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HomeMy WebLinkAbout06-05-14 (3) REV-1500 EX (02-11)(FI) 1505610140 OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 1 1 3 1 0 1 0 Harrisburg PA 17126-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMODYYYY 0 9 1 5 2 0 1 3 0 8 1 8 1 9 2 6 Decedent's Last Name Suffix Decedent's First Name MI G 0 V E R B E T T E L (It Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW © 1.Original Return 2.Supplemental Return Q 3.Remainder Return(Date of Death Prior to 12-13-82) 4, Limited Estate 4a. Future Interest Compromise(date of 5.Federal Estate Tax Return Required death after 12.12-82) ® 6.Decedent Died Testate 7.Decedent Maintained a Living Trust 1 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) 9, Litigation Proceeds Received 10.Spousal Poverty Credit(Date of Death Q 11. Election to Tax under Sec.91130) Between 12.31-91 and 1-1.95) (Attach Schedule 0) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number D A V I D H S T O N E , E S Q U I R E 9 3 1 2 9 5Q3 0 513 3 rn I�REGt3T OF WILL OE ONRYO mrnn u' First Line of Address r">' r m rn . .r' Z 7 (19 t= 4 1 4 B R I D G E S T R E E T n > M ° -n Second Line of Address c-) C> -n City or Post Office Slate ZIP Code -DiATE FIL—,-, � Cn N E W C U M B E R L A N D P A 1 7 0 7 0 CorrespondenVs e-mail address: DSTONEa9STONELAW - NET Under penalties of perjury.*[declare that i have examined this return.including accompanying schedules and statements,and to the best of my knowledge and belief, it is tore,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIG TURE PERSON R PON I FOR F ING RE URN DATE ucc, -- S-3u— t ADDRESS R L 110 PARKWOOD LN HOHENWALD TN 38462 SI TURE O E A ER H THAN REPRESENTATNE DATE DRESS 41 DG STR T NEW CUMBERLAND PA 17070 PLEASE USE ORIGINAL FORM ONLY Side t 1505610140 1505610140 1505610240 REV-1500 EX(FI) Decedents Social Security Number Decedent's Name: BETTE L . DOVER RECAPITULATION 1. Real Estate(Schedule A) ....... ... . ........ .. ......... . ...... ...... 1. 8 2 5 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. 9 3 9 6 2 , 4 9 6. Jointly Owned Property(Schedule F), ❑ Separate Billing Requested . , ..... 6. ' 7. Inter-Vivos Transfers&Miscellaneous N,gQProbate Property 6 6 7 8 • 4 '� (Schedule G) u Separate Billing Requested .. ..... 7. 8. Total Gross Assets(total Lines 1 through 7) 8. 1 8 3 1 4 0 . 8 9 9. Funeral Expenses and Administrative Cosls'(Schedute H) . .. . . . . . . . . . . . . . . . 9. 2 1 7 7 0 . 6 2 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule 1) ....... ...... 10. 11, Total Deductions(total Lines 9 and 10) . .. . . . . .. . . . . . . .. . . .. . . . . . ..... 11. 2 1 7 7 0 . 6 2 12. Net Value of Estate(Line 8 minus Line 11) .......................... .. 12. 1 6 1 3 7 0 . 2 7 13. Charitable and Governmental BequeststSec 9113 Trusts for which an election to tax has not been made(Schedule J) . . . . .. . . . . .. . . .. . . . . .. 13. 14. Not Value Subject to Tax(Line 12 minus Line 13) ....... :......... ... .. 14. 1 6 1 3 7 0 . 2 7 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (8)(1.2)X.0 _ 0 . 0 0 15. 0 . 0 0 16. Amount of Line 14 taxable at lineal rate X.045 1 6 1 3 7 0 . 2 7 16. 7 2 6 1 . 6 6 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 AS 0 . 0 0 t8. 0 . 0 0 19. TAX DUE . . . . . . . . . . . . ...... . . ....... . . . .. ...... . . . . . ... . . . . .... 19. 7 2 6 1 . 6 6 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 1505610240 1505610240 REV.1500 EX(FI) Page 9 File Number Decedent's Complete Address: 21 13 1010 DECEDENTS NAME BETTE L . GOVER STREET ADDRESS 334 TENTH STREET CITY STATE ZIP NEW CUMBERLAND PA 17070- Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 71261.66 2. Credits/Payments A.Prior Payments 6,500 -00 E.Discount 342 - 11 Total Credits(A+8) (2) 618 4 2 .11 3. Interest (3) 0 . 