HomeMy WebLinkAbout04-10-14 (2) J 1505610140
REV-1 500 EX (01-10)
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number
PO BOX 250601 2 1 1 3 0 8 0 8
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
0 6 2 8 2 0 1 3 0 3 1 4 1 9 2 3
Decedent's Last Name Suffix Decedent's First Name MI
S N Y D E R J E A N L
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name full
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
Q 1.Original Return E] 2.Supplemental Return E] 3.Remainder Return(date of death
prior to 12-13-82)
4.Limited Estate 49.Future interest Compromise(date of 0 5.Federal Estate Tax Return Required
death after 12-12-82)
QX 6. Decedent Died Testate E] 7. Decedent Maintained a Living Trust _ 8.Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9.Litigation Proceeds Received Q 10. Spousal Poverty Credit(date of death D 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
J A C Q U E L I N E A K E L L Y 7 1 7a 4. 1 5 5 0
cs
REGIL#E"F WILLS4^E Ot
First line of address
r M rr1
z ::0 t� yin
8 4 5 S I R T H O M A S C O U R T "
Second line of address
S U I T E 1 2 ° .._t ri � r
City r Post Office DATE FILED
Y State ZIP Cods __,�,.._ �_�...� i
H A R R I S B U R G P A 1 7 1 0 9
Correspondent's e-mail address: JACKIEJLBOVERIZON.NET
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowedge and belief,
if is true,correct and complete.Decimation of preparer other than the personal representative is based on all information of which preparer has any knowledge.
$]GNATUR OF PERSON R SPO SIBLE FOR FILING RETURN DE1TE /
9' �r � C% f,
ADDRESS
229 16TH STREET NEW CUMBERLAND PA 17070
SI NATURE OF PREPA R�H HAN REPRESENTATIVE DATE
_ it
DRE
45 SIR THOMAS C URT SUITE 12 HARRISBURG PA 17109
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505610140 1505610140
l
J 1505610240
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: JEAN L . SNYDER
RECAPITULATION
1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 5 1 0 0 0 , 0 0
2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.
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. 1 3 3 6 9 , 4 4
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested .. . . . . . 6.
7. Inter-Vivos Transfers&Miscellaneous N Probate Property
n-
(Schedule G) � Separate Billing Requested . . . . . . . 7.
8. Total Gross Assets(total Lines 1 through 7) 8. 6 4 3 6 9 , 4 4
9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . .. 9. 1 0 2 0 9 . 2 4
10. Debts of Decedent, Mortgage Liabilities, and Liens(Schedule I) . . . . . . . . . . . . . 10. 6 0 7 9 9 . 4 4
11. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 7 1 0 0 8 . 6 8
12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. - 6 6 3 9 . 2 4
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. - 6 6 3 9 . 2 4
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 0 . 0 0 16. 0 . 0 0
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. a . 0 0
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑X
Side 2
L 1505610240 1505610240
REV-1500 Ex Page 3 Fite Number
Decedent's Complete Address: 21 13 0808
DECEDENT'S NAME
JEAN L. SNYDER
STREET ADDRESS
215 Herman Avenue
Gn STATE ZIP
Lemoyne PA 17043
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 0.00
2. Credits/Payments
A.Prior Payments
B.Discount
3. Interest Total Credits(A+B) (2) 0.00
4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. (3)
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) 0.00
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; ...................................................................... 0 nX
b. retain the right to designate who shall use the property transferred or Its income; ................11.........11.. 0 12
c. retain a reversionary interest;or ................................................................................................ 0 0
d. receive the promise for life of either payments,benefits or care? ............................. ............. 0 QX
2. if death occurred after December 12, 1982,did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................1..........111..... 0 XO
3. Did decedent own an"in trust for'or payable-upon-death bank account or security at his or her death? ......... 0 191
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary designation?.................................................................................................. ❑
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
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)(11)(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 decedents 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,unde
Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
REV-1502 EX+(01-10)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
JEAN L. SNYDER 21 13 0808
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
Real property located at 215 Herman Avenue, Lemoyne, PA 17043 51,000.00
see attached settlement sheet
TOTAL(Also enter on Line 1,Recapitulation.) $ 51 000.00
If more space is needed,use additional sheets of paper of the same size.
