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HomeMy WebLinkAbout02-10-14 1 t 1505610105 REV-1500 EX(M "(H)l INSOLVENT ESTATE OFFICIAL USE ONLY PA Department of Revenue Pennsylvania County Code Year le m r Bureau of Individual,Taxes PO BOX 280601 INHERITANCE TAX RETURN J220 i 10� 5 rg - Harrisbu ,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW 109/18/2010 i01/14/1933 - L-- - L--- —j Decedent's Last Name Suffix Decedent's First Name MI WHITMOYER I ' EMMA L IN Applicable)Enter Surviving Spouse's Inforrnation Below Spouse's Last Name l 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 t31D 1.Original Return O 2.Supplemental Return O 3. Remainder Return (Date of Death Prior to 12-13-82) O 4. Limited Estate O 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Return Required death after 12-12-82) m 6.Decedent Died Testate O 7.Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) O 9. Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Jane M.Alexander (717)432-4514 REGIkTijR OF WILLS ' IfS -ONLY 77 C) m First Line of Address _ W � rT n -D 148 S Baltimore Street i � n rte- m --{ r z rn I rri rn Second Line re -. of Addss cr) A O CD � City or Post Office State ZIP Code "� ATE�LLED 'Dillsburg PA 9 o I r t 1701 r . (n o Correspondent's e-mail address:jmalexander.148 @earthlink.net 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 wh' preparer has any knowledge. SIfjIJATl1RE/ o AE `L RE FILING RETURN / /D / �DATE A9ORESS 1550 Williams Grove Drive Mechanicsburg, PA 17055 SIGNATU E OF PREPARER O E T ENTATIVE DATE AD Baltimore Stredh Dillsburg, PA 17019 PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505610105 1505610105 J 1505610205 REV-1500 EX(FI) RECAPITULATION 1. Real Estate(Schedule A). . .. ... ._. .. .. . . . .... . .. 45,000.00 . . ... .. .. .... . .. .... 1. 2. Stocks and Bonds(Schedule B) . ..... .. . . .. . ... ... . . ..... . ... ... . . ... . 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) . . .. . 3. A. Mortgages and Notes Receivable(Schedule D) ,. .. 4. 5. Cash.Bank Deposits and Miscellaneous Personal Prouerty(Schedule E). ... .. 6. Jointly Owned PrOuertv(Schedule F) (=D Separate Billing Requested 7. .. .. .. 6, Inter-Vivos Transfers&Miscellaneous Nan-Probate Prooerty - - (Schedule G) (= Separate Billing Requested.. ... ... 7, 8. Total Gross Assets(total Lines 1 through 7). .... .. . .. .. .... _ . . ... . . .. . 6. 45,000.00 9. Funeral Expenses and Administrative Costs(Schedule H.. .. ... ... . .... .. .. 9. 727.50 10. Debts of Decedent. Mortgage Liabilities and Liens(Schedule l). ... . . 10. 45,506.11 11. Total Deductions(total Lines 9 and 10).. .. . ........... ...... ._.... . . . 11. 46,233.61 12. Net Value of Estate(Line 8 minus Line 11) ... .. .. ... . .... . ... . . ... . .. .. 12. -1,233.61 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) .. ..... ....... .. . .. ..... 13. 14. Net Value Subiect to Tax(Line 12 minus Line 13) . .. ... ... . . 4. -1,233.61 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_ 16. Amount of Line 14 taxable 5. at lineal rate X.0 45 17. Amount of Line 14 taxable 6. at sibling rate X.12 18. Amount of Line 14 taxable 17. at collateral rate X.15 18. 19. TAX DUE ...... ... . ... .. . .. . . . .. ... ... . .... .. ..... .. .... ... . . . . .. 19. 