00 4. If line 2 is greater than Line 1+line 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 1 +Line 3 is greater than Line 2,enter the difference.This Is the TAX DUE. (5) 419 - 55 Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred ...................................................................... ❑ b, retain the right to designate who shall use the property transferred or its income ............................ ❑ c. retain a reversionary interest ..........................................................................................._....... ❑ d. receive the promise for life of either payments;benefits or care? ....................................................... ❑ 2. If death occurred after December 12,1982.did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ❑ nX 3. Did decedent awn ari'm trust for'or payable-upon-death bank account or security at his or her death? ......... I� ❑ 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary desi gnation?.................................................................................................. ® ❑ 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 is 3 percent(72 P.S.§9116(a)(1J)(1)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 t72 P.S.§9116(a)(1,1)(it)1.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 172 P.S.§9116(a)(1.2)1. • 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)1. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent 172 P.S.§9116(a)(1.3)I.A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1502 EX-(12-12) pennsylvania SCHEDULE A DEPARTMENT Of REVENUE REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT _ ESTATE OF: FILE NUMBER: BETTE L . COVER 21 13 1010 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 survivorshlp must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1 Property located at 334 Tenth St New Cumberland, 82,500 . 00 Cumberland County, PA from James W Moran and Violet Moran, husband and wife, by deed dated January 4 , 1990 to Bette L Gover, the decedent . The said decedent ' s will specifically devises said property to Barbara A Conde and Tiffany S Conde which was sold on March 27, 2014 to James P . Hoffer. TOTAL(Also enter on Line i,Recapitulation.) b 82 ,500 -00 If more space is needed,use additional sheets of paper of this same size. REV-1509 EX+(09-72) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RESIDENT DECEDENT RETORN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: BETTE L . COVER 21 13 1010 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 7. Air Line Pilots Assoc FCU-Savings Acct #25634 751373 . 21 Princ $75,373 .21, Int $23.23 2 Air Line Pilots Assoc FCU-Savings Acct #25634 - 23 . 23 Accrued Interest 3 Allstate Insurance-refund on homeowners insurance 9 . 00 4 Fulton Bank-Checking Acct #3620-23596 41956 .13 5 Miscellaneous jewelry found in safe deposit box 50.00 4 small rings and one necklace . 6 Postmark CU-Savings Acct #11349-00 86.83 7 Postmark CU-Savings Acct #11349-09 111560.25 8 Refund received 32 .25 9 SecurChoice-PA Funeral Trust Acct #34602 11110 . 59 10 Unclaimed property-check received 250 . 00 11 US Treasury-2013 1040 tax refund 437.00 12 Coin collection found in safe deposit box (#1 and 24 .00 #2 on inventory sheet) 13 Stamp collection ( loose in plastic container) 50.00 NOTE: The Fulton CD as mentioned on #6 of the safe deposit box inventory was cashed in prior to death TOTAL(Also enter on Line 5,Recapitulation) $ 931962 - 49 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX*(08-09) pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER•VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER BETTE L . GOVER 21 13 1010 This schedule must be Completed and filed lithe answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY DATE Of DEATH %OF DECD'S EXCLUSION TAXABLE ITEM INCLUDE THE NAME OF THE TRANSFEREE.THEIR RELATIONSHIP TO DECEDENT AND NUMBER THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE, VALUE OF ASSET INTEREST (IFORCAME) VALUE 1. $1000 Series I US Savings Bond 2,223 . 