Loading...
HomeMy WebLinkAbout04-02-14 1505610105 REV-1500 a fO2-""FI' OFFICIAL USE ONLY Department of Revenue Pennsylvania Bu County Code Year File Number PO BOX Bureau 2Individual Taxes N 180601 INHERITANCE TAX RETURN Harrisburg,PA 19118-o6oi RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY f---- --... F -_ -- _ 04/12/2013 �� 02/2311934 Lu^ Decedent's Last Name Suffix Decedent's First Name MI Petsock George (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number f THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 1 !` -1 REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 011 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) COD 6.Decedent Died Testate O 7.Decedent Maintained a Living Trust 6. 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 Bar L. Nettles Barry 1(717)802-0068 REGISTER 6E WMLS USE ONLY frT D7 _-0 C1 ID -U O First_Line of Address 3 p 1112 Columbus Ave, #8 —� v`, rV o Second Line of Address J n p -10 O C 3 City or Post Office State ZIP Code -ATE*ILED rti'1 'i rLemoyne PA 17043 to Correspondent's e-mail address:bar7net@aol.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, H is true,correct and complete.Declaration of preparer other than the personal representative is bas on all informa' n of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RET DATE ADDRESS j t �.�.�- � � � ✓1 FT 11 17- Ce I wm,6Lt S � -e+-»f o�„ie Pr+ 1-70 43 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE A ,/rA DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505610105 1505610105 J O� 1505610205 REV-1500 EX(FI) Decedent's Social Security Number r - DecedenYS Name: PetsOCk, George 1 RECAPITULATION 1. Real Estate(Schedule A). .............. .. .. .. . ... ....... . . . . .. . ... ... 1. � --156,000.00 J 2. Stocks and Bonds(Schedule B) .... .. . ................ .. .............. 2. 1 I 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) . .... 3. { 4. Mortgages and Notes Receivable(Schedule D) . . ........ . . .. . . . .......... 4. 1 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E)....... 5. 42,774.76 6. Jointly Owned Property(Schedule F) O Separate Billing Requested . ... . .. 6. 1 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested.. . . . . .. 7. 10,597.64 I 8. Total Gross Assets(total Lines 1 through 7).. . . . . . .. ......... . ... ....... 8. 209,372.40 9. Funeral Expenses and Administrative Costs(Schedule H)................... 9. 1 40,115.82 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............. . . 10. ) 57,755.29 I 11. Total Deductions(total Lines 9 and 10).. .. ... .............. . . . . ..... ... 11. 97,871.11 ' 12. Net Value of Estate(Line 8 minus Line 11) ............... .. . ... ......... 12. 1 111,501.29 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. 111,501.29 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- { 1 15. 16. Amount of Line 14 taxable I at lineal rate x.045 ) 111,501.29 i 16. 1 5,017.56 17. Amount of Line taxable .1 at sibling rate X.12 1 17. 18. Amount of Line 14 taxable at collateral rate X.15 i 18. 1 19. TAX DUE ........... ............. .. .... .. . .. . . ......... . .. ... ..... 19. 5,017.26 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ca Side 2 1505610205 1505610205 J REV-1500 EX(Fl) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Petsock, George STREETADDRESS 2145 Chestnut Street CRY STATE ZIP Camp Hill PA 17011 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 5,017.26 2. Credits/Payments A.Prior Payments 7,850.85 B.Discount 157.89 Total Credits(A+B) (2) 8,008.74 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. FlII in oval on Page 2,Line 20 to request a refund. (4) 2,991,18 5. If Line 1+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 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 b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ 0 c. retain a reversionary interest .............................................................................................................................. ❑ E d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ E 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?.............. ❑ 0 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation? ........................................................................................................................ ❑ I IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 77 z 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(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. LAST WILL OF GEORGE PETSOCK I, GEORGE PETSOCK, of the Township of Lower Allen, Cumberland-County, , ` Pennsylvania, declare this to be my Last Will and revoke any will or I Mhn.. codicil previously made by me. , Item 1: I devise and bequeath all of my estate of•every nature and ` wherever situate, together with all insurance thereon, to my wife, IDA- - MAY PETSOCK, provided!ahe shall survive me by sixty (60) days. Item 2: Should my wife, IDA-MAY PETSOCK, predecease me or die on or before the sixtieth (60th) day following my death, I devise and bequeath all of my estate of every nature and wherever situate, together with- - all insurance thereon, to my step-children, MARIE ELAINE NETTLES, ROBERT EARL NETTLES and BARRY LEE NETTLES ,hare and share alike, per capita and not per stirpes. " Item 3: I appoint SOUTHEAST NATIONAL BANK of Chester, Pennsylvania, `'`' trustee of any share of my estate which passes to my step-daughter, MARIE ELAINE NETTLES.. My trustee shall hold, manage, invest and reinvest the share so received, and the accumulation of income thereon, and shall ' distribute to the trust beneficiary, MARIE ELAINE NETTLES, ten percent (10%) of the trust principal and accumulated income per annum until such time as the trust principal and the accumulated income is depleted, or until MARIE ELAINE NETTLES shall reach the age of fifty (50) years, at which time the trust shall terminate. If, in the trustee's sole discretion, . 