0.00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 1505610205 1505610205 Ey iFil ?Zoe 3 Fit,Ntimbe, 2010-1115 Decedent's Complete Address: NAME Emma L Whitmoyer QTREETADDRESS 1000 Claremont Drive CITY STATE zip Carlisle PA 17013 Tax Payments and Credits; 1. Tax Due(Page 2,Line 19) 0.00 A.Print Payments - P.Discount Total Credits r A+8 1 (2) 0.00 3, Interest 0.00 4, If Line 2 is crosier than Line I+i he 3,enter the difference This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) --0.00 5. if Line I +Line 3 is circular than Line 2 enter the difference.This is urt TAX DUE 0.00 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS L Did decedent make a transfer and: Yes No a. retain the use or income of the uIrreartv transferred............. ...... .......—, L2 b. retain the right to designate who shall use the pmrary transferred or its mccine ..... ...................... [J c. retain a diversionary interest ...... .................1-1.1........11...... d. receive the promise for life of either payments,benefits or care?..........._................................................. 2. If death occurred after Dec,12,1982,did decedent transfer property within one year of death without receiving adequate consideration?... ........................... 3 Did decedent own an"in trust for or payable-upon-death bank account or security at his or her death? L-1 4, Did decedent own an individual retirement account,arri or other non-probate property,which contains a beneficiary destanadon? .... ....... 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 RS.§9116(a)(1.1)(i)1- 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(r)(1.1)(J)I.The statute does not oxempt 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 Jury 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 addictive parent or a stepparent of the child is 0 percent[72 PS, 69116(ajf 1.2)j. • The tax rate imposed on the net value of transfers to or for the use of the decedeftfs Phi berieficiarries is 4.5 percent,except as noted in t72 PS • 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.§911((a)t1.3)).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. ��st Yll �rr� �e�kttmerct OF EMMA L. WHITMOYER BE IT REMEMBERED, that I, EMMA L. WHITMOYER, Of 92 Pine Street, Dillsburq, York County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making null and void any and all Wills and Testaments and writings in the nature thereof by me, at any time heretofore made. ITEM 1: 1 direct that all my just debts and funeral expenses be paid as soon after my demise as may be convenient. ITEM 2: All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, whether it be real, personal or .;..�ed, i.nc:ludiny p�operr.y over which I have a power of appointment, I give, devise and bequeath unto my husband, MARLIN R. WHITMOYER, absolutely, provided he survives me for a period of thirty (30) days. ITEM 3: Should my husband, MARLIN R. WHITMOYER, fail to survive me for a period of thirty (30) days, I then give, devise and bequeath my entire residuary estate unto my children, DEBORAH L. FEARNBAUGH, HENRIETTA R. CASTLE, GEORGE B. WHITMOYER, CINDY M. WIEGAND, in equal shares per stirpes_ ITEM Al I direct my hereinafter named Executor to pay all inheritance, estate, succession and legacy taxes