20 100 . 00 21223 . 20 #MO01458959I dtd 8-2000 Princ $1,000 Int $2,223 .20 POD to Barbara Conde 2 $1000 Series I US Savings Bond 21223 . 20 100 . 00 21223 . 20 #11001458960I dtd 8-2000 Princ $1,000 Int $1,223 . 20 POD to Barbara Conde 3 $500 Series I US Savings Bond 1,116 . 00 100 . 00 1,116 . 00 #D001321070I dtd 8-2000 Princ $500 . 00, Int $616 . 00 in Bette L Gover or Barbara Ann Conde 4 $500 Series I US Savings Bond 1 ,116 . 00 100 . 00 1,116 . 00 #DO01321071I dtd 8-2000 Princ $500 . 00, Int $116 . 00 in Bette L Gover or Barbara Ann Conde TOTAL Also enter on Line 7,Recapitulation) $ 6,678 - 40 If more space is needed,use additional sheets of paper of the same size. REVA511 EX-(08-13) pennsylvall SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER BETTE L . GOVER 21 13 1010 Decedent's debts must be reported on Schedule t. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 Stone Murray Funeral Home—funeral expenses 1,110 .59 S. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) ` Street Address City - State ZIP Years)Commission Paid: Z, AffomeyFees: David H Stone , Esquire 9,157 . 00 3, Family Exemption:(If decedent's address is not the same as claimants,attach explanation) 31500 -00 Claimant Barbara A Conde SueetAddress 334 Tenth Street (at time of death) clyNew Cumberland state PA zip 17070 Relationship of Claimant to Decedent Daughter (she has since moved) d. Probate Fees: Cumberland County plus filing ITR and Inv 408 .50 $ Accountant Fees: 8. Tax Return Preparer Fees: 7, US Postal Sery-postage to send coins and stamps 28 .07 2 Stone LaFaver & Shekletski-Reimb for advertising 264 . 54 3 Barbara Conde-Reimb for cleaning/supplies at prop 115 . 25 4 Gingrich Plumbing-services done at property 84 - 00 5 Gingrich Plumbing-services done at property 210 .69 6 Gingrich Plumbing-services done at property 108 .98 7 Selling costs (*6,033 .69) less reimb ($912 . 18) 5,121 . 51 8 UGI-gas service at property 53. 55 9 PPL Corp-electric service at property 40 .74 10 PPL Carp-electric service at property 24 . 26 . 11 New Cumberland-trash and sewer at property 115 . 24 12 UGI= as service at property 105.00 TOTAL(Also enter on Line 9,Recapitulation) $ 21,770 - 62 If mom space is needed,use additional sheets of paper of the same size. Continuation of REV-1500 Inheritance Tax Return Resident Decedent BETTE L. GOVER 21 13 1010 Decedent's Name Page t File Number Schedule H - Funeral Expenses &Administrative Costs -B7. ITEM NUMBER DESCRIPTION AMOUNT 13 PA American Water-service at property 27 . 62 14 UGI-gas service at property 105 . 00 15 PPL Corp-electric service at property 34 . 13 16 UGI-gas service at property 105 . 00 17 PA American Water-service at property 25 . 76 18 PPL Corp-electric service at property 33 . 84 19 PA American Water-service at property 31 . 10 20 New Cumberland-trash and sewer at property 115 . 24 21 Barbara Conde-Reimb for UGI sery at property 74 . 00 22 PPL Corp-electric service at property 31 . 20 23 UGI-service at property 74 . 00 24 PA American Water-service at property 26 . 24 25 PPL Corp-electric service at property 28 . 12 26 UGI-gas service at property 310 . 44 27 PA American Water-service at property 26 . 66 28 PA American Water-service at property 15 . 00 29 PA American Water-service at property 24 .19 30 PPL Corp-electric service at property 35 .16 31 Reserve for closing expenses 200 . 00 SUBTOTAL SCHEDULE H-B7 1,322 - 70 REV4513 EX-J01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT - - ESTATE OF: FILE NUMBER: BETTE L - GOVER 21 13 1010 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE 1 TAXABLE DISTRIBUTIONS [Include out'gght spousal distributions and transfemunder - 5ec.9ti6]a)(1.2).] 