HomeMy WebLinkAbout01-15-14 J 1505610140
REV-1500 EX (e1-10)
OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number
PO BOX 280601 2 1 1 1 1 2 8 3
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date 61 Death MMDDYYW Date of Birth MotDDYYYY
0 3 0 6 2 0 1 0 0 5 1 9 1 9 2 4
Decedent's Last Name Suffix Decedent's First Name MI
B L A N K N 0 R M A S
(If Applicable)Enter Surviving Spouse's Information Below .
Spouses 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.Original Return 2.Supplemental Rehm F1 3.Remainder Return(dale of death
prior to 12-13-82)
4.Limited Estate C] 4a.Future Interest Compromise(date of 5.Federal Estate Tax Return Required
death after 12-12-82)
QX 6.Decedent Died Testate ❑ 7.Decedent Maintained a Living Trust 0 8.Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9.Litigation Proceeds Received E3 10.Spousal Poverty Credit(date of death 11.Election to tax under Sec.9113(A)
between 12-31-91 and 1-1-95) (Attach Sch.O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
D 0 N N A L 6 0 D F R E Y 7 1 7 4 . 2 2 7 8 . 6 4
R C ER OF WILLOUSE O%Yf,�
i O fT1 n
C— 47
First line of address "O � 2
1 1 2 2 F L E E T W O O D D R I V E z m FJ M o
Cn
Second line of address 7c O O
O O
City or Post Office State ZIP Cade r_ DATE FIL n '
C a r 1 i s 1 e P A 1 7 0 1 3 ° c" C°
0
Correspondent's e-mailaddress: DONNA @DGODFREYLAW.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.
SIGNATUR F RSON S RETURN
O/ / D E /
ADD SS
7 MCC Y LA E _ ARLISLE PA 17015
SIGNATURE OF PREPARER OTHER T,4iAN REP SENTA DA E
1(i a,�„ l26)�r
ADDRESS —�
1122 FLEETWOOD DRIVE CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505610140 1505610140 J
n
REV-1500 EX Page 3 File Number
Decedent's Complete Address: 21 11 1283
DECEDENTS NAME
NORMA S. BLANK
STREET ADDRESS
1 Lon sdorf Way
CITY STATE ZIP
Carlisle PA 17013
Tax Payments and Credits:
I. Tax Due(Page 2,Line 19) (1) 2,417.14
2. Credits/Payments 114.93
A.Prior Payments
B.Discount
Total Credits(A+B) (2) 114.93
3. Interest
4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. (3) 225.68
Fill in oval 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 difference.This is the TAX DUE. (5) 2,527.89
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 transf erred:..................................................................... ❑ X❑
b. retain the right to designate who shall use the property transferred or its income; ............................... ❑ X❑
c. retain a reversionary interest;or............................................................................................. ❑ ❑X
d. receive the promise for fife of either payments,benefits or caret..................................................... ❑ ❑X
2. If death occurred after December 12,1982,did decedent transfer property within one year of death
without receiving adequate consideration?.................................................................................... ❑
3. Did decedent own an'in trust for'or payable-upon-death bank account or security at his or her death?......... ® ❑
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary designation2............................................................................................. ❑ 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 surviving spouse is
3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in
72 P.S.§9116(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. §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.
J 1505610240
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: N O R M A S. BLANK
RECAPITULATION
1. Real Estate Schedule A 1. 6 7 0 0 0 . 0 0
2. Stocks and Bonds Schedule B 2, 1 1 1 9 3 . 0 0
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) .... . 3.
4. Mortgages and Notes Receivable(Schedule D) .......................... 4.
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E) ....... 5. 5 0 0 . 0 0
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested ... .... 6. 2 0 1 3 . 2 1
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property
(Schedule G) ❑ Separate Billing Requested . ... .. . 7. 9 2 3 . 4 6
8. Total Gross Assets(total Lines 1 through 7) .......... ................. 8. 8 1 6 2 9 . 6 7
9. Funeral Expenses and Administrative Costs(Schedule H) ... ..... I.. ....... 9. 2 7 9 1 5 . 3 8
10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule I) ...... ....... 10.
11. Total Deductions(total Lines 9 and 10) .. ..... ... ..................... 11. 2 7 9 1 5 . 3 8
12. Net Value of Estate(Line 8 minus Line 11) ............................ 12. 5 3 7 1 4 . 2 9
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) . ........ ............. 13.