1 Fo the annual distribution set forth herein is insufficient to provide for H w the said beneficiary's support and medical care, the trustee may use.and " w oapply the income and principal deemed necessary or appropriate for such support and medical care. In the event that MARIE ELAINE NETTLES dies before termination of the trust as aforesaid, the trust shall nevertheless terminate at her death, and the then remaining principal and accumulated income shall be distributed equally to my step-sons, ROBERT EARL NETTLES _ y and BARRY LEE NETTLES, per capita and not per stirpes. ' Item 4: All shares of principal and income hereby given shall be. _ free from anticipation, assignment, .pledge or obligations of beneficiaries, and shall not be subject to any execution or attachment. Item 5: I direct that all- taxes that may be assessed in consequence a of my death, of.whatever nature and by whatever jurisdiction imposed,' shall be paid from my residuary estate as a pa'rt of the expense of the ~y'•• administration of my estate, .Item 6: I appoint my wife, IllA-MAY• PET SOCK, executor of this my Last a Will. Should my wife, MA-MAY PETSOCK, fail to qualify of cease• to act as executor, I'appoint my son, ROBERT EARL NETLLES,'executor of this ' my Last Will. , Item 7: I direct that my executor or his successor shall not be required to give bond for the faithful performance of their duties in _ - • _• any jurisdiction. Item 8: It is my'express.desire and request that my executor employ . . HENRY F. COYNE, ESQUIRE, as his attoiney, since he has an intimate know- ledge of my affairs and of my views and wishes in matters that Nay arise in the settlement of my estate. dye IN WITNESS WHEREOF, I have hereunto set my hand and'seal this ✓N�' day of , 1980. GEORG ETSOCK ' t • The preceding instrument, cvdsistivg of this and two (2) other , 'typewritten pages, each identified by the signature of the Testator, / GEORGE PETSOCR, was on the.day and date thereof signed,, published and ' deelbted by GEORGE PETSOCK, the Testator therein named, as and for •"_� his Last Will, in the presence of. us, who at his iequest, in his presence, ' and in the resence of each other have subscribed our names as witnesses 14'' P •1 i hereto. residing at �LII.J residing at � /-105 1 .. COMMONWEALTH OF PENNSYLVANIA) - ). as: COUNTY OF CUMBERLAND ) _ We, GEORGE PETSOCK, .y ^ �,/nres U.Brenneman , ana JQen/1/'.S J. J/JG7�ci , the.Testator and the witnesses ..n respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the under- - s$ ed adthorit that the Testator si {,';. ; 111 �P y geed and executed the instrument R: has his' Last Will and that he had signed willingly, and' that he executed it as his free and voluntary.act-for the purpose therein expressed, and ' that each of the witnesses, in the p.resence and hearing of the Testator, signed the Will as witness and that to- the best of his or her knowledge, the Testator was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. 6o Jac ' ...:..tGE0'RGE5 TSOCK.::-.,. ., .. . AUK y-i/1/I/nuusiu�-✓ -.. k . l`U . Subscribed, swofv to and acknowledged before me, Eileen by GEORGE PETSOCK, the Testator, and subscribed and sworn to before me byua/,6,re/5 U :YJlPnrl r�nnn and qAe /5 r/ 9�,7 yVo ,witnesses, this ih "L day of S!'eiemd•e r , 1980. Ndary Publi (SEAL) EIUMN B. COYNE NOTARY PUBLIC - 3901 Madra Sr. (Narv4*n{wp.I CAMP PILL, PA. 17011 My CoMWulon hPlrn Jm 26, 19A $ry Ktv-"U<tA+I14-141 pennsytvania SCHEDULE A DEPARTMENT OF REVENUE REAL ESTATE INNERITANCE TAX RETURN RESIDEW DECEDW ESTATE OF: FILE NUMBER: PETSOCK,GEORGE 21-13-0524 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,bath 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. TEEM Include a copy of the deed showing decedents Interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1 PUBLIC SALE AUCTION OF 2145 CHESTNUT STREET,CAMP HILL,PA 17011 156,000.00 TOTAL(Also enter on Une 1, Recapitulation.) $ 156,000.00 If more space is needed,use additional sheets of paper of the same size. OMB Approval No.2502.0265' I' A. Settlement Statement (HUD-1) sc_tt- B. Type of loan � 1,C]FHA 2,Q SHE 1 RConv Unins. 6. File Number 7. Loan Number. 8. Mortgage Insurance Case Number: 4,u VA 5.Q Conv Ins. Pia-009 3322616333 C, Note: This farm is furnished to give you a statement of ectual settlement posts, Amounts paid to and by the settlement agent are shown. Items marked"(p,o.c)"were paid outside the cpsany,they are shown here for informational purposes and are not included M the totals 0, Name and Address of Borrower E. Name and Address of Seller F, Nameand Address of Lender Garret J.Geller and Marie E.Dessroth and OUICKEN LOANS,INC. Jennifer Geller Barry L.Nettles 1050 Woodward Avenue 115 S 24th Street Detraft,MI 48226 Camp Hill,PA 17011 G. Property LarI H. Sa lliffo nt Agent: I. Settlement Date: 2145 Chestnut Street PURITY ABSTRACT COMPANY Camp Hill,PA 17011 3329 MARKET STREET January g,2014 Cumberland County,Pennsylvania CAMP HILL PA 17011 Ph. (717)737-8359 Place of Setnemem4 3329 MARKET STREET CAMP HILL PA 17011 J. Summary of Borrowees transaction K. Summary of Sellefatransaction 100, GrossAmount Due from Borrower: 400, Gass Amount Due to Seiler: 101, Contract sales older 156,00000 401. Contract Sales prim 158,000.00 102. Personal Property 402, Personal property 103. Settlement Charges to Borrower Line 14D0 18,051.38 403. 