REV-1508 EX+(6-68)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC,
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
JEAN L. SNYDER 21 13 0808
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
1. M&T Bank 6,787.09
Checking Account 80418961
2. M&T Bank 6.95
Checking Account 9847208023
3. M&T; IRA Account 35004201749651 5,377.91
Paid to Estate
4. Capital Blue Cross; refund 169.30
5. Lechner& Stauffer, Inc.; refund insurance premium 261.62
6. Reimbursement county taxes; real property at 215 Herman Ave 89.62
7. Reimbursement school tax; real property at 215 Herman Ave 641.49
8. Reimbursement final trash; real property at 215 Herman Ave 35.46
TOTAL(Also enter on line 5,Recapitulation) $ 13,369A4
(if more space is needed,insert additional sheets of the same size)
RFV•1511 EX+(10-09)
Pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
JEAN L SNYDER 21 13 0808
Decedents debts must be reported on Schedule 1.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERALEXPENSES:
1. Funeral lunch and flowers 450.00
B. ADMINISTRATIVE COSTS:
I. Personal Representative Commissions:
Namets)of Personal Representative(s)
Street Address
City State Zip
Yeaqs)Commission Paid:
2, Attorney Fees: Jan L. Brown &Associates 3,000.00
S, Family Exemption:(If decedents address is not the same as Claimants,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
L Probate Fees: Cumberland County Register of Wills 113.50
5 Accountant Fees:
61 Tax ReturnPreparerFees: Parks&Company 480.00
7. Cumberland Law Journal; legal advertising 75.00
8. The Sentinel, legal advertising 178.92
9. Roland Johnson Appraisals; real estate appraisal 300.00
10. Register of Wills; additional probate fees 105.00
11. Settlement charges; real property at 215 Herman Ave, Lemoyne, PA 5,481.82
12. Register of Wills; FSA filing fee 20.00
11 Register of Wills; additl short cert 5.00
TOTAL(Also enter on Line 9,Recapitulation) $ 10 209.24
If more space is needed,use additional sheets of paper of the same size.
REV-1512 EX+(12-08)
pennsylvania SCHEDULE I
DEPARTMENT Or REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RE TURN MORTGAGE LIABILITIES, &LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
JEAN L. SNYDER 21 13 0808
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Frey Village; outstanding medical bill 14,206.71
2. M&T Bank; home equity loan#12044445524954998 46,592.73
3. Department of Public Welfare; Estate Recovery Program 0.00
Restitution of medical assistance; CIS#400829602
Claim of$16,704.96
Amount available for payment to DPW= $0.00
TOTAL(Also enter on Line 10,Recapitulation) $ 60 799.44
If more space is needed,insert additional sheets of the same size.
REV-1513 EX-(e1-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
JEAN L. SNYDER 21 13 0808
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 [Include outright spousal distributions and transfers under
Sec.9116(a)(1.7).)
1. Nancy J. Snook Lineal 0.00
229 16th Street
New Cumberland, PA 17070
2. Larry E. Snyder Lineal 0.00
1948 Ursinus Avenue
Lancaster, PA 17603
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 11-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 Sam size.
FILE
LAST WILL AND TESTAMENT
OF
JEAN L. SNYDER
I,JEAN L.SNYDER,now domiciled in Cumberland County,Pennsylvania,declare this to
be my Last Will and Testament. I revoke all other wills and codicils that I may have previously
made.
Article I
My just debts and expenses of my last illness,funeral,and administration of my estate shall
be paid by my Executor from the principal of my residuary estate as soon as practicable after my
death.
Article II
All inheritance,estate,and succession taxes(including interest and penalties thereon,but not
including any generation skipping tax) payable by reason of my death shall be paid out of and be
charged generally against the principal of my residuary estate without reimbursement from any
person. This provision is not a waiver of any right which my Executor has to claim reimbursement
for any such taxes which become payable as the result of any property over which 1 have the power
of appointment.
Article III
1 give, devise and bequeath in accordance with any memorandum which I have either
handwritten or signed, located with my will or with my valuable papers and found within 30 days of
the probate of my will. Gifts may only be to persons who survive me or to organizations which exist
at my death, and if there is a conflict, the memorandum having the latest date shall govem.
Article W
All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever
situate,I give,devise and bequeath IN EQUAL SHARES to my children,LARRY F. SNYDER,of
Lancaster County, Pennsylvania, and NANCY J. SNOOK,of Cumberland County,Pennsylvania.