14. Net Value Subject to Tax(Line 12 minus Line 13) ................. ..... 14. 5 3 7 1 4 . 2 9
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X.0 _ 0 . 0 0 15. 0 . 0 0
16. Amount of Line 14 taxable
at lineal rate X .045 5 3 7 1 4 . 2 9 16, 2 4 1 7 . 1 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 . 0 0 18. 0 . 0 0
19. TAX DUE .. ...... ...... ................ ........ ...... ..... ..... 19. 2 4 1 7 . 1 4
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑
Side 2
L 1505610240 1505610240
i
LAST .WILL AND TESTAMENT
I, NORMA L. BLANK, afkJa NORMA S. BLANK, of Morrisville, �
r
Bucks County, Pennsylvania, being of full age and of sound and
disposing mind and memory, do make, publish and declare this as
and for my Last Will and Testament, hereby revoking and making
void any and all Wills and Testaments or Writings in she rat' u' -,e
by me made heretofore.
FIRST: I direct my Executor to pay the expenses of my
last illness and my funeral expenses.
SECOND: All of my automobiles, household and personal
effects and other tangible personalty of like nature, together
with insurance thereon, I give to my husband, FRANCIS C. BLANK,
if he survives me by thirty (30) days, but if he does not so sur-
vive me, equally to such of my children as do survive me, to be
divided between them as they may determine.
THIRD: All the rest, residue and remainder of my estate,
both real and personal, which I may own or have the right to
s
dispose of at the time of my death, I leave to my husband, FRANCIS
n C. BLANK. In the event my husband, FRANCIS C. BLANK, predeceases
} , me, or dies within thirty (30) days after my death, I give, devise
and bequeath all said rest, residue and remainder of my estate to
my children, share and share alike, per capita.
FOURTH: I make, appoint and nominate my husband, FRANCIS C.
BLANK, to be the Executor of this my Last Will and Testament. In
the event my husband, FRANCIS C. BLANK, shall predecease me, or
for any reason fail to qualify to serve as said Executor, I make,
appoint and nominate my son, GARY F. BLANK, to serve as Executor
of this my Will. In the event both my husband and my son prede-
cease me, or for any reason fail to qualify to serve as said
Executor, I make, appoint and nominate my son, ALFRED B. BLANK,
to serve as Executor of this my Will .
FIFTH: I hereby empower my Executor to sell, at public or
private sale, and convey any part of my estate, real and personal,
deemed advisable by him, the time, terms and conditions of sale to
be determined by him.
SIXTH: No fiduciary appointed by or acting under the
authority of this Will shall be required to give bond in any
jurisdiction in which she or he may act.
IN WITNESS WHEREOF, I have set my hand and seal to this
my Last Will and Testament, which consists of two (2) pages,
�4
to each of which I have affixed my signature, this /a.?,Cday
of /�/'/1.'cc�c.� , 1977.
NORMA L. BLANK, a k a (SEAL)
)
NORMA S. BLANK
i
i
in our presence the above-named Testatrix signed this and
declared it to be. her Last Will and Testament, and now at her
request, in her presence, and in the presence of each other,
we sign as witnesses. ✓� �/'
{ %1t2 k. f/Gcuaiu�a of t7 ✓t�n�J l ,
of r764x � YS Cam .
i
REV-1502 EX+(01-10)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
REAL ESTATE
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
NORMA S. BLANK 21 11 1283
All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1. 475 Stockharn Avenue 67,000.00
Morrisville, PA 19067
See Exhibit D
TOTAL(Also enter on Line 1,Recapitulation.) 5 67 000.00
If more space is needed,use additional sheets of paper of the same size.
REV-1503 EX+(6-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
NORMA S. BLANK 21 11 1283
All property joindy-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
t. United States Savings Bonds
See Exhibit A
TOTAL(Also enter on line 2,Recapitulation) $ 11 193.00
(If more space is needed,insert additional sheets of the same size)
s
REV-1508 EX+(6-98)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RETURN
PERSONAL PROPERTY
RESIDENT DECEDDENT NT
ESTATE OF FILE NUMBER
NORMA S. BLANK 21 11 1283
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
t. Misc. Personal Property
2.
TOTAL(Also enter on line 5,Recapitulation) $ 500,00
(If more space is needed,insert additional sheets of the same size)
REV-1509 EX+(01-10)
pennsylvania SCHEDULE F
DEPARTMENTOF REVENUE JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
NORMA S. BLANK 21 11 1283
If an asset was madeJoinUy owned within one year of the decedent's date of death,It must be reported on Schedule G.
SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A.Alfred Blank coy Lane on
Carlisle, PA 17015
B.Gary F. Blank 7650 Butterscotch Circle Son
Las Vegas, NV 89131
C.