104, q04, 105- q05. Adjustments for items paid b Seiler in advance Adjustments for items paid b Seiler In advance 106. COUNTYISOROTAX to 406. COUNTYISOROTAX to 107, CITY TAX to i 407. CITY TAX to 108. SCHOOLTAX 01109114 to 07101114 1020,94 408. SCHOOL TAX 01109114 to 07101/14 1 1,020.94 109 1 409, 110. 410. nt. 411. 112. 412. 120, Gross Amount Due from Borrower 175,072.29 420. Gross Amount Due to Seller 157,021194 200. Amounts Paid by or In Behalf of Borrower 600- Reductions in Amount Due Seller, 201, Deposit or earnest money 15,800.00 501, Excess Weafft see Hartuciiors 202. Principal amount of new loans 124,800.00 502. Settlement charges to Seller Line 1400 963,17 203. Existing loantro taken subject to 1 503. Existin loans taken subject to 204. GOOD FAITH DEPOSIT to Quicken Loans Inc 1 500.00 504. Payoff First Monga a to M8T BANK a8,24121 205. LENDER CREDIT 950A0 505. P off cold Marta a 205.... 505. 207, 507. (Deposit dish.as prcme5s2 208, 508, 209. 509, Adjustments for Items unpaid b Seller Adjustments for Items unpaid b Seller 200-COUNTYISGRO TAX 01,101114 to 01MSM4 1 19,96 510.COUNTYIBORQ TAX 01191114 to 01709!14 1996. 211. CITY TAX to 511. CITY TAX t0 212. SCHOOL TAX to 512. SCHOOL TAX to 213. 513, 214. 514, 255. 515. 216, 516, 217, 517 INHERITANCE TAX PYMT to REGISTER OF WILL.S,AGIi 4,850,85 218, 518. 219. 519, 220-Total Paid by/for Borrower 141,869,96 52D.Total Reduction Amount Dua Sa9or 5a.075.19 300. Cash at Settlement fromfto Borrower 800. Cash at settlement to/from Seller 3DI, Gross amminl due from Borrower line 120 175,07229 601, Gross emount due to War line 420 157.02094 302. Less amount aid by/far Borrower(line 220) ( 141,869.96) 602, Less reductions due Seller(fma 520) 5,19 303, Cash �% From To Borrower 33,202,33 603. Cash ❑X To ❑ From Seiler 102,945.75 -catlonidaan nlic"Ismw.sistes1e5l.le(L{,wai'Il,nr {i) The undersgned hereby acknowledge receipt of a completed copy of this statement 8 any attachments referred to herein Borrower J.Geller ;,,.� Boner Esla of eorge Fetid4k Garret J.Geller f>1k��G•1 JJY3<-s--n-^'�sC? e l sL. Mane Eno E Deco at sea J der G err '� f e Barry L.Nettles, adminisiralor rMPWIC R."Im"Is" arizlyIxo Malvedrsnls44mlarner mI Is TPo5V CtlI1,r,rNc,Is!IMara I6Ya TN9.'�aCy mTy R1S'e eidrarnsIr0oWaeMr'q'IONndela Vv61Q-m,K101f I16dGlry9 a curvNy r6id PMamnbd Nn�.No Gxnm,M1airy Is L4YVM',Ns dzdr6V 8b marvWdy.TM1S ip YkSipvtl IopPiE0tl4pBLtl foe RESMEMC�4YaKtim HmiMbmtlim OSi`gtltlaenlvn x owns Page 1 of 3 HUD- - - (GELLER,2145.PFD1P.14-00988 L.Settlement Charges 700.Total Real Estate Broker Fees Pau Fran Pea From V-,,pl COmnuvern fine]DO)as to M, Baronds SNMs t0 Funds Y. Fv in 702.5 to Sedlemert sntle ant 703.CUmmWton paid at eehlement 704. 705. 800.Items Payable In Connewon with Loan 801.Our or nation Mere S 1.Oa9.00 '-in GIE tlt 802.Your credit or char a ins for the Wafic Interest rate chosen 3.7".00 from GFE 02 803.Your ad'usted or hatun char es from GFE#A 4,793,00 804.Appraisal fee to TSI APPRAISAL SERVICES from GFE 03 055.00 805.Cred"a Report to CREDSTAR from GFE*3) S6.078 Fe 809 10.32 805.Tax serme to FIRST AMERICAN RE TAX SERVICE (trom GFE 03 60.00 807.Fund certification to CORELOGIC FLOOD SERM from GFE 031 5,00 1808.Tax Cert Fee to TITLE SOURCE INC. from GFE#3 1000 809.Credit M ndorhq Servka EQUIFAX INFORMATION SERVICE LLC from GIFF 03 810.Flood Dekrmhatnn Fee to CORELOGIC FLOOD SERVICES from GFE#3 10.50 811. (from GFE 13) 900.Items Required by Lender to Be Pald In Advance 901.Drier Interest Merges from 0/709/14 to 02101l14 23@ 515ADD0007tl from GFE#10 358.80 902.Mortgage insurance premium for months to (from GFE 93) 903.Homeowners Insurance for 1.0yearsto HOMESITEINSURANCE (from GFE#11) 553.00 961. (from GFE#11) 905. (from GFE#11) 1000.Reserves Deposited with Lender 1001.Initial deposit for mr ewm saount (ho.GFE 99) 2.160.00 1002.Homeowner's Insurance 3.000 months @ S 46.08 Per month S 138.24 1003.Mortgage insurance months A 5 per month S 1006.Property trues - $ COUNTY TAX months 9D S per month CITY TAX months @ $ per month SCHOOL TAX - months IM $ Per month 1005. 5 2.602.33 COUNTY7BOROTAX 13.000 months S 75,97 per month SCHOOL TAX 9.000 months A 1 179.50 per month 1006. - months @ $ per month S 1007. months Q S per month S 1008. S 1009.AGGREGATE ADJUSTMENT S -580.17 11DO.Title Charges . _ - 1101. Title servkea and lenders tole hsuranm (from GFE#4) 1,347.00 1102. Settlement or dosing fee S 1103. O.vnces title insurance to FIRST AMERICAN TITLE INS.CO. (from GFE#5) SALE 155.00 1104. Lender's We Insurance to FIRST AMERICAN TITLE INS.CO. 5 1.175.00 SALE 1105. Lenders We poky fmA S 120,800.00 1106. Owners We poky 5mh S 156.000.00 1107. Agent's Portion of the total this Insurance premium to PURITY ABSTRACT COMPANY S 1,130.50 1108. Underwriters portion of the total title Insurer a Premium to FIRST AMERICAN TITLE INS.CO. S 199.50 1109. Notary Fee - to Notary Clark S 10.00 1110. Payoff FMExfee to PURITYABSTRACT COMPANY S 12.00 1111. Tax Car(Fee to PURITYABSTRACT COMPANY $ 10.00 1112. S 1113. S 720 0Governmen t ROcordlho Tmnsfer Charges 120Gonment recerdh to RECORDER OF DEEDS from GFE#] 171.00 1202.Deed S -68.00 - Mortgage S 103.00 Releases S Other S 1203.Transfer toes to RECORDER OF DEEDS (from GFE 98) 3.120.00 1204.C41COurrytayurstamps $ 1,560.OD S 1205.Slate taWstamps $ 1.560.00 $ 1206.3 Satisfactions to Recorder's Office 166.50 1207 1300.Additional Settlement Charges e.. - 13D1.Requited son4ces that you can shop for (from GFE 06) 1302. 3%AUCTIONEERS FEE to ELMER MURRY AUCTIONS,INC. $ 4,68D.00 1303.AUCTIONEER'S ADVERTISING FEE to ELMER MURRYAUCTIONS.INC. 5 750.00 1306. 1sT OTR SEINER to BOROUGH OF CAMP HILL 5 150.33 14.67 1305. S 1000.Total Settlement Chang (Doter on linos 70J,Section J and 502,Saetlon K) - - 16,051.35 963.17 •Tl4wl#af#04yln emo-v(et.rraw(sl.irnexl0.e nvPrytrl //,///y�� - /.r el#peOmss+wn..wn.