il�ore Than 10'K <: Good F�ith Estlmate , HUD-1
mentreconding charges. # 120L 175.00 193.00
App�aisal _ .#<804 . 440. 440.00
Cre�t teport # 60.00 120.00
Fiood ce�tlficadon _ �807 1.00 10.00
Final InapecNon #808 0.00 100.00
FNMA LQI Update - :, '#809 25.00 25.
MoRgage aurance prernium � 2,161. 2,161.
tle s�viaes end lende�'s�tle inatuance � 1101 1,468. 1,20.00
� : � ��a .:. : . . :::. : . � .00
: . .. . ... . . . 4�379.60
4, .
24. 0.551096
C Th�Cm Ch�n e ; Good F�th;E�:: < ,: HUD�1 ,
Initlal your esaow acoount # 610.19
Da�ly in�est cha�ges _ � 1 ,> , 7. d . .
Homeowner'a inau�ance � 4 .
, # , ,
#
Loan Terms
Your ini�al loan amount is 5125,681.00
Yau loan t�m is 30.y�ra
Yau iniUal interest r�e b > 5.1250�6
Your initlal mon#hIy amount owed forP�incipal�iate�aat,'and anY mat9age 582238 indudes
insurance is �p�p�
XQ Interest
OX Matgage Insurance
Can your interesi rate rise� QX No. ❑Ya4,it cam rise to a ma�dmum of 9L.The flrat chan�
wili be on 1 I and can change again everY Ye�s after I l . Every change
date,frour intere.st rate can incxease a deaease by 96. Or�r the�fe of the lo��Yau
interest raEe is guaranteed to t�be lower than 96 or hf�ar than 9L.
Even if you m�ce payments on fimme,c�your loar►balance rise? XQ No. ❑Yes,it can rise to a maximum of= .
Even if you make payments on 8me,can your monihly amounf owed for QX No. ❑Yes,the flrst increase can be on I ! and tl�e rtanthly . �
prindpal,interest,and mortgage insurance�ise? amouM w�ed can rise to s .
The maximum it can ever rise to is S .
Does your loan have a prepayment penalty? [�X No. ❑Yes,your maximum prepayrt�t penalty is i .
Does y�r loan have a balloon paymentT QX No. ❑Yes,you have a baUoon payment of S due in
years on r r .
Totai monthly amount owed induding escxow axount payments ❑You do not have a monthly escrcw payrt�ent fa ite�,su�►as ProPe�tY ta�ces
_ ' and homeo+Nr�s insuranoe.You must pay theae items directly yauraeif.
: OX You have an additional monthiy escrow pa�nr�rtt of t203.�
that results in a total initial monthly artrount owed of i1,025.77.This inclt�es princ�pa�inte�est�at
mat9age insurance and any items chedced belaw.
_ XQ PropeRy taxes Q Homeowne�'s insurance
�Flood insurance ❑
❑ ❑
Note: If you have any quesfions about the Settlement Charges and Loan Terms listed on this fam,piease c�nntact your lender.
Previous editions are obsolete age 3 0 4 HUD-1
.. �
HUD CERT'IFfCAT10N OF BU1f�R ANa`$ELL�R
I have carofully reviewed the HUD-1 Settlement Statement and to the bsst of my knowbdye and bslisf,(t is a true and accurate statement of aQ roceipts and
disbucaemeMs macb on my acxount w by ms in thb transaction t turth�r c�rN(�r tl�at 1 luroe nc�siv�ed a copy o�ths HUa1 Sedkm�x�t StatsmeM.
.
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Olivia A.Leber Garrett J.Lear
p,.,�.,,�, � ��., ' •
Ruth .Hoch,by Robin .Riedc,Executirx Ruth M.Hoch,by Christlnne A.Pauley,Exea�c
The HUD-1 SettlemsM Staternent which 1 have propared ia a true and accuate acxount of this transactlon.l have ceussd or wid caus�the flu�s to bs
disburaed in accordance with this statement
3 (
S ENT DATE
WARNING:IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM.PENALTIES UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE TITLE 18:U.S.COOE SECTION 1001 AND SECTION 1010.
Previous editions are obsolete Page 4 0 4 HU�-1
• • •
Name of Borrower: Name of Seller: File Number:
Olivia A Leber Ruth M.Hoch,by Robin A.Rieck,Executi�x CTA1508
Garrett J.Lear Ruth M.Hoch,by Christine A.Pauley,Executirx
Prepared 081231Z013 at 1:46 pm
Note:This page displays an itemization of the adjusted origination charges shown in section 800 of the HUD-1 Settlement Statemen
This page accompanies but is not a part of the HUD-1 Settlement Statement if a discrepancy exists,the infonr�ation on the HUD-1
Settlement Statement applies.
Your Loan Orlginatlon Cha�gea Borrower Seller
801. Our originapon charge (Inctudes Origination Point 0.00096 a�0.00}
Origination Fee to Mort Neiwak,Inc.dlb/a M�s �•�
802. Your aedit a charge(points)fa the spedfic interest rate chosen
�o a o•oo
803. Yau adjusted ori�natlon charges 550.00 0.00
_. _ . �
Name of Botrower: Narr�of Seller: File Number:
Olivia A.Leber Ruth M.Hoch,by Robin A.Riedc,Executi�x CTA1508
Garrett J.Lear Ruth M.Hoch,by Christine A.Pauley,Executi�c
P 081Z3I2013 at 1:46
Note:This page displays an itemization of the charges shown on Ilne 1101 of the HUD-1 Settlem�nt StatemeM.This page
accompanies but is not a part of the HUD-1 Settlement Statementi If a discrepancy exists,the information on the HUD-1 SettlemeM
Statement appiies.