1. ROBERT W CONDE SON ITEM I Lineal 5,074 .00 54 YORK COVE RUTHER GLENN, VA 22546 2 BARBARA A CONDE DAUGHTER 1/2 ITEM II Lineal 641995 . 17 C/O LEILA OERTEL 110 PARKWOOD LN HOHENWALD, TN 38462 AND 1/3 RESIDUE 3 TIFFANY S CONDE , GRANDDAUGHTER Lineal 64,995 . 17 18 MEWS ALLEY 112 ITEM II AND 1/3 CHARLOTTESVILLE, VA 22903 RESIDUE 4 JOHN D CONDE ' SON 1/3 RESIDUE Lineal 26,305. 93 417 PATRIOTS WAY ELKTON, MD 21921 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 16 OF REV-1500 COVER SHEET,AS APPROPRIATE. IL NON-TAXABLE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: L TOTAL OF PART I I -ENTER TOTAL NONTAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET, $ If more space is needed,use additional sheets of paper of the same size. STONE. LAF kN F;R & SHEKLETSKI ATTORNEYS AT LAW 414 BRIDGE STREET °- - NEW CUMBERLAND PA 17070 LAST WILL AND TESTAMENT OF II BETTE L. GOVER �I I , BETTE L. GOVER, of the Borough of New Cumberland, Cumberland County, Pennsylvania, declare this to be my last will and revoke any i ,! ill i:,reviously made by me . ITEM I : I bequeath the sum of $5, 000 . 00 and my stamp and coin co_lections to my son, ROBERT W . CONDE, if he survives me . ITEM II : I devise all of my right, title and interest in my house and lot known as 334 Tenth Street, Borough of New Cumberland, �I ''umber.tand County, Pennsylvania, to my daughter, BARBARA A. CONDE, in,d ji granddaughter, TIFFANY S . CONDE, or the survivor of them . ITEM III : I devise and bequeath the rest, residue, and remainder it of my estate of every nature and wherever situate in equal shares tc, my daughter, BARBARA A. CONDE, my son, JOHN D. CONDE, and my grand- II daughter, TIFFANY S . CONDE . i.�C•i'1 !.•i _ appo= my dnd neC SUCCe`.iSO C:s -iny property which passes, either under this will or minor and with respect to which I am authorized to appoint nuar�--iiari and have not otherwise specifically done so, provided that: this =. p- Poii':LmenT_ of a guardian shall not supersede the right of =,ny fiduci <�r ; i .a its discretion to distribute a share where possible to t:he m.ino- . ., Page 1 of 3 i to another for the minor ' s benefit . Such guardian shall have the power to use principal as well as income from time to time for the minor ' s support and education (including college education, both graduate and undergraduate) without regard to his or her parent ' s ability to provide for such support and education, or to make payment I for these purposes, without further responsibility, to the minor or to the minor ' s parent or to any person taking care of the minor . ITEM V: I appoint my daughter, BARBARA A. CONDE, Executrix of i this my last will . Should my daughter, BARBARA A. CONDE, fail to qualify or cease to act as Executrix, I appoint my son, JOHN D. CONDE, Executor of this my last will . ITEM VI : No fiduciary acting hereunder shall be required to post I bond or enter security for the faithful performance of her or his I duties in any jurisdiction . IN WITNESS WHEREOF, I , BETTE L. GOVER, have hereunto set my hand and seal this day of ,�P.� 2007 . I , II BETTE L . GOVER it I I i I iPage 2 of 3 1 , I SIGNED, SEALED, PUBLISHED and DECLARED by BETTE L. GOVER, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her request, in her presence and in the presence of each other, have subscribed our names as witnesses . 