+.renowelrcwuvmr�cw#a.ronynemoy draa.:a octn.ax.aPRT r'1/� PSG-�'�.f r�d*-0� PURITYA7RAV COMPANY.Settlement Agent Certified to be a two copy. Page 2 of 3 HUD-1 (GELLER.2145.PFDIP.14.00920) Comparison of Good Faith Estimate(GFE)and HUD-1 Charges Good Faith Estimate M4.793.00 Charges That Cannot Increase HUD-1 Line Number Our pr nelbn charge 0 801 1.049.00 Your aed4 or Mare(poets)for the-me,role chosen 0 802 3,744.00 Your adjusted or nation charges 0 803 4,793!0 Transtar tams 41203 3,120.00 Charges That In Total Cannot Increase Mom than 10% Good Faith Estimate HUD-1 Government recording charges 41201 168.00 171.00 Aopraoal fee 0 804 455.00 455.00 Gred4 report 0 605 14.32 14.32 Tax sews¢ 4 806 6030 60.00 Flood certifxatbn 4 807 5.00 5.00 1 Tax Can Fee If 808 18.00 18.00 Flood Determination Fee 0 810 1650 10.50 Total 730.82 733.82 Increase between GFE and HUD-1 Charges S 3.00 or 0.41 Charges That Can Change Good Faith Estimate HUD I m0.iat depos4 for your escrow account 41001 2.150.43 2.16040 Daily Interest charges 4901 S 15.600000/day 358.80 358.80 Homeowner's Insurance 0 903 592.80 553.00 T4lo services and lenders We Insurance 41101 1,180.00 1,347.00 Owner's title insurance to FIRST AMERICAN TITLE INS.CO. 41103 260.00 155.00 Loan Terms Your Initial loan amount is S 124,800.00 Your loan torn is 30.00 years Your initial interest roto Is 4,5000% Your Initial monthly amount owed for principal,Interest and 5632.35 Includes any mortgage Insurance Is Q Principal © Interest ❑ Mortgage Insurance Can your Interest rate rise? ❑X No ❑ Yes,4 an die to a maximum of %. The fast change will be an and an change again every_months after . Every change date.your interest rate an Increase or decrease by %. Over the We of the ban,your Merest rate is guaranteed to never be lower than_%or higher than %. Even if you make payments on time,an your loan balance rise? ❑X No ❑ Yes,ft an flu to s maxmum of S Even If you make payments on lime,an your monthly ❑X No ❑ Yes,the first Increase an be on and the monthly amount owed for principal;Interest,and mortgage insurance rise? amount awed an rise to$ The maximum 4 an ever roe to is$ Does your loan have a prepayment penalty? ❑% No ❑ Yes.your maximum prepaymenlpenaltyo5 Does your loan have a balloon payment? ❑% No ❑ Yes,you hove a baleen payment of S due In_years on_ Total monthly amount owed including escrow account payments ❑ You do not have a monthly escrow payment for gems,such as property tons and homeowners Insurance. You must pay these gems directly yourself. © You have an edddbnel monthly escrow payment of 5301.49 that fesuls In e total Initial monthly amount awed of$933.64. This Includes principal,Interest,any mortgage insurance and any gems chocked below: ❑X Profxertylaxes ❑% Homeowners insurance _ - ❑ Flood insurance ❑ ❑ ❑ Note: 11 you have any questions about the Settlement Charges and Loan Terms fisted on this form,please 4ontao your larder. Page 3 of HUD-1 (GELLER.21,15.PFDIP.14-00920) REV•lsoe EX+(o6-r2) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS&MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Petsock, George 21-13-0524 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. PSECU Savings Account#xxxxxxxxx7515 5,172.74 2, M&T Bank Checking Account#xxxx5445 4,427.52 3. Personal Property Gross Auction Proceeds(Eimer Murry Auctioneers,Inc.) 13,604,50 4, Net Proceeds From Sale of 2013 Chevy Truck 13,060.00 5, Cash 3.560.00 6, Misc.Lawn Equipment,Generator,Refrigerators,and Washer/Dryer 2,950.00 TOTAL(Also enter on Line 5, Recapitulation) $ 42,774.76 If more space is needed,use additional sheets of paper of the same size. Pennsylvania State Employees Credit Union PSEC,Uli P.O. Box 670138 HOa23s 7 28 A 1 17106-7013 Member Number: 0182""" psecu.com Statement Period: 04/01/13 to 06/30/13 Direct inquiries regarding preauthorized electronic transfer or account errors to the above address. Page Number: Regular 1 of 2 Account Balances at a Glance Total Shares: $0.00 40021 1 AV 0.360 00.685 00.064 T735 P1 307 Total Certificates: $0.00 GEORGE PETSOCK Total Loans: $0.00 t 2145 CHESTNUT ST ----- -- CAMP HILt- PA 17011-5454 Y7 C`_` -eCA wl e E � dlullrrlrglllllihrr1111dllllrrlllrllllPldlllrrrrrdrw J 000848 07 014942 001 D S2 SAP:1,2,3,4 f (, I _ �� iMTS YOUR �� Monthly credit scores for free. ■ Learn more at psecu.com/fico. �ie:54�88e8�s$C�72(���9(ka5�7n.���n,r,.s�S�Ae YEAR TO DATE INFORMATION Description Amount Total Dividends Year to Date $2.66 Total Nontaxable Dividends Year to Date $80.07 SHARES Posting Effective Transaction New Date— Date Transaction Description Amount Balance _ REGULAR SHARES ID 01 901 Beginning Balance 5 171.99 - 04/30 Payment: Dividend 0.150% 0.64 5,172.63 Annual Percentage Yield Earned 0.150%from 04/01/13 through 04/30/13 Based on Average Daily Balance of 5,171.99 - - — -• - 05/06 Payment: Dividend 0.11 5,172.74 Annual Percentage Yield Earned 0.160%from 05/01113 through 05/31/13 Based on Average Daily Balance of 834.30 05/06 Withdrawal By Check -5,172.74 0.00 05/08 ID 01 REGULAR SHARES Closed Ending Balance 0.00 Dividend YTD: Year to Date 2.66 MONEYHANDLER ID 04 04/01 Beginning Balance 0.00 05/08 - ID 04 MONEYHANDLER Closed Ending Balance '0.00 Dividend YTD: Year to Date 0.00 ® MBTBank r „ilC U* 499 Mitchell Road,Millsboro.DE 19966 Adjustment Services Phone 888-5024349 F ax (302)934-2955 - May 2I,20I3 Coyne& Coyne,P.C. Attorneys at Law 3901 Market Street Camp Hill,PA 170114227 I U Is i MAY 2 3 2013 L �gY Re: Estate of George Petsock Social Security: 182-28-6863 Date of Death: April 12,2013 Dear Sir or Madam: Per your inquiry on May 13,2013,please be advised that at the time of death,the above-named decedent had on deposit with this bank the following: _ 1. Tvpe ofAccount Checking Account s Account Number 38345455 Ownership(Names ofJ George petsock Opening Date 0812811989 I Balance on Date of Death S4,427.48 I I Accrued/merest S .Od Trial 2. 