If any of my beneficiaries predecease me or fail to survive me by thirty (30) days, I give,
devise and bequeath his or her share to his or her issue who survive me,per stirpes, or if he or she
has no issue, the share(s) are to be added equally to the other shares.
Article V
I nominate, constitute, and appoint my children, LARRY E. SNYDER, and NANCY J.
SNOOK as Co-Executors of my Last Will and Testament. I direct that my Co-Executors be
permitted to serve without bond and in addition to those powers granted by law,I grant them power
to distribute in cash or in kind in like or in unlike shares and to file any qualified disclaimer I could
have filed if living. My Co-Executors shall receive reasonable compensation for services rendered to
my estate.
Article VI
In addition to the powers conferred by law,I authorize my Co-Executors,in his/her absolute
discretion:
(a) to retain in the form received and to sell either at public or private sale,any real estate or
personal property except that which I specifically bequeath herein,
(b) to manage real estate,
(c) to invest and reinvest in all forms of property without being confined to legal
investments, and without regard to the principal of diversification,
(d) to exercise any option or right arising from the ownership ofinvestments,
(e) to compromise claims without court approval and without consent of any beneficiary,
(f) to file any federal income tax return for any year for which I have not filed such return
prior to my death,
(g) to make distributions in cash or in kind, or in both, and to determine the value of any
such property,
(h) to employ any attorney, investment advisor, or other agent deemed necessary by my
Executor; and to pay from my estate reasonable compensation for al their services,
(i) to conduct alone or with others, any business in which I am engaged in, or have an
interest in at time of my death, and
0)to receive reasonable compensation in accordance with their standard schedule of fees in
effect while their services are performed.
- 3 -
IN WITNESS WHEREOF,I,JEAN L. SNYDER, hereby set my hand to this my Last Will
and Testament, on 2005.
AN L. SNYDER
In our presence,the above-named JEAN L. SNYDER signed this and declared this 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.
Name Address
5 fir 141amu5 ( .S�t 1��} rl� [ -M e?
- 4 -
I, JEAN L. SNYDER, Testatrix, who signed the foregoing instrument, having been duly
qualified according to law, acknowledge that I signed and executed this instrument as my Will, and
that I signed it willingly as my free and voluntary act for the purposes therein expressed.
Sworn to or affirmed and
acknowledged before me by
JEAN L. SNYDER, the Testatrix
on 2005.
�G -6 �z
Notate Public JEkN L. SNYDER
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
JACQUELINE A KELLK NOTARY PUBLIC
LOWER PAXTON TWP.,DAUPHIN COUNTY
ATY COMMISSION EXPIRES DEC.17,2007
We, the undersigned witnesses who signed the foregoing instrument, being duly qualified
according to law, depose and say that we were present and saw the Testatrix sign and execute this
instrument as her Will; that she signed and executed it willingly as her free and voluntary act for the
purposes therein expressed; that each of us in her sight and hearing signed the Will as witnesses,and
that to the best of our knowledge, that she was at that time eighteen (18) years or more of age, of
sound mind, and under no constraint or undue influence.
Sworn to or affirmed and
subscribed to before me
by
and ,i t!/ er sn/P> Witness
witnesses, on 'J 12005.