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY X OF DATE OF DEATH
ITEM FORJOINT MADE INCLUDE NAME OF FINANCIAL INSTITUUON AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENTS VALUEOF
NUMBER TENANT JOINT IDENTIFYING NUMBER ATTACH DEED FOR JOINTLY-HELD REAL ESTATE VALUE OF ASSET INTEREST DECEDENTS INTEREST
t. a 04/07 Metro Bank Checking Account 1,692.43 50. 846.22
See Exhibit B
2. A, B 12/13 Wells Fargo - Checking Account 3,536.34 33. 1,166.99
See Exhibit C
TOTAL(Also enter an Line 6,Recapitulation) $
2,013.21
It more spew is needed,use additional sheets of paper of the same size.
REV-1510 EX,(08-09)
pennsylvania SCHEDULE G
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC.NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
NORMA S. BLANK 21 11 1263
This schedule must be completed and filed If the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY
INCLUDE THE WE OFiHE TRANSFEREE n1EIR RELATIONSHIP TO DECEDENTAND DATE OF DEATH % DECD'S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR R ESTATE. VALUE OF ASSET INTEREST OFnneLc ) VALUE
1. Bank of America Checking Account 923.46 100.00 0.00 923.46
See Exhibit E
TOTAL Also enter on Line 7,Recapitulafion)l $ 923.46
If more space is needed,use addidonal sheets of paper of the same size.
REVA51I EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
NORMA S. BLANK 21 11 1283
Decederd's debts must be reported on Schedule 1.
ITEM
NUMBER DESCRIPTION AMOUNT
A. F NERAL i XPENSES:
t. Liner Services - J.Allen Hooper Funeral Chapel 12,090.00
2. Funeral reception 1,099.00
3, Headstone/monument 4,291.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representudiw(s)
Street Address
City State ZIP
Year(s)Commission Paid:
2. AtterneyFees: Donna L. Godfrey, Esquire 3,265.00
3, Family Exemption:(If decedents address is not the same as claimant's,attach explanation.)
claimant
Street Address
city State ZIP
Relationsto of Claimant to Decadent
4, Probate Fm: Cumberland County Register of Wills 215.00
6 Accountant Fees:
6. Tax Realm Preparer Fees:
7, Estate Notice - Sentinel Newspaper 168.30
8. Estate Notice - Cumberland Law Journal 75.00
9. Expenses with sale of Real Estate See Exhibit D 6,712.08
TOTAL(Also enter on Line 9,Recapitulation) S 27,915.38
If more space is needed,use additional sheets of paper of the same size.
REV-1513 EX�(01-10)
pennsylvania SCHEDULE J
DEPARTMENTOFREVENUE
BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
NORMA S. BLANK 21 11 1283
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 p ndudeautripht spousal dishiMons and trans(ers under
Sec.91 6(a)(1.2),I
1. Alfred Blank Lineal 26,857.14
7 McCoy Lane
Carlisle PA 17015
2. Gary F. Blank Lineal 26,857.15
7650 Butterscotch Circle
Las Vegas NV 89131
1^11
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II. NON-TAXABLE DISTRIBUTIONS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
'k •
TOTAL OF PART II- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ r
• If more space is needed,use additional sheets of paper of the same size.
IV
&19113. CWCWated Valve of Yaw PoW SaV gs Band(s)
Calculated Value of Your Paper Savings Bonds)
calculator Results for Redemption Date 03/2010
Total Price Total Value Total Interest YTD Interest
$1,575.00 $11,19100 $9,618.00 $0.00
Bonds: 1-4 of 4
Issue Next Final Issue Interest
Serial # Series Denom Date Accrual Maturity Price Interest Rate Value Note
L2002598052E. E _ ,_-- $50OSI1976=---- -= OS/2006:_ $37_SOi___$234.58=-_-- _----$272.08:MA
t2002597989E:__E $50 11/1975_ 11/2005:__- _$37 50___-$231 Q2__ - _,-$268.42 MA
M105239112E: E _ : $1,00010/1975; : 10/2005:___$750.00 w y$4,576:00:__ . $5,326.00;MA_
M105239109E. E -$1,000_10/1975Y_______ 10/2005_ $75000:-$4,57640____ $Sf326.00: MA
Totals for 4 Bands 1 575.00:$9,618.00: :$111193.00
Notes
NI :Not Issued
NE :Not eligible_for•payment....... ........_
PS ;Includes 3 month interest penalty__ _
MA =Matured and not eaming interest
-f
wmv.trmur)frectga4BC156CPrice IM
METRO
3801 Paxton Street BANK Harrisburg, PA 17111 my rn t obank.com
7/10/13
Donna L. Godfrey
Breschi &Associates LLC
59 S. Pitt St.
Carlisle, PA 17013
RE: Estate of: Norma L. Blank a/k/a Norma S. Blank
Tax Identification Number: 146-16-0320
Date of Death: May 6, 2010
To Whom It May Concern:
This letter is in reference to decedent account information you requested for the
individual listed above.