7)pe ofAccount Installment Loan Account Number 11044449041414998 Ownership(Names ofJ George Petsock Opening Date 1012312006 Balance on Dale of Death 55030793"Mis amount is not to be used jar pa)+off purposes. Tor a payoff balance,please call 1-800-714-1440 Current Balance S 50018.81 "" 7his balance is not a payoffbalance fvr- fL3 ri E=1 7 7, f CIO 71 Sc �Pi �Ie L A 900 James Street Phone: 315-686-5271 PO Box 458 Fax: 315-686-5560 Clayton , NY 13624 www.phinneys.com BILL OF SALE Date: 5/20/2013 1, The Estate of George Petcock sold my I 2013 Chevrolet Silverado 3GC9CSE06DG296850 Year Make Model VIN# Miles i To Phinney's Automotive Center Inc. for a total purchase price of $24,000.00 Phinney's vvill be sending my payoff amount of $10,940.00 to Ally Finacial The remaining 13,060.00 ill be paid to The Estate of George Petsock I authorize Ally Finacial to send my title and/or lien release directly to Phinney's Automotive Center Inc. (} uyer. y's omotive Center Seller: i MARCH 10 2014 Accounts Transfers Bill Pay Alerts Customer Service ACCOUkIT SU y MRY>CHECKING M7AC Free Checking a+ta« Great loan rates, ffexibte Related Links: Transfers &Loan Pavmgnts I Sion up for Electronic Statement & Document bOrrowinc, Delivery I View/ Edit Transactions I Statements & Documents SOIUtiOr15. Export Data I Order New Checks I ATM & Debit Card O erdraft Choice I Finance Works' I Apply for a Loan I Order Custom Card +t Total Balance $5,107.56 Account Free Checking 8986 Available Balance $5,107.56 � APpty Now ik _View Calendar View Calendar Show Select Range .or. View From 01/01114 To 01/31/14 GO VD-9a Transaction Deserlation CroditsrDabits, Total Balance 01131/2014 CHECK NUMBER 0164 -$100,014.99 $16,240.64 01/22/2014 DEPOSIT $441.55 $116,255.63 /� ��.-, SgJt(7 01121/2014 CHECK NUMBER 0163 -$195.39 $115,814.08 01/16/2014 AMERICANWATERAMERiCANWA f--14.13 $116,009.47 0111612014 AMERICANWATERAMERICANWA $1 $116,023 '�- 01/13/2014 CHECK NUMBER C -$1,717.39 25.40 01/0912014 DEPOSIT $3 $117,742.79 01/09/2014 DEPOSIT 200.00 $117,704.43 01109/2014 DEPOSIT $102,945.75 $117,504.43 01107/2014 CHECK NUMBER 0160 -$88.83 $14,558.68 0110612014 CHECK NUMBER 0161 -$59.24 $14,64751 Depending on w hen your statement generates,you Trey not see a full 90 days of history.B your statement has just been generated,you mey get a massage indicating that no transactions are available from 61-90 days. 0 2014 Manufacturers and Traders Trust Company.Users of this w eb site agree to be bound by the provisions of the M&T Web Banidng Terms and Conditions.View the Terns and Condtions,Privacy Policy or Security Infornotb . .Sfi' C�ltQ2 - to 5�k M ante .-. col 3 I S'-r-) .. C'O- zOf S0 f 7'IJ t�"Yt 1 httpsJl ariinebmWng.rrendtba*cmiWsta)iH!storyChectdng.aspXNd=1 111 Sc�ei;�Qn_ t Accounts Transfers Bill Pay Alerts Customer service ACCOUNT SUi;rtvlA=y>CHECKING DETAIL Free Checking 40iNlZt. Greet i•OBr, Related Links: Taflsfers&Lcan Payments c Tat s, ftexil,l[i: View;�dit TransaMions Statements&r Documents I Sion Up for elactroric Statement& Document bo,f-owing Delive,V __ Export Data I Order New Checks t ATIA&Debt Card Overdraft e"` ^--" Chaice I FInanC=Udus't Apply for a Loan I Crder CLl3tor't Card 3. G. Account Free Checking 8986:v Total Balance$18,930.02 Available Balance$18.930.02 .. .Appty NQW -� yievrView Calendar Vew Calendar show Select Range J -°r From;10l01/I 2013 Toi10f3r 112013; Gd wDate Transaction Description Credits/Debits Total Balance 10/31/2013 CHECK NUMBER 0144 $20,442.43 10130/2013 CHECK NUMBER 0143 4150.00 $20,607.43 1013012013 CHECK NUMBER 0142 -$';7.45 $2U,7 3 f.5(L QS 1012412013 HOME DEPOT 4120 PURCHASE 141 ME -51,635.27 ,774,178 t 0/D972013 CHECK NUMBER 0140 -$414.04 $22,460.15 10/09/2013 CHECK tJUMBER 0139 5�6 $22,874.19 �a/ ,p y` 1 010 91201 3 DEPOSIT - 2,250.00 $23,049.45 IN1 v 1 010 912 01 3 DEPOSIT $ $20,799.45 Depending on when your statement generates,you may not see a full 90 days of history.If your statement has just been generated,you may get a message indicating that no transactions are available from 61-90 days. v0 2013 Manufacturers and Traders Trust Company.Users of this web site agree to be bound by the provisions of the fd&T Web Bankinc Terms and Conditions.View the Terms and Conditions,Privacy Policy or Security Information. T i I i https://onlinebaaking.mandtbank.com/historyUistoryCheeking.aspx?Id=1 11/13/2013 I I Accounts Transfers Bill Fay Alerts Customer Service G L.. AMO'J,\T SU'd?,143Y>aC-D(WG DEfAL —————"-"i~ Free Checking t M&T Custom Card Related links: Transfers &Loan Payments I View/Edit Transactions Your Card.Yeur Way. StX'empnMJ&DoLurner Sian ua for Electronic S#atement& DOCUmeni Export Data I Order New Checks 4 ATM & Debit Card Overdraft S ,It nice( FiOanceSji'orks-' ApoSv tar a Haan(Order Cus#am Card ._ i Total Balance $18,71&29 V/�'k Account Free Checking 89$8 Available Balance $18,716.29 , V Learn More —y--� - View View Calendar View Calenda or r „ f Show View All 1R# From vData Transaction Description CreditslDebits Total Balance 0513012013 CHECK NUMBER 0105 -$4,342.97 $18,71629 1 }- 05/30/2013 CH=^KNUIOSER0104 -$97.97 $23,059.26 Can cyCS li S 0512812013 CHECK NUMBEP.0103 4165.00 $23,1572'+ 05/2812013 CHECK NUMBER 0102 -fin 1172 2223 0512412013 7cPO 4T 150.0 $23,351.95 .L. 05/21/2013 EPOS $13,060.00 $23,201.95 e ,�r�6:�ISV 05/20/2013 Kohls Chg Pmt Check PIVT 000000000000 -$78.64 $10,141 S r . 