WITNESS: (SEAL) fSINA L. WHITMOYER of whatsoever nature and kind, to which my estate or the transfer of any property Passing hereunder or otherwise Passing by reason of my demise, and may be subject and to charge such taxes against my residuary estate, it being my intention that none of the aforesaid taxes, either federal or state, on any property required to be included in my gross estate, under the provisions of any state of federal law now in force or hereafter enacted, shall be prorated among the persons interested in my estate to whom such property is or may be transferred or to whom any benefit accrues. ITEM 5- I appoint my husband, MARLIN R. WHITMOYER, as Executor of this my Last Will and Testament, Should my husband, MARLIN R. WHITMOYER, predecease me, fail to qua limy, cease to act c_ renounce Probate, 1 then appoint my son, GEORGE B. WHITMOYER, and my daughter, HENRIETTA R. CASTLE, as Alternate Co-Executors of this my Last Will and Testament. ITEM 6: 1 direct that my Executor, guardian or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, T have hereunto set my hand and seal this day of 1993. WITNESS: _(SEAL) EMMA L. WHITMOYER COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF YORK We, EMMA L. WHITMOYER, JAN M. WILEY, ESQUIRE, and PATRICIA A. OGG, the Testatrix and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed this Last Will and Testament as witness and that to the best of their knowledge the Testatrix was at the time eighteen (18) years of age of older, of sound mind and under no constraint or undue influence. WHITMOYER;` WITNESS WITNESS I ' Sworn to and subscribed before me this L_:; day of 1993. NOTARY PUBLIC MY COMMISSION EXPIRES: r .0l5 al 5 D u �r I - ie lu-�t�ry Ar hlc ii lli 1 �l. u REV-1502 EX+(11-08) pennsytvania SCHEDULE A CEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDEM ESTATE OF FILE NUMBER Emma L.Whitmoyer 2010-1115 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 fads. 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 dead showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER DESCRIPTION OF DEATH t 'It being the same premises which Stanley E.and Betty L.Breach by their deed dated November f 15,1971 and recorded in the Office of the Recorder of Deeds of York County in Deed Book Clu me 64S and page 913 granted and conveyed unto Martin R.and Emma L.Whitmoyer. ' iThe said Martin R.Whibytoyer having died March 29,1996 title therein vested by right of t survivorship in Emma L.Whitmoyer. Property was sold November 14,2011 to Glenn D.Morrison 45,000.00 I t i s r A ! 1 .� . . , u I f r TOTAL(Also enter on Line 1,Recapitulation.) $1 45,000.00 If more space is needed,insert additional sheets of the same size. OMB NO,2502.0265 ~` A. B. TYPE OF LOAN' U.S.DEPARTMENT OF HOUSING 8 URBAN DEVELOPMENT i.QFHA 2 QFmHA 3,QCONV.UNINS, 4,[]VA S.QCONV,INS, 6, FILE NUMBER: L' LOAN NUMBER; SETTLEMENT STATEMENT MOR171-11 8. MORTGAGE INS CASE NUMBER. C NOTE This form is launched to give you a s tatementofachatsettlement costs. Amounts paid Wand by the settlement agent are shown, Items rado,d 7POCf were paid outside the closing:they ate shown here,for informational pu,noses and are not included in the White. 