/Witness
CL
ota1� jPublic j
COMMONWEALTH OF PENNSYLVANIA
LIN0IARIE SEAL ' S
ACOUELINE A.KELLY,NOTARY PUBLIC
LOWER PAXTON TWP.,DAUPHIN COUNTY
MY COMMISSION EXPIRES DEC.17,2007
OMB NO.2502'0265
if
A B TYPE OF LOAN: _
U.S.DEPARTMENT OF HOUSING&URBAN DEVELOPMENT 1[]FHA 2'QFP;Kk 3❑CONV.U41NS aQVA 5 OCONV INS
6,FILE NUMBER' 7 LOANNUMBER
SETTLEMENT STATEMENT TCSS2011151 _ ^_
8 MQRTCC�+GE INS CASE NUMBER
C_ NOTE: ihrY/rynr 4S lurnttllM td yhc pva4talemGnt eleCUelsGtkmGM wsfs AmounN POErooro OY Ure stllkmenr a0eru are s re
i(pmY maNked"(P4X.'f uxre peiff dvf5#t the LhYTNj:theyere itK:sn t+dro fer ntetmafMMpYrapSGa dMJ MO rKK iWXICQm tM two,,
'P 49p Iri::4Si�'[r�y+CSY'Ira+:v'pr
D NAME AND ADDRESS OF BORROWER. E NAVEANDADORESSOF SELLER F NAM.EANDACORESSOFLENDER
DraOo Ssvk EAateol,N.+,nL Sayacr
Danvel Orb 215 Herman AVenuo
1640many Orw Lemoymc,PA 17043
Camp lot PA 17011
G PROPERTY LOCATION H SETTLEMENTAGENI I SETTLEMENT OATS
215 He'a,"Aworu IC Settlement Se,,CGS LLC
Lemore.PA 17x3 Ctlotur I$ 2013
Cmrt,"tp o C"mr,aennsrt:ama PLAC£OP SET TLEMA NT
80'East Para Ohm.Sure 106
HatSSaur9.PA 17111
J.SUMMARY OF BORROWER'S TRANSACTION K.SUMMARY OF SELLER'S TRANSACTION
100.GROSS AMOUNT DUE FROM BORROWER: 400, GROSS AMOUNT DUE TO SELLER:
101. Coptfad$ales Prke 51.000.00 4DI CorkraQSaks Prim 5100300
102, pelsonalproplYly 442 PersOnat Pro e
103 S60Gmen;Cmr est0 B0rrowor Lille 14001 1.46750 403
ID:. 404 ��.. ..
105. 445
' uTm.Mtt
Frye-0,Ps Paid By Seter m pCvHMYY ACvYmtn:Y FGr Moms PaiOB SciCr Mr aJVaM"e
I% Ceyffreem Tares 10 406 C.:TIN t,TAMP ro
107 Coonly Tams !W;8eI3 to 0101,14 8962 407 Corm Taaes Nple,13 to WrOU1< 8962
108, SngrA Tax 10.'18'13 10 07101;14 64149 408 School Tar 10118,13 t0 07/01/14 64119
109, FnalTWt0t18'131o4u01A4 3546 409 Fera,TNashl0+t&131001+31714 3546
119 410
NI 4n,
112, 412
127 GROSS AMOUN 7 CUE FROM BORROWER 5323407 420 GROSS AAICUVT DUE TO SELLER 5176157
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500, REDUCTIONS IN AMOUNT DUE TO SELLER:
201 Depost a ea'ne V,money 5.40000 541 Esoess0 1+:(Ste lnsaudonP
202 PrarGps'.+unGUnl of Ne.,Loantst 902 SeaemtM Cnaacs to Spier l Lcee 1440+ $48182
203 Emma ban st taken suCkcl to SW Easm ban Sµaker,stibrol to
204 504. PaycO Ol fev%lan0a oto M&T Bantu, Luveceri 46,34615
265 505 Pa f o!second monpaoe
206 506
20' S0: Ileaas:dst as roams}
208 500
209 50
A4uv"ms Fer Comt U road&Stttr Ativime+riS For neM Unaptl By SMk•
2:4 C4 rcwn Taaes :0 510 C4.4Ce'n Tales to
2:: Cover"Taxers :0 511 Count Tarts _to
212. SCem:AZ to 512. Senoct Tas to
213 513
214 514
2'.5 515
216 516
2"
218 516
219 $19
220 TOTAL FarD By.-FOR BORROWER 5,000 OD 524 TOTAL REDUC FIO.V AKO',AVT DUE SELLER 5'e2a%
300,CASH AT SETTLEMENT FROMJTO BORROWER: 600, CASH AT SETTLEMENT TOIFROM SELLER:
30- Gross AmdoM Due From Bpnpmer(Lre 120. 53 23407 841 Gro,Ameunl Due To Selbnlme 420- 51'S5 57
1212 Le PYEB,ro.Barrrcr(LIne 2201 1 5=031 602 Less Redo 411%Due Sort,(Lmt 5201 1 51 a26'T
30). CASeli FROai37 TO/BOPROWER 48.23407 6,3 CASHf TO), x FROJt SELLER 6:6"u
T`G a 41,$ oC ndreoyy rlro v,kCSere,31V eta mmckl tt mp7 eea9es+&2 of tao r,"mmem&any asavments rclGne01,lere:'
Bo,:Nrm" L'r GQl! sis2y IL $eM' Es=t of kanL Snttltr .