0 512 012 0 1 3 DEPOSfr $1 ,220.59 05120/1013 DEPO,5 i QaN—()g-r $10,059.16 O 05/14/2013 PF;)OSI $378.00 $9,709.16 0 510 712 01 3 DEPOSIT $232.00 $9,331.16 0 510712 01 3 DEPOSIT $1,169.02 $9,099.16 05/06/2013 CHECK NUMBER 0096 -5406.04 $7,93014 05/0612013 In Branch Transfer/Deposit $3,163.44 $8,336.18 05106/2013 DEPOSIT $5,172.74 $5,172.74 Depending on when your statement generates,you may not sees full g0 days of history.E your statement has just been generated,you may get a message indicating that no transactions am available from 61-90 days. 9 2013 Manufacturers and Traders Trust Company.Users of this web site agree to be bound by the provisions of the NST Web Banking Terns and Conditions.View the Term!ad Ccrdntans,rR va�_yv Fohc or Security ,cur,, .fu rifcrmatian. tttpsJtcdiinebaMrgnantritankeorM#staryMistoi-yCheang.aWId=1 A, a- .Lzti ,.� �'• a G. C- (i . I pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER—VIVOS TRANSFERS AND RESIDENT ED RETURN MISC. NON-PROBATE PROPERTY RESIOEM DEfEDENT ' ESTATE OF _ FILE NUMBER PETSOCK, GEORGE -21-13-0524 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. JITEM DESCRIPTION OF PROPERTY INCLUDE THE ME a THEMNSFEAEe TRAP UDnnaNSRm TO DEca W,,D DATE OF DEATH % DECD'S EXCLUSION TAXABLE TnE DATE DFTnNrsFER.ATmaacaw ar na offD roR RE0l ESrnTE VALUE OF ASSET INTEREST pE areuumE7 VALUE PSECU IRA#50 10,597.64 100 10,597.64 CO-BENEFICIARIES: ROBERT NETTLES(STEP-SON) BARRY NETTLES(STEP-SON) i TOTAL(Also enter on Line 7, Recapitulation) $ 10,597.64 If more space is needed,use additional sheets of paper of the same size. Pennsylvania State Employees Credit GEORGE PETSOCK P.O. Box 67013 Harrisburg, PA 17106-7013 800.237.7328 Member Number: 0182"•'"' PSE@Ui psecu.com Statement Period: 04/01/13 to 06130113 Page Number: Regular 2 of 2 CERTIFICATES Trans Post Fees or Transaction New Date_ Date Transaction Description Charges _ Amount Balance ID 50 60 MONTH IRA CERT-1 04/01 Beginning Balance - 10,597.64 04123 Payment: Dividend 15.78 10,613.42 Annual Percentage Yield Earned 2.500%from 04/01/13 through 04/22/13 04123 Withdrawal Account Adjustment: Transfer to another Institution -10,613.42 0.00 05/02 ID 50 60 MONTH IRA CERT-1 Closed Ending-Balance—- ---. .... _ -- 60 MONTH IRA CERT-1 is Closed Nontaxable Dividends Year to Dale 80.07 , I REV-1511 EX+(08.13) pennsylvania SCHEDULE H T� OtPARTMENT OF REVEWE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS ' RESIDENT DECEDENT ESTATE OF FILE NUMBER Petsock, George 21-13-0524 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' NEILL FUNERAL HOME, INC. BURIAL SERVICEST TMT T 6,870.27 B. ADMINISTRATIVE COSTS: i. Personal Representative Commissions: 0..00 .. Name(s)of Personal Representative(s) BARRY NETTLES AND MARIE DEIS SRO I H Street Address 1112 COLUMBUS AVENUE#8 City LEMOYNE State PA ZIP 17043 Year(s)Commission Paid: COMMISSIONS WAIVED BY BOTH ADMINISTRATORS ' Z. Attorney Fees: 10,983.08 3. Fatuity Exemption:{tf decedent's address is not the same as ClalmanPs,attach explanation.} Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: - 1 163.50 ~ 5. Accountant Fees: ...150A0 6. Tax Return Preparer Fees:. 577.60 7. El E- TOTAL(Also enter on Line 9, Recapitulation) S w 40,115.82 If more space is needed,use additional sheets of paper of the same sue. ' i SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF: PETSOCK, GEORGE FILE #: '21-13-0524 1. Certified Check Fees 15.00 2. Elmer Murry Auctions, Inc. Estate Personal Property Appraisal 185.00 3. Murry Auctioneer Fees(Advertisement, public sale) 600.00 4. Murry Labor Fees (Personal Property Auction) 720.00 5. Patriot News-Legal Advertisement 123.38 6. Cumberland Law Journal-Legal Advertisement 75.00 7. Postage 255.00 8. Reserves 5,000.00 9. Estate Checks 50.00 10. Inheritance Tax Return Filing Fee 15.00 11. Penn Waste 125.00 12. PPL 1,548.00 13. Sewer 495.00 14. PAWC-Water 304.52 15. Wet Carpet Remediat ion-Storm Damage - Dri-Masters 741.00 16. The Wood Wizard-Pressure Wash and Stain Deck for Prop. Sale 550.00 17. Duty's Locksmith 55.00 18. Home Depot-Carpet Purchase and Installation 1,762.00 19. HB McClure-Plumbing Repairs Upstairs Toilet 357.00 20. Home Depot- Sheetrock/Lumber-Repairs for Property sale l 58.40 21. Carpet Cleaning-Dri-Masters 127.15 22. WHT Enterprises-Full Interior Painting for Prop. Sale 2,000.00 23. Erie Homowners Insurance 109.00 24. Death Certificates 36.00 25. Capital City Car Wash for Sale of Truck 24.00 26. Clearing, Weeding, Install New Plantings 600.00 27. Storage Depot-Purchase of Packing Supplies 105.00 28. Sears Home Svcs. -Repair Pressure Relief Valve-Water Heater 186.00 29. Bulk Trash Removal 180.00 30. WHT Enterprises-Pers. Property Cleaning-Auction Prep. 254.00 31. United Rentals-Wallpaper Steamer Rental 94.34 32. United Rentals-Power Fan-Basement Water Remediation 89.00 33. Rick Wilson-General Labor-Paint, Wallpaper Removal, Clean. 500.00 34. Wood Trim, Paint& Wallpaper Removal Supplies, Trim,etc. 821.00 35. Event Central -Table Rental for Auction 68.00 36. Toll Charge in Excess of Executor Cellphone Plan 150.00 37. Executor Mileage @ $.56 per mile 550.00 38. Real Estate Settlement Costs to Estate 983.13 39. Elmer Murry Auctions, Inc. -Commission on Pers. Prop.Auction 1,360.45 REV-1512 Ex+(12-12) . b 1, pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Petsock, George 21-13-0524 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 DESCRIFRON OF DEATH 1' M&T Home Equity Line of Credit 51,553.56 Account#xxxxxxxxxxxxx4998 2. Uncleared Checks 1,263.00 3. Kohl's Credit Account 79.00 4. Cumbedand Valley Tree Service 645.00 5. Suburban Propane 118.10 6. Verizon Financial Services 151.00 7. Real Estate Taxes 2,169.00 8. West Shore EMS 1,717.39 9. Holy Spirit Hospital 59.24 TOTAL(Also enter on Line 10, Recapitulation) $ 57,755.29 If more space is needed,Insert additional sheets of the same size. REV-1513 EX+(01-10) pennsytvamia SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER- Petsock, George 21-13-0524 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 dis"utions and transfers under Sec.9116(a)(1.2).) 