We are able to provide the following:
Account Type:CK
Account Number: 537131229
Date Opened: 04/03/2007
Primary Owner: Norma Blank
Secondary Owner: Alfred Blank
Accrued Interest: "$0.13
Date of Death Balance: $1,692.43
"' Please note: The accrued interest will not be paid if the account is closed prior to the
date the interest is scheduled to post.
Please feel free to contact us at 1-888-937-0004 if we may be of further assistance.
Sincerely,
Jennifer Jacobs
Research Associate
Metro Bank
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A. Settlement Statement U.S.Department of Housing end Urban Development
S.TYPe of Loan OMB rovai No.2602-0285
I. OFNA 2. OFmHA 3. OCM.Umns. 6.Fee Number 7.lom Rum ber B.Mortgage Insurance Casa Number
4. VA 5. Conv.ms. 81130TOH
C.Nde: esomavegnc7wnWSwbie,ere Bann nia.arvbnumnnwoa..abaam WSaaborbm. rgaExpess SBfdemad System
WAflNNGaaaabNbbMplymtla Wy bh Wise ccmP60 c=.="me�npy�ppi
aawuvbas am..b aaa.or..mns u.e.cmes.m,�i cores em roro. PMtld 08182013 et 0927)
D.NAME OF BORROWER Robert KMner and Joanne Kfter
ADDRESS:
E.NAME OF SELLER Allred B.Blank,Exeeuf0r 0f the Estate Of Norma S.Blank,Deceased
ADDRESS:
F.NAME OF LENDER Cad DeNorb
ADDRESS:
G.PROPERTY ADDRESS: 475 Stoekham Avenue,Morrisville,PA 19067
Morrisville Borough
H.SETTLEMENT AGENT: TOHICKON ABSTRACT COMPANY,Telephone(215)780700 Fax(215)794-0705
PLACEOFSETT-EMENT 5230York Road Holiro PAi tohiekdmab*o hoo.eom
I.SEIILEMENT DATE 061188013
J.SUMMARY OF BORROWER'S TRANSACTION: K.SUMMARY OF SEL R S RA S TION:
100.GROSS AMOUNT DUE FROM BORROWER 400.GROSS AMOUNT DUE TO SELLER
101. Contrail sales prod 67000.00 40. Comrad series pjpe 67000.00
102 Personal 402. Penanal
103. Setllernam diames to bermwer We 1400 13250 403. -
104. 404.
05. d
Adusanents for items mid bv seller In advance AdJustmems for Items vaid bv senor m advance
107. Counly loos 06118113m12131113 427.01 407 fawn 06M8113to12111113 427.01
108. SdiW Tines O6H8113to06130113 - 7228 408. SchoolTsm 06118113to06f30113 72.28
109. weaqSgogs 409. WaterSemar
110. Municim Trash OSM8113tol2131113 17720 410. MunkW Trash 0611&13 12131113 17720
111 11.
112. 412.
120.GROSS AMOUNT DUE FROM BORROWER 69 808.99 420.GROSS AMOUNT DUE TO SELLER 6T.676.49
200.AMOUNTS PAID BY OR ON BEHALF OF BORROWER 500.REDUCTIONS IN AMOUNT DUE TO SELLER
201. Depasitorearnestmoney 6000.00 601. N see
202 aonumdreebao 67000.00 502. SelGemomt to se0er 1100 11712.08
203. Egsfiw Josdal taken subject to 503. Exisft bar4s)taken su to
204. 504. Payoff of Faid Mariam Loan
205. 505. POM of second momirm ban
2D6. 506.
207. 507.
208, 508.
2D9 619.