D!am$O k
BVNaptyJ Sn0ak.6dauP 1pr —
Oatp:O✓1 The Estate of Jean I. Sny-a!
L.SETTLEMENT CHARGES
100,TOTAL COMMISSION Based on Pried S •Q 3 OW GO = !
Orwzon of C"misvnlwe TOG)as FO:o:.s =' .,..: .
i
?Ot S F,iGO O3 to RE+M;J(Real,Sena . .-
702 S 1.5000) to REMAXReaay Sena
703 Commasen Paid at SeOPmenl 7,00000
70,1. Broker Fee - to RFJMAK Rea4y Se'ea 195 col 19500
000,ITEMS PAYABLE IN CONNECTION WITH LOAN
00i loan OcT,,adde Fee % to
002 Loan Osmunt to
803 Acleaxl eee to
204 Credit.Rei to
005 tender's lnspeCron Fee to
005.ttul mx AAp Fee to
807 Assun:Ptean Fee to
BO0
009
810
all
500.ITEMS REOUiRED BY LENDER TO BE PAID IN ADVANCE
901 Imeles!Fron to & S !day I days
S021JIP Toons for L&kO!LOao for mom's to
E03 HanU Insurance Premam for 10 yea's to
904
905
1000.RESERVES DEPOSITED WITH LENDER
1001 Haldrd Insurance on S ce1 month
1092 V.,togae,lnsurance menthx 5 cer month
1001 C.^.1Tdxn Tams nlw8as v 5 es, mdalb
1004 Comm Taxes months JZ 5 e: moot,
1005 Scrool Tav mom's _ 5 per mono'
lox months S Ee, m me
I= months Q S Per month
1008 months 4D 5 per molnh
1100.TITLE CHARGES
HOl Setliement or Closing Fee to
1102 Abstract or TIP Searm to
1103 Domeriew or Fee to
1404 To,loserance Bever :a
a0' 0.eolctovOe Ices :o
aGf ramm Fees :o TC See dmem Seances.LLC 2000 2000
1107 Tax Cer1 Reimbursement Fee :o TC Sellemenl Sdnsces.LX 10 c
(nJ es#bow dee,numbers 1
700 TM lnsvrd :o FeslAoIv",t Tlb tnswaa Company 630 50
(•asudes*bow k ntHnD S
1105 tcodcTs Cowage S
1110 O.+per's Coverage S 51.00 00 6}050
1111
IV2
111}
1300.GOVERNMENT RECORDING AND TRANSFER CHARGES
ZOl Recording Fees. Deed S 6700 Mor'!gage 5 Renxses S 6700
!202 CV_.Counlylax tamps Do" 51000 Mon! a e 511100
1203 Slate T.WSWmps Deed 51000 Mort a e 51000
1204 Sahstaaen Pete Rm,Of2 to Combe+tan0 Coumv Recorder of Deeds 65501
120;
1300,ADDITIONAL SETTLEMENT CHARGES
1301 Surve to _
1302 pest lneeeaOR to AeAmerean Td•m.te
1 102 2013+`.4 Smoot Taxes to FathA 4 no!a 01.62
1304 Termle Trealttnt to AnAm, v a,termle d POV Co^1o1 6837
1305 See add"dtJ) wince. to 0300
1400,TOTAL SETTLEMENT CHARGES (Enteron Lines 103•Section J and 502•Section K) 1 467,!Oil SAB,82
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ADDITIONAL DISBURSEMENTS EXHIBIT
Borrower. Danijel Okilj and Drago Savic,joint tenants with survivorship rights
Danijel Oki§
Seller: Estate of Jean L.Snyder
Settlement Agent: TC Settlement Services,LLC
Place Of Settlement: 87
801 East_Park Drive,Suite 108
Harrisbu PA
_
Settlement Date: October 8,2013111
Property Location: 215 Herman Avenue
Lemoyne,PA 17043
Cumberland County,Pennsylvania
PAYEE/DESCRIPTION
NOTEIREF NO BORROWER
SELLER
Borough of Lemoyne
Final Sewer
Penn Waste 8/8-10/18 93.00
Final Trash POC:S43.50
Total A ddltionai Disbursements shown on Line 1305 $
0.00
$ 93.00
(0101.!6 6AVIC.PF0/fCSS201}151/18)