1• Marie Deissroth Step-Child 1/3 of Residua) 2106 Wentworth Dave Camp Hill,PA 17011 2. Robert Nettles Stepchild 1/3 of Residual 1415 Lowther Rd Camp Hill,PA 17011 3. Barry Nettles Stepchild 1/3 of Residual 1112 Columbus Avenue#8 Lemoyne,PA 17043 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH iB OF REV-1500 COVER SHEET,AS APPROPRIATE. TI NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART n-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 sue. cis _ Receipts of Principal Fiduciary "Assets Listed in Inventory Acquisition Valued as of Date of Death Value Date Cash Amount M&T Bank Acct. #xxxx5455 $4,427.52 PSECU Acct. #xxxxx0182 $5,172.25 05106113 Cash on hand found by Coroner in Wallet $122.00 05/06/13 Cash on hand found in Wallet at Home $220.00 05/06/13 Cash on hand found in Folder used by Barry for Funeral Expenses $2,500.00 05/06/13 Circulated Eisenhower Dollars $110.00 05/20/13 Loose Quarters $30.00 $12,581.77 Real Estate 01/09/14 Sale of Real Estate at 2145 Chestnut St, Camp Hill, PA $156,000.00 01/09/14 $1,020.94 $157,020.94 Tangible Personal Property 05/14/13 Coin Sale—Five Silver Eagles $378.00 05/21/13 Sale of 2013 Chevy Truck to Phinneys Automotive Center $13,060.00 05/20/13 Dish Network Refund $131.43 05/20/13 Sale of Generator $350.00 05/24/13 Sale of 1998 Refrigerator $150.00 10/08/13 Net Proceeds of Auction of Personal Property of decadent $10,924.05 10/08/13 Sale of 2004 Prowler Trailer $2,250.00 01/09/14 Sale of Lawn Equip,washer/dryer at settlement $200.00 $27,443.48 Receipts Subsequent to DOD 05/07113 Deposit Social Security $1,319.02 06/05/13 AT&T and Verizon Refund $51.50 06/17113 PAWC Refund $90.02 06/18/13 Vehicle Extended Warranty Refund $1,941.59 06/28/13 SERS Death Benefit $1,402.68 07/02/13 Federal Income Tax Refund $164.00 11/15/13 Home Owners Insurance Refund $245.00 12/16/13 Suburban Propane Refund $6.30 01/08/14 Penn Waste Refund $38.36 01/22/14 Erie Homeowner Insurance Refund $59.00 01/22/14 Suburban Propane Refund on Repurchase of Propane $382.55 03/17/14 Receipt of 2013 Personal Income Tax Refund $1,775.00 03/26114 US Treasury Recapture of 05/07/13 Social Security -$1,319.02 $6,156.00 TOTAL RECEIPTS OF PRINCIPAL $203,202.19 DISBURSEMENTS OF PRINCIPAL p)L� Date Ck# Debts and Expenses Amount Uncleared Checks $1,264,80 05/14/13 Kohls Dept. Store $78.64 $1,343.44 Final Medical Bills 01/04/14 161 Holy Spirit Hospital $59.24 01/08/14 162 West Shore EMS $1,717.39 $1,776.63 Funeral Expenses Dad's Cash to Barry(deduct from Barry reimbursement) $2,500.00 05/30/13 Barry Nettles Net Funeral Reimbursement $4,342.97 $6,842.97 Estate Expenses 05/31/13 108 Cumberland Valley Tree Service $645.00 06/05/13 111 Verizon Financial Services $150.59 06/05/13 112 Elmer Murry Auctions, Inc Pars. Prop.Appraisal Fee $185.00 06/12/13 113 Patriot News(required legal advertisement) $123.38 06/12/13 114 Cumberland Law Journal (required legal advertisement) $75.00 06/14/13 115 Duplicate Title for Trailer $85.75 06/18/13 116 Dri-Masters-Carpet Remediation Flood Damage $741.00 06/26/13 119 Wood Wizard-Pressure Clean and Staining of Deck $550.00 07/10/13 122 Suburban Propane $118.10 09/11/13 136 Duty's Lock Service $55.00 10/17113 141 Home Depot-Carpet Purchase/Install $1,685.27 11/01/13 146 HB McClure-Repair Upstairs Toilet $193.70 11/04113 147 Home Depot-Sheetrock and Studs $158.40 11/05/13 148 HB McClure-Repair Upstairs Toilet Flange $162.59 11/06/13 149 Dri-Masters-Carpet Cleaning $127.15 11/24/13 153 WHT Enterprises-Paint Full Interior of House $2,000.00 12/15/13 155 Erie Insurance-Empty Home Insurance Policy $109.00 01/09/14 Sale of Real Estate Settlement Charges per HUD 1 Form $963.17 01/09114 Settlement Charge for Pro-rated Sewer Charge $19.96 02103/14 165 Hammel Biller Tax Services-Dad's 2012 Taxes $150.00 $8,298.06 Expenses: Marie Deissroth 05116113 Lowes-Bushes and Plants $75.05 05/17/13 Lowes-Grass Seed, Paint and Paint Brushes $71.20 05/17/13 Lowes-Mulch, Plants $89.27 05/17/13 Drew Leisenring (day laborer)cash payment for labor $200.00 05/20/13 Lowes-Mulch, GrassSees $56.89 05/21/13 True Value-Burlap Cover, Grass Seed $36.01 05/31/13 106 Marie Deissroth-Out of Pocket Expenses May 2013 $528.42 Expenses: Barry Nettles-April/May 2013 04/29/13 Dept. of Health-Death Certificates-Mom $36.00 05/04/13 Capital City Car Wash-Truck Wash for Sale of Truck $23.38 05/05/13 Highland Gardens-Lawn Care Products $43.96 05/05/13 HhGregg-Digital Camera $130.18 05/10/13 MAB-Paint Supplies $47.73 05/10/13 Sherwin Williams-Paint $129.89 05/12/13 Ace Hardware-Carpet Knife $30.26 05/12/13 Sherwin Williams-Plastic Tarps $3.17 05/13113 Certified Mail-IRS $7.50 05/13113 Home Depot-Carpet Measurement and Quote $77.34 05/17/13 Certified Mail-AT&T $7.65 05/18/13 Ace Hardware-Pressure Washing Fluid $27.54 05/20/13 Overnight Mail of Truck Payoff to Ally Bank $23.45 05/24/13 Storage Depot-Boxes and Packing Paper $28.31 05/28/13 Certified Mail-License Plate Return $12.30 $628.66 05/30/13 107 Barry Nettles May Expenses 408.66 ck and 220.00 cash . Expenses: Barry Nettles-June 2013 05/31/13 Certified Mail $10.94 06/08/13 Sears-Mower Blade $24.37 06/10/13 Ace Hardware-Home Repair Supplies $36.03 06/10/13 Certified Mail $4.00 06/14/13 Certified Mail $25.63 06/18/13 Packaging Materials $18.03 06/19/13 Ace Hardware-Wallpaper Removal Supplies $42.67 06/20/13 Certified Mail $3.34 06/15/13 Ace Hardware-Caulking, etc. $36.50 07/01/13 120 Barry Nettles out of pocket expenses-June 2013 $201.51 Expenses: Barry Nettles-July 2013 07/05113 Certified Mail -Marie and Lisa $21.08 07118113 Home Depot-Paint