Adusfinema for Karns un id bir seller Adjustments for Kems unpaid by seller
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
19. 5
220.TOTAL PAID SYIFOR BORROWER TZOW.00 520.TOTAL REDUCTION AMOUNT DUE SELLER 11,712M
300.CASH AT SETTLEMENT FROM OR TO BORROWER 6004 CASH AT SETTLEMENT TO OR FROM SELLER
301. Grossamaundduehenbommer ire129 69806.99 SM. Gmssamoumduetoseller d 67676A9
302. Lessannounispoidbygarborromerfline22111 72,0 00.00 602 Lmnadudicnerad rdduese Imo 11712.08
303.CASH TO BO 7-191.011 601 CASH TO SELLER 55 964.41
mmi nVU.t(SfW)nlXbpbpOk aae3]
U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Fits Number:51130 PAGE 2
SETEMENTCHARGESMENT Tie SefiemeMSsem 65Y5�1 09:27JN
L SETTLEMENT CHARGES PAID FROM PAID FROM
700.TOTAL 5ALESBROKER'.COMMISSION based on dDO-67000.00 5.000=4020.00 BORROWER'S SELLERS
Division of mmmission line 700 asfoU FUNDS AT FUNDS AT
IOt. Z 000 # in Favm k1o. SETTLEMENT SETTLEMENT
702, 201COO to Re1Mmk Total
3. Commiss id at Semam M 4020,00
704. Bmker Service Fee to ReMatk Total 15500
800.ITEMS PAYABLE IN CONNECTION WITH LOAN
1. Loan f� %
802. Loan Dnm %
3. Appraisal
OA. Credit Re n
8QS,..LmDO=enIPmwaft,. to Tohdon Abshatd; 275,04
8W,
607.
BW.
809.
81Q,
811.
900,ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901, Interest From to Idw
902. Madme insurance Prenimn for to
3 Hazed I Premium for
905.
1000.RESERVES DEPOSITED WITH LENDER FOR
1001,Hazard hPqmnce nm. Am
1W2.Mo a insurance mo
1001.City Pfopedy Tax $ Into
1004.County Tax o. $ Imo
1005,SCOW Texas ma. hm
1W9.Aoreq&4 e An sip Adbvilment
1100.TITLE CHARGES
11 01.SeMementorClosina Fee
1102 AWargmTlasearch
1103.T&EmMation
1104.Title InsuatrumBindeT
liW.Docurneral Preparation
1106.Notary Flea to Tchickon Abstract Company 10.00 10.40
1107.A0orr 'sfees .
indtMos Anve kams NO:
1108.Title Insurance to ToN54n Abstract pommm 718.
include Ye Dens NO:
1109.Lends ft Po(IOY 67000.00 -715,50
1111 Owners Pa 87 00.00 -
I 1111.100NDYM1.300SUMV.SDOE to Tohidkon AbstractC n 150.00
1112.
1113.
1200.GOVERNMENT RECORDING AND TRANSFER CHARGES
M.Recediaafm Dead 10.00 240.00 ;Reteace 368.80
1202.City/county Wslam Deed 000 Mo 870.0
1203.State Twdstam s Deed$670.00 Modnaw$ 870,00
12046 Dee morwage
1205.Dead R 'beion Fes Oeet 'Moftme -Release
1300.ADDITIONAL SETTLEMENT CHARGES
1301.Escrow for PA Inhedtance Tax to Held by Tohickon Abstract 6,000.00
112.Mun' 1 "1/1112-12I3V13 to Morrisville Borough 656,64
303.Tax CertifimowLsl 3000
13D4.Wate/SevsrCer6ficaUan 3000
1305.Muniri al Tmsh CerlificaUOn 20.00
1306.Final Water! war to Morrisville Municipal Authori 285,23
1 7.2013 Caudyffimugh Tax to Morrisville Borou hTax Office 795.21
1308,
1400.TOTAL SETTLEMENT CHARGES ignter on lines 103,Section J and 502 Section IQ z 132.50 11 712,08
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SE'ItIEMFMAGSNT: �- PATE: L(/ /
Bankof America '
December 18, 2013
Donna L Godfrey
Attorney At Law
1122 Fleetwood Drive
Carlisle PA 17013
Regarding the estate of: NORMA L BLANK
Dear Donna L Godfrey:
Thank you for contacting us regarding the estate of NORMA L BLANK.
Listed below is the financial information you requested on the account(s)held in the name of the
above referenced decedent as of the date of death of 3/06/2010:
Deposit Accounts:
Account Type ' Number Account Details
Checking ********3318 Balance at date of death: $923.46
Accrued interest: $0.00
Current balance: $
Status: Open 1/23/96
Title: NORMA L BLANK ITF
ALFRED B BLANK AND
GARY F BLANK
Please also be advised that no Safe Deposit Box was found.
00-59-2728NSBW V0913
Bank of America 410P*
If you need additional assistance, such as obtaining statement copies or closing checking or savings
accounts,please mail your written request to our legal correspondence center at the address below:
Bank of America
Enterprise Estate Unit
PO Box 982238
El Paso, TX 79998-2238
If you have any questions regarding this letter,please call us at 1.803.832.7770, Option 7, Monday
through Friday from 8 a.m. to 5 p.m. Eastern.
Sincerely,
Account Validation
98vw
00-59-2728NSBW V0913