1.0 In. (MORIJI.II PFNMORt]I.1iRe) D. NAME AND ADDRESS OF BUYER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: GLENN O.MORRISON ESTATE OF EMM1A L.WHRMOYER CASH 1342 ST,LOUIS DRIVE 92 PINE STREET HONOLULU,H196816 DILLSBURG,PA 17019 G PROPERTY LOCATION- H SETTLEMENT AGENT: 25-1619811 I. SETTLEMENTOATE' 02 PINE STREET TRI-COUNTY ABSTRACT SERVICE DILLSBURG,PA 17019 Ravenna,14,2014 YORK County,Pennsylvania PLACE OF SETTLEMENT 19 SOUTH BALTIMORE STREET DILLSBURG,PA 17019 J.SUMMARY OF BUYER'S TRANSACTION K.SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BUYER: 400. GROSS AMOUNT DUE TO SELLER: 101. Contract Sales Price 45 000.00 401. Contract Sales Price 45,00000 002 Personal Property 402. Personal Property 101, SBtllement Changes to Buyer(Line 1400) 1 1,133.50 403. 104. 404. 105. -� 405. Adjustments For Hems ltakq By Seller-in advance Adjustments FOr Items Paide Saner in advance 106,Chyleown Taxes IV14111 to 91A 1112 1 95.64 406.CI /Town Taxes 11114/11 to 01101/12 1 95.64 10-7 Coontp Taxes to I 407.County Taxes to 108. SCHOOL TAX 11114/11 to 117101/12 1 _ 1,157.47 408_SCHOOL TAX 11114tH to 07101112 1,157.47 109. -� 409. 110. 410. 111. 112. u 412. 120. GROSS AMOUNTDUE FROM BUYER 47,3WSI 420. GROSS AMOUNT DUE TO SELLER 46,253.11 200. AMOUNTS PAID BY OR IN BEHALF OF BUYER: 500. REDUCTION$IN AMOUNT DUE TO SELLER: 201. De osil or earnest money 2,000.00 501. Excess Dealt{See instrudonsy 202. Priquirial Amount of New Loans 602. Sethemenl Charges to Seller Une1400 15,115.35 203. Existing loans taken ajt to 503. ExijbaiLjoan s taken sublet!to 204. 504.Payoff of first Mortgage to SELECT PORTFOLIO SERVI 31.137,76 205. 505.Payoff of secarrd Mortgage 206. 506. 207_ 507. (Deposit diob.aspnheedsZ_ 208. 508. 209, 509. Adjustments For Items Unpaid B Seller Adjustments For hones Unsold B Sella, 210. Cirytiown Taxes 10 510.Ci /Town Taxes to 211_ C..,tv Taxes to 511 County Taxes to 212. SCHOOLTAX to 512.SCHOOL TAX to 213. 513. 214. 514. 215. 515, 216, 516. 217, 517. 218. _ 518. 219. 519. 220, TOTAL PAID BYIFOR BUYER 2,00600 520 TO FAL REDUCTION AMOUNT DUE SELLER 46,253.11 300. CASH AT SETTLEMENT FROMRO BUYER: 600. CASH AT SETTLEMENT TOIFROM SELLER: 301. Gross Amount Due From Buyer Line 12( 47 386 61 601 Gross Aduned true To Seller line 420 46,253.11 30Z. Less Amount Paid By/For Buyer(Line 220) ( 2,000.00) 602. Less Reductions Duo Seller(Line 520) i 46,253.1 i 303. CASH(X FROM)( TO)BUYER 45,386.61 603. CASH( TO)( FROM)SELLER 000 The undersigned hereby acknowied9e receipt of a completed cop)of pages 182 of this statement&any a0achmeras referred to herein. I HAVE CAREFULLY REVIEWED THE HUD-I 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 TRANSACTION. i FURTHER CERTIFY THAT 1 HAVE RECEIVED A COPY OF T SETTLEMENT STATEMENT. Buyer /,y �„ /l„er,,f.. Sever ESTATE OF EMM L,W OVER ENN D. R IBON ''"f� BY� �� 70 THE BEST Of MV KN LEDGE,THE HUD-1 SETTLEMEN T TEMEN}'WHICH 1 HAVE PREPARED IS R TRUE AND ACCURATE ACCOUNT OF THE FUNDS WHICH WE E C ED ANg AVE rN�D I E09Y.THE UNDERSIGNED AS PART OF THE SETTLEMENT OF THIS TRANSACTION. �Ci/1f Settlement Agent TS r WARNING: IT I$ CRIME TO KNOWINGLY MAKE FALSE STATE EN 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.CODE SECTION 1001 8 SECTION 1010. 