and Rollers $102.23 07128/13 Ace Hardware-Joint Compound, etc. Wall Paper Removal $21.18 07/30/13 Ace Hardware-Wallpaper Stripping Gel $33.90 07/30/13 129 Barry Nettles out of pocket expenses-July 2013 $178.39 Expenses: Barry Nettles-August 2013 08/05113 Certified Mail-Marie and Lisa $19.17 08/22/13 Gas-FL trip to inspect trailer $33.00 08/23/13 Gas-FL trip to inspect trailer $22.25 08/23/13 Gas- FL trip to inspect trailer $36.00 08/23/13 Hotel-Lake City FL, trip to FL $66.93 08/24/13 Gas-FL trip to inspect trailer $29.50 08/28/13 Gas-FL trip to inspect trailer $41.50 08/28113 Gas-FL trip to inspect trailer $39.00 08/28/13 Hotel-Overnight at sight of trailer $68.93 08/29/13 Gas-FL trip to inspect trailer $23.01 08/29/13 Hotel-Return trip from FL to inspect trailer $90.52 08/29/13 Gas-FL trip to inspect trailer $33.00 08/31/13 135 Barry Nettles out of pocket expenses-August 2013 $502.81 Expenses: Barry Nettles-September 2013 09/04/13 Certified Mail-Marie and Lisa $19.30 09/10/13 Certified Mail-Lisa Coyne- Bank Statements $11.72 09/20/13 Staples-Bankers Boxes for Auction Box Lots $42.38 09/20/13 Storage Depot-Plastic Mattress Bags for Auction $34.23 09/30/13 Event Central-rental of 8 Eft tables for Auction $67.63 09/30/13 139 Barry Nettles out of pocket expenses-September 2013 $175.26 . Expenses: Barry Nettles-October 2013 10/01113 WHTEnterprises-CleaningFeesforAuctionPrep. $254.00 10/11/13 Home Depot-Paint Purchase for Inside of Home $279.17 10/14/13 United Rentals-Steamer Rental for Wallpaper Removal $94.34 10/14/13 Certified Mail-Marie and Lisa $12.22 10/16/13 Ace Hardware-Contractor Garbage Bags $16.95 10/17/13 Home Depot-Paint Purchase for Inside of Home $42.34 10/22/13 Home Depot-Wax Ring for Toilet Repair $5.71 10125/13 Bulk Trash Removal 2 loads paid in cash $180.00 10/28/13 Ace Hardware-Mold Removal Supplies $22.33 10/30/13 Home Depot-Outdoor Paint for Windows and Trim $60.34 10/30/13 Home Depot-Electrical Face Plates $16.41 10/30/13 Home Depot-Electrical Face Plates $49.35 10/31/13 145 Barry Nettles out of pocket expenses-October 2013 $1,033.16 Expenses: Barry Nettles-November 2013 11103/13 Ace Hardware-Storage Room Cleaning Supplies $33.89 11/04/13 Ace Hardware-Brushes and Plastic tarps for Carpet $28.59 11/05/13 Home Depot-Paint, Brushes, Liquid Nails, Drill $132.45 11/06/13 Home Depot-Electrical Tape, Anti-Mildew Primer Paint $35.99 11/07/13 Home Depot-Wood Trim for Living Room $10.50 11108/13 Rick Wilson-laborer, 5 days, storage room, cleaning, etc. $500.00 11/11/13 Home Depot-Brad nails and drill bits $19.03 11/11/13 Sherwin Williams-Paint $17,46 11/11/13 Dollar General-General House Cleaning Supplies $22.00 11/14/13 Certified Mail-Marie and Lisa $12.85 11/14113 Sears Home Services-Water Heater Pressure Valve Rep. $185.86 11/26/13 154 Barry Nettles out of pocket expenses-November 2013 $998.64 Expenses: Barry Nettles-December 2013 12/17/13 United Rentals-Power Fan-One Wk Rental $88.53 12/31113 160 Barry Nettles out of pocket expenses-December 2013 $88.53 Real Estate Taxes 07/10/13 Janet K. Miller- Property Taxes $2,154.01 07/10/13 Janet K. Miller-Property Taxes $14.70 $2,168.71 M&T HELOC Loan Payments 05106/13 96 Loan Payment $406.04 06/05/13 109 Loan Payment $417.06 07/10/13 121 Loan Payment $428.79 08/08/13 130 Loan Payment $407.50 09/04/13 134 Loan Payment $414.88 10/08/13 140 Loan Payment $414.04 11/15113 150 Loan Payment $414,04 12/15/13 157 Loan Payment $410.00 01/09/14 Payoff Received at Settlement $48,241.21 $51,553.56 Water 05/16/13 102 PAWC $29.72 05/24/13 104 PAWC 97,97 06/18/13 118 PAWC 49.46 07/20/13 127 PAWC 22.83 08/16/13 131 PAWC 17.15 09/19/13 136 PAWC 15.26 10/25/13 142 PAWC 17.45 11/20/13 151 PAWC 23.23 12/16/03 158 PAWC 15.52 01/15/14ACH PAWC 15.93 $304.52 Trash gL ` 06/06!13 Penn Waste 41.55 rJ 09/04113 Penn Waste 41.55 l 12/15/13 Penn Waste 41.55 124.65 Sewer 05/16/13 Camp Hill Borough $165.00 07128113 Camp Hill Borough $165.00 10128/13 Camp Hill Borough $165.00 $495.00 Electric 05/07/13 Net Against SS Check transferred from Dad's personal acct $150.00 06/18/13 PPL $301.88 07/20/13 PPL $150.00 08/20/13 PPL $150.00 09119/13 PPL $150.00 10/25/13 PPL $150.00 11/20/13 PPL $150.00 12/17/13 PPL $150.00 01/09/14 PPL $195.87 $1,547.75 Inheritance Tax Paid 07/11/13 125 Register of Wills $3,000.00 01/09/14 Register of Wills—Deducted from Real Estate Settlement $4,850.85 $7,850.85 Attornev's Fees Coyne and Coyne, P.C. $10,983.08 $10,983.08 TOTAL DISBURSEMENT OF PRINCIPAL: $97,624.60 TOTAL RECEIPTS OF PRINCIPAL: $203,202.19 TOTAL DISBURSEMENT OF PRINCIPAL: $97,624.60 TOTAL NET ESTATE $105,577.59 Proposed Final Distribution To: Reserves(5000.00)and CPA Costs(577.60) $5,577.60 Mare E. Deissroth—1/3 of residual estate $33,333.33 Robert E. Nettles—1/3 of residual estate $33,333.33 Barry L. Nettles—1/3 of residual estate $33,33333 Total Distribution: $105,577.59 Marie Deissroth and Barry L. Nettles, Co-Administrators of the Estate of George Petsock, deceased, hereby declare an oath that they have fully and faithfully discharged the duties of their office;that the foregoing First and Final Accounting is true and correct and fully discloses all the significant transactions occurring during the accounting period;and that all known claims against the Estate have been paid in full;that to their knowledge,there are no claims now outstanding against the Estate; and that all taxes presently due have been paid. /\J r C©MMON F PENNSYLVANIA Nota al seal lharie Deissroth, Co-Administrator David A. Taylor, Notary Public Monroe Twp., Cumberland County My Commission Expires April 11, 2017 MEMBER PENNSYLVANIA ASSOCJA,ION OF NOTAMES _ B etties o-Administrator nd Sworn and subscribed before me this day of ,2014 i of Public