414 Bridge St . , New Cumberland, PA Wit Address 414 Bridge St . , New Cumberland. PA Witness Address I I i i 1 I i I 'I Page 3 of 3 � III STONE LAFAVER & SHEKLETSKI ATTORNEYS AT LAW 414 BRIDGE STREET DAVID H. STONE POST OFFICE BOX E GERALD J. SHEKLETSKI OFCOUNSEL NEW CUMBERLAND.PA 17070 CHARLES H.STONE w ..Stontlaw.net JON F.LAFAVER TELEPHONE(717)774_7435 FACSIMILE (717)774-3889 October 15, 2013 Pennsylvania Department of Revenue Harrisburg District Office Lobby, Strawberry Square Harrisburg, PA 17128-0101 Re: Estate of Bette L. Gover Date of Death: September 15, 2013 Social Security No. Estate No. 21-13-1010 Greetings: Please find enclosed an original Safe Deposit Box Inventory for Box No. 104. Thank you for your attention in this matter. Should you have any questions, please feel free to contact me. Very truly yours, STONE LaF VE & SHEKLETSKI I DHS/jam Enclosures cc: Barbara A. Conde. Executrix JREV-485 EX(05-04) 48500041046 SAFE DEPOSIT BOXINVENTORY PA Department of Revenue I PLEASE USE ORIGINAL FORM ONLY Social Security or Death Certificate Number Date of Death County Code Year File Number 09/15/2013 21 13 1010 Decedent's Last Name Suffix First Name MI Gover Bette L ©ADDRESS OF DECEDENT STREET: CITY: STATE: ZIP CODE: 334 Tenth Street . New Cumberland PA 17070 NAME AND ADDRESS OF PERSON REQUESTING THE OPENING OF THE SAFE DEPOSIT BOX NAME: payid I" StOne ESQUIfe STREETADDRESS CITY: STATE: ZIP CODE: 414 Bridge Street New Cumberland PA 17070 NAME,ADDRESS AND RELATIONSHIP(IF ANY)TO DECEDENT OF PERSON(S)PRESENT AT THE BOX OPENING a. NAME: RELATIONSHIP: Barbara A. Conde daughter STREETADDRESS: CITY: STATE: 21P CODE: 334 Tenth Street NEW Cumberland PA 17070 b. NAME: RELATIONSHIP: STREETADDRESS: CITY: STATE:- ZIP CODE: c. NAME: RELATIONSHIP: STREETADDRESS: CITY: STATE: ZIP CODE: NAME AND AGGRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED ' NAME. Fulton Bank STREET A06RESS: CITY: STATE: ZIP CODE: 132 Old York Road New Cumberland PA 17070 NAME OF PERSON MAKING LAST ENTRY DATE AND TIME OF LAST ENTRY Bette L. Gover 7/19/06 0:00 am DATE OF CONTRACT TO RENT BOX NUMBER OF BOX IL t TITLE UNDER WHICH BOX IS REQUESTED 12/30/1999 104 1 Bette L. Gover NAME AND ADDRESS OF PERSON(S)HAVING ACCESS TO BOX a. NAME: _ b. NAME: Bette L. Gover STREETADDRESS: STREETADDRESS: 334 Tenth Street CITY: STATE: ZIP CODE: CITY: STATE: ZIP CODE: New Cumberland PA 17070 NAME AND TITLE OF EMPLOYEE TAKING THE INVENTORY Kelly Shutt, customer service representative .®WAS A WILL IN THE BOX7 ❑ YES JO NO If yes, a. Dale of'wlll: b. Name and address of personal representative,if named In the.111 NAME: STREETADDRESS: CITY. STATE: ZIP CODE: C. Name and address of attorney,if any NAME: STREETADDRESS: CITY: STATE: ZIP CODE: 48500041046 48500041046 J REV-485 EX SAFE DEPOSIT BOX INVENTORY Page Of INSTRUCTIONS (1) Cash:Report total only. (2) Stocks:List In detall every common or preferred confiscate,warrant or other rights found in box.Stocks are to be designated by name of company,certificate number,date of certificate,name in which stock is registered,and number of shares and class of stock. (3) Obligations of U.S.Government:Number of items,date of issue,face value,names in which registered and type of ownership, i.e.,jointly held,payable on death,etc. (4) Bonds:Designate by name,amount-serial number,or other designation.(Bearer Bonds) (5) Bank and Savings and Loan Passbooks: State name of depositor,number of book,last date appearing in book,name of bank and branch,and balance. (6) Jewelry,Coons,Stamps,Manuscripts,etc: List and describe as fully as possible. (7) Deeds,Mortgages,Current insurance Policies or other evidences of Indebtedness:List and describe as fully as possible. (B) All other contents. (9) . Return completed form to: DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT.290601 HARRISBURG,PA 17126A601 ITEM REM DESCRIPTION NO. 1 CASH,2-$2.00 bills 2 MISCELLANEOUS COINS,including 20 Liberty Dollars 3 Federal Employees Group Life Insurance policy 4 Civil Service Retirement information 5 Series 1 Bond-$500 00013210711 Series I Bond-$500 00013210701 Series I Bond-$1000 M0014589601 Series I Bond-$1000 M0014589591 6 Fulton CD 052-0157356$5000,matures 12/2007,Bette&John Conde(probably redeemed) 7 Prudential Insurance policy 069526219,for Bette E.Logan 8 