1'•ee x L.SETTLEMENT CHARGES 700,TOTAL COMMISSION Based on Price $ (h>. % 3 D00.00 _ rua Pao. Pa)p ra0. Diws7on of Commission line 700 as Follows: eWres SeLLeaa 701.53,000.00 to ERA-NRT rumps a'r Nrysn'r 702.S 10 SsIlWi c $ETrt.r.mu 703.Commission Paid at Settlement -'-' gp0cl w 704 TRANSACTION FEE to ERA-Ni 195.X0 705,00 800.ITEMS PAYABLE IN CONNECTION WITH LOAN 801.Loan On2mation Fee % le 802,Loan Discount % to $03.Appraisal Fee to 804.Credit Report to 805.Lender's Inspection Fee tc 121,Mort a e Ins.A .Fee to --"- 607.As9umPF Fee to -'-'- 805. 609. -.. _..-.. .._.._.�_ 610. Bit. 900,ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901.musubl From 10 @ $ /day ( days %) 902.MIP Totms.for LifeOfloan for months to 903 Hazard Insurance Premium for LO year. to w 904. 1000.RESERVES DEPOSITED WITH LENDER Y00/.Hazard insurance months $ er month _ ` 70X2.Mod a e Insurance months S per month 1003.City?own Taxes months @ $ per month 1004.DOnO Taxes months @ $ per month t005.SCHOOL TAX months @ $ per month 7 06. months @ S ---per month 1007. months @ $ per month 1000.AGGREGATE ESCROW ADJUSTME months @ $ Per month 1100.TITLE CHARGES 1101.ATTORNEY'S FEE to THE LAW OFFICES OF BARBARA A.FEIN,P.C. _ E425,00 722,76 1102.CLOSING PROTECTION LETTER to FIRST AMERICAN TITTLE INSURANCE COMPANY 1103.Title Examinahon to ^i 7104 TITLE SEARCH&SETTLEMENT FEE to TRI-COUNTY ABSTRACT SERVICE 1105.RE-IMBURSEMENT TAX CERT to TRFCOUNTY ABSTRACT SERVICE 20.00 1106.Nola Fees to 1107.Attorneys Fees to JANE M.ALEXANDER,ESO DEED PREP 8 SETTLEMNT 235.00 includes above ilam numbers: 1108,Title insurance I0 T'RI-COLINTYAESTRACTSERVICEIAGENTFOR iSTAMERICA Occludes above item numbers: 1109.Lenders Covers $ 7110.Ovmefs Covarege $ !"- llll.ENDORSEMENTS ti12. _ 113, 120D.GOVERNMENT RECORDING AND TRANSFER CHARGES 1201.Recording Fees: Deed $ 63.50;Mongage w Releases $ 63.50 1202.C, 1CCUni Ta#Scam s:Deed 450,00 Mortgage T �u 450,W 1201 Slate TaxfStamps: Revenue Stamps 450.00:Mori a e 450.00 1204. 1205. 1300.ADDITIONAL SETTLEMENT CHARGES 1301.Survey to 1302.Past inspection 10 1303.GRANT OF LETTERS to JANE M.ALEXANDER,ESO. 187.00 1304.APPRAISAL FEE to JOANNE WITMER 300,00 1305.See addict dish.exhibit to 1X,005.59 144X.TOTAL SETTLEMENT CHARGES Enter on Li as 103,Section J and 502,Section K 1,133.50 15,115.35 ar sior'eiv Pave r nl uva nla.meM,ineagn•mri•amxnmx•av,w rr a wmpmna mnraeaprvx arms rwneve sort jn'am I � TLEMEN S TTLEMENT OFFICER / Certified to be a true copy. ZI1lemem Agent i i sea",I I I yeah,-I r 17.) NOV-11-2011 11:55AM FROI- T-554 P.002/002 F-703 ADDITIONAL DISBURSEMENTS EXHIBIT Buyer: GLENN D. MORRISON Seller: ESTATE OF EMMA L. WHITMOYER Lender: CASH Settlement Agent: TRI-COUNTY ABSTRACT SERVICE (717)761-8870 Place of Settlement: 19 SOUTH BALTIMORE STREET DILLSBURG, PA 17019 Settlement Date: November 14, 2011 Property+Aeration: 92:PINE STREET 'DILLS8URG, PA 17019 YORK County, Pennsylvania PAYEE/DESCRIPTION NOTE/REF NO BUYER SELLER JANE M.ALEXANDER, ESQ. FILE INHERITANCE TAX RETURN 30.00 JANE M. ALEXANDER, ESQ. ATTORNEYS FEE 300.00 HENRIETTA CASTLE EXECUTRIX FEES 200.00 AMY HAMBRIGHT NOTARY FEES 10.00 JANE M.ALEXANDER, ESQ. ATTORNEY FOR ESTATE OF SETTLMT PAYMT/PA DEPT WELFARE 9,445.59 ` TRI-COUNTY ABSTRACT SERVICE WIRE FEE PAYOFF 20.00 Total Additional Disbursements shown on Line 1305 5 0.00 $ 10,005.59 (MOR 171-11.PFC)NOR 171-11/2 1) i ®, plennsytvania S � �iJL DEPan TfiOF nEVFNl1E FUNERAL EXPENSES AND