1100.Tffle Chargea Borrower Seikr
1101.rtle services and lendd's title insurance � 1, .00 0.00
Notary Fee to Bonita M.CrawFord s 20.00 Borrower
E-M�I Docximent Processing Fee to Frankiin Real Estate Svcs&Abss ����'
Ovemight loan Docs to Franklin Real Estate Svcs&Abss 10•�B��
Subtotsl S 65•�
1102.Settlement a c�OSing fee to S 0.00
1104.Lenders Gtle insu�ance-Old R�ubUc Nat6to Fr�klin Real Est�e Svcs&Abs3 1,255.00 ga�r
Selledlender cndtb shown on e 1 POC=Paid Outsfde Ciosin
Previous editions are obsolete Page 1 of i HUO-1
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�:. .ACCOUNT:NO. > '
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97300306 M&T SELECT WITIi INTEREST MAR.OS-APR.04,2013 1 OF 1
00 0 06825M NM 017
19951
RUTH M HOCH
ROBIN A RIECK
3 PIN OAK LN
SHIPPENSBURG PA 17257-9429
INTEREST EARNED FOR STATEMENT PERIOD 0.08 WALNUT BOTTOM
INTEREST PAID YEAR TO DATE 0.22
ACCOUNT SUMMARY
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NO. AMOUNT NO. AMOUNT NO. AMOUNT
4 182.67 2 21 064.79 6 1,003.00 2 54.42 0.08 24 190.12
ACCOUNT ACTIVITY
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03-05-13 BEGINNING BALANCE $4,182.67
03-a6-13 CHECK NUMBER 4992 300.00 3,882.67
03-19-13 CHECK NUMBER 4994 72.00 3,810.67
03-20-13 CHECK NUMBER 4993 36.00 3,774.67
03-21-13 CHECK NUMBER 4997 478.88
03-21-13 CenturyLink BILL PYMT 000000000004998 43.42
03-21-13 CFiECK NUMBER 4995 19.00
03-21-13 UTILITY SVC PART CHSCKPAYMT 000000000004999 11.00 3,222.37
03-26-13 DEPOSIT 20,073.79 23,296.16
03-27-13 CHBCK NiJMBER 5000 97.12 23,199.04 �
04-03-13 SSA TREAS 310 XXSOC SEC 991.00 24,190.04
04-04-13 INTfiREST PAYMENT 0.08 24,190.12
ENDING BALANCE 24,190.12
. _ . .....
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4992 03-06-13 300.00 4993 03-20-13 36.00 4994 03-19-13 72.00
4995 03-21-13 19.00 4997* 03-21-13 478.88 5000* 03-27-13 97.12
ANNUAL PERCENTAGE YIELD EARNED = 0.00 $
THE SOLUTION YOU'VE BEEN LOOKING FOR - THE M&T HOME EQUITY LOAN
YOUR HOME'S EQUITY CAN BE THE SMART WAY TO MANAGE EXPENSES. AN M&T HOME EQUITY
LOAN OFFERS YOU AN AFFORDABLE RATE AND A DEPENDABLE MONTHLY PAYMENT. CONSOLIDATE
HIGH-RATE BILLS, MAKE HOME IMPROVEMENTS, OR COVER LARGE EXPENSE:S LIIfE TUITION OR
A DOWN PAYMENT ON A SECOND CAR. CALL TODAY FOR RATES AND TO APPLY: 500-557-0535.
ALL LOANS SUBJECT TO CREDIT AND PROPERTY APPROVAL.
EQUAL HOUSING LENDER. MEMBER FDIC. NMLS #381076
V ~ � `
Page: 1 Document Name: untitled `
ACPR 0 CIS ACCOUNT/PRODUCT PROFILE 13/09/OS 12.18.34
ACPR CO 96 OP EBRN MS 64000 ACTION SUCCESSFUL
ACTION: INQ (INQ NXT NXTCUS NXTACR NXTRMK ACDT ACDE)
COID 96 PRODUCT DDA ACCOUNT 000000097300306 EMPLOYEE N SENSITIVITY 0
BALANCE ST 07 SUB-PRD H2 SSN/TID: 192145612 CD 0 LINE 1
T RUTH M HOCH CNTRY OFF1- 06825 OFF2- 99999
T ROBIN A RIECK BRANCH------------- 6825
A 572 CHURCH ST COST CENTER------ 6825
C MOUNT JOY PA 17552 OPEN DATE-------- 800128
CLOSE DAT -------
CURRENCY-----------
LAST MAINT. DATE- 1130827
ACTN: CUPR R E L A T E D C U S T 0 M E R S NEXT: 1
SEQ- COID- CUSTOMER------------------------------- TIE- REL----- APSP OWNER $
0001 96 RUTH M HOCH 1 JOINT PR NNN 100.0000
0002 96 ROBIN A RIECK 1 JOINT SC NNN 100.0000
RELATED ACCOUNTS NEXT: 1
SEQ- COID- PRD ACCOUNT---------------- REL----- APSP OWNER $
R E M A R K S NEXT: 1
0001 PLACED 1030704 EXP. DATE 9999999 ALLFIRST ACCT NO 00000097300306
0002 PLACED 1130827 EXP. DATE 1150827 BR 06604 172579429 3 PIN OAK IN
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� M�[i �3�i1K NMLS#976417 .
Joshua Vaughn
Relationship Banker
Eden Park
1701 Oregon Pike
Lancaster,PA 17601
717 293 5512 FAx 717 581 8194
jvaughn@mtb.com
Date: 9/5/2013 Time: 12:20:30 PM �
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