RESIDENT DECEDENT uarl ADMINISTRATIVE COSTS RESIDENT pE T"D r ESTATE OF EMMA L WHITMOYER FILE NUMBER 2010-1115 Decedent's debts must be reported on Schedule I, TEM _ NUMBER DESCRIPTION A. 1 FU NERAL EXPENSES: AMOUNT Hoffman-Roth Funeral Home and Crematory, Inc. 1 B. I ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s)of Personal Representative(s) Henrietta R. Castle 200.00 Street Address 1550 Williams Grove Drive ary Mechanicsburg state PA zip_1.7055 Year Commission Paid: Z Attorney Fees: Jane M. Alexander, Esquire I 300.00 3. Family Exemption: (If decedent's address Is not the same as claimant's,attach explanation.) Claimant None Claimed Street Address City_ _ State ZIP Relationship of Claimant to Decedent J. Probate Fees 187.50 S. Accountant Fees: 6. Tax Return Preparer Fees' Filing Inheritance Tax Return e. Notary Fee 30.00 10.00 TOTAL(Also enter on Line 9, Recapitulation) $ 727.50 It more space is needed,use additional sheets of paper of the same size. RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills Receipt Date : 11/08/2010 One Courthouse Spare Receipt Time : 13 : 58 : 24 Carlisle, PA 17613 Receipt No . : 1063247 WHITMOYER EMMA L Estate File No. : 2010-01115 Paid By Remarks : JANE M ALEXANDER HMW ------ - -- - - - ---- Receipt Distribution - - - - - - - - - - - - -- - - - - - - - - - - Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST WILL 135 . 00 CUMBERLAND COUNTY GENERAL FUN RENUNCIATION 15 . 00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 5 . 00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 4 . 00 CUMBERLAND COUNTY GENERAL FUN AUTOMATION FEE 23 . 50 BUREAU OF RECEIPTS & CNTR M.D 5_00 CUMBERLAND COUNTY GENERAL FUN Check# 2001 - - -- - - - Total Received. . . . . . . . . 7 . 50 N7 . 50 i Pennsylvania SCHEDULE Y -.cnaTNE"T OF REVENUE DEBTS OF DECEDENT, m"=DE E TAX RerUnN RESIDENT MORTGAGE LIABILITIES & LIENS DEIEDEN? ESTATE OF EMMA L WHITMOYER FILE NUMBER 2010-1115 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. IT fdEM MBER I -- 'u DESCRIPTION VALUE AT DATE OF DEATH Joanne E.Whitmoyer Jack Gaughen Realtor Real Estate Appraisal 300.00 2. I Mortgage the Bank of New York Mellon Trust Company dated June 4, 1997 recorded in Mortgage Book 1293 page 2744 31,137.76 3. I PA Department of Welfare Class B Claim$24,613.04 Settled by payment of 9,445.59 4. Jack Gaughan Realtor-Sales Commission and transaction fee 3,195.00 5. I Jane M.Alexander-Deed Preparation-Settlement 6. �City/County Taxes 235.00 450.00 7. j Law Offices of Barbara A.Fein P.C.-Attorneys Fees 8. Ii 722.76 TriCounty Abstract Service-Tax Cart 20.00 ---.__ TOTAL (4iso enter on Line 10, Recapitulation) I$ 45,506.11 it more space is needed,insert additional sheets of the same size. JACK GAUDii1sburg G [� E N ®® office 19 North Baltimore Street Dillsburg, PA 17019 REALTORT R A' (717) 432-0029 (717) 766-0055 (717) 432-0042 Fax Jane Alexander Esq. March 17, 2011 148 South Baltimore Street Dillsburg, Pa. 17019 Re: Emma Whitmoyer Estate 92 Pine Street Dillsburg, Pa. 17019 Invoice for preparing CMA: $300.00 Due upon receipt Thanks You: // J Joanne E. Witmer Associate Broker Your Leader for Exceptional Real Estate Service ,reOrn�O• G��iuo •financing •,rrttleweirt• iitl, • intrnnnn www.jgr.com COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF PROGRAM INTEGRITY DIVISION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG,PA 17105-8486 November 23, 2010 JANE M ALEXANDER ESQUIRE 148 S BALTIMORE ST DILLSBURG PA 17019 Re: Emma Whitmoyer CIS #: 060183062 SSN: ###-##-5240 Date of Death: 09/18/2010 Dear Attorney Alexander: Please be advised that the Department of Public Welfare maintains a claim in the amount of $88,162.32 against the above-mentioned estate. This claim is for restitution of medical assistance granted on behalf of the decedent for which the Probate Estate is now responsible to reimburse the Department according to Act 49, 62 P.S. 1412, effective August 15, 1994, as amended by Act 20-95, effective June 30, 1995. Enclosed is the Department's itemized statement of claim. A portion of this medical expense, namely $24,613.04, was incurred during the last six months of the decedent ' s life; therefore, it is a- Class 3 claim pursuant to Section 3392 of the Decedents, Estates, and Fiduciaries' Code, 20 Pa. C.S.A. 3392 (3) . The balance of the claim, namely $63,549.28, is to be entered as a priority Class 5. 1 claim against the estate. Please acknowledge receipt of this letter and advise whether the Commonwealth's claim is admitted and when payment may be expected. If the estate accounting is complete, please provide a copy. If the estate contains real estate, please provide copies of the deed, the latest tax assessment, and a current appraisal, if available. Sincerely, Marie A. Trayer Claims Investigation Agent 717-772-6723 717-772-6553 FAX Enclosure 1 r `0 ` t _ _ z a- 11/101/2011 17:42 2156537454 BARBARA FEIN LAW OF-C PACE 62/03 LOAN SATISFACTION FOR SELECT PORTFOLIO SERVICING,INC. LOAN NO. 3007015088 EMMA WHITMOYER FIGURES GOOD THROUGH NOVEMBER 17, 201 it Total DUE AND PAYABLE to "Select Portfolio Servicing,Inc." . .... . . . . . . ..$31,137.76 Principal Balance 8,514.56 Interest Through 11/17/11 981.95 Escrow 14,168.48 Accumulated Late Charges 93.14 Recoverable Corporate Advances 7,363.50 Other Fees 16.13 Total DUE AND PAYABLE to "The Law Offices of Barbara A.Fein",comprised of the following: Costs incurred by attorney in collection of loan obligation: Court Statutorily Required Mailing Costs 25Dpp Delinquent`1'ax.Ftepurt 75W Commission(Poundage)(Estimated) 62176 Total Costs $722.76 Total DUE AND PAYABLE to "The Law Offices of Barbara A.Fein,P.C." . .. . . . . .. . . . . .. . . . . . . . .. .. $722.76 TOTAL SUM DUE AND OWING TO SATISFY MORTGAGE OBLIGATION IN FULL EFFECTIVE THROUGH NOVEMBER 17, 2011 . . . . . . . . . . . . . . . . . . . . $31,860.52 enns lvania SCHEDULE ] , _�RT„ENTor AE/ EN°E INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: EMMA L WHITMOYER FILE NUMBER: 2010-1115 NUMBER NAME AND ADDRESS OF PERSONS)RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Do Not List Trustee(s) OF ESTATE Sec.9116(a)(1.2).] L Henrietta R Castle daughter 25%residue 1550 Williams Grove Rd. Mechanicsburg,PA 17055 2. Cindy M.Weigand daughter 25%residue 3727 Tom Starnes Rd. Waxhaw,NC 28173 3. Deborah L.Feambaugh daughter 25%residLue 1299 North Road Lot921 Groton,CT 06340 4. George E.Whitmoyer son 25%reisdue 15 Bentz Mill Road East Berlin,PA 17316 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II—ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size.