Miscellaneous jewelry- 1 small ring to John's daughter,Selena Miscellaneous jewelry-1 small ring to John's daughter,Lauren Miscellaneous jewelry-2 small rings&necklace to Barbara's daughter,Tiffany. i CERTIFY UNDSA-PENAtW F P !UR THAT THE ABOVE RECORD IS PERSON RECEIVING COPY OF CORREC MPLETE TH Bas OF MY KNOWLEDGE AND BELIEF. SAFE DEPOSIT BOX INVENTORY: SIGNATU SIGNATURE PRINT NAME PRINT NAME AND CHECKAPPROPRIATE BOX BELOW. David H. Stone Esquire PRINT Tm.E OATE CHECK APPROPRIATE BOX: Aftorney for Estate ¢� ❑E,ecul°rtuixl ❑Aaminialret«Prix) 'U'IS 1 3 �ESUte Re«esenleave Q Jant axnor ei Sete dep°ai(dn NOTE:Attach additional 811x°x 11" sheet(s)if necessary or use duplicates of this page of form. The Department is auttorized by law,42 US.C.§405(c)(2)(C)(9,to require disclosure of Social Seadly numbers in connection with administering state tax laws.The Department uses the Social Seventy number to identify the decedent and personal representatives of he estate.The Commdmea6h may 31SO use the hfotmation in exchange of tax information agreements wih Federal and local taxN authorities.The state law Prohibits he Commonweaah's personnei#rem disclosing confidential tax Information except for official pwposes, Z:1REIDED\Gover.Bctte to Hoircr.Jamm Tax Parcel#:26-24-0811.240 Address:334 Tenth St.New Cumberland,Pa 17070 DEED THIS INDENTURE made the day of mC� , in the year 2014, between BARBARA A. CONDE, individually and as Executrix of the Last'Will and Testament of BETTE L. GOVER, late of the Borough of New Cumberland, County of Cumberland, and Commonwealth of Pennsylvania, and TIFFANY S. CONDE, of the first part, hereinafter called the Grantors, -AND- JAMES P. HOFFER, of the second part, hereinafter called the Grantee; WHEREAS, the said BETTE L. GOVER became in her lifetime seised, as of fee, of and in a certain tract of land, together with the improvements thereon erected, situate in the Borough of New Cumberland, County of Cumberland, and Commonwealth of Pennsylvania, and more particularly described hereinafter; and being so thereof seised, died on September 15, 2013, having first made her Last Will and Testament in writing dated September 1$, 2007, duly probated and registered in the Office of the Register of Wills of Cumberland County on September 19, 2013, wherein and whereby she appointed as Executrix, the said BARBARA A. CONDE, to whom Letters Testamentary were duly issued by said Register of Wills on September 19, 2013, wherein and whereby said premises hereinafter described were specifically devised to Barbara A. Conde and Tiffany S. Conde, Grantors herein, pursuant to Item II, all as in and by said Will and the records of said Register of Wills, recourse thereunto being had, appears: NOW THIS INDENTURE WITNESSETH, that the said Grantors, for and in consideration of the sum of EIGHTY TWO THOUSAND FIVE HUNDRED and 001100 ($$2,500.00) Dollars, which has been paid to they by the said Grantee at or before the sealing and delivery hereof, receipt whereof is hereby acknowledged, has granted, bargained, sold, aliened, released and confirmed, and by these presents does grant, bargain, sell, alien, release and confirm unto the said Grantee, ALL THAT CERTAIN tract or parcel of land and premises, situate, lying and being in the Borough of New Cumberland in the County of Cumberland and Commonwealth of Pennsylvania,more particularly described as follows: BEGINNING at a point on the southern line of Tenth Street as shown on Plan of Lots hereinafter mentioned at the division line between Lots 32 and 33 on said Plan, which point is one hundred (100) feet west of the line dividing land now or late of Elmer E. Mathias and the lay out known as Elkwood, measured along the southern line of Tenth Street; thence Southwardly by said dividing line between Lots Nos. 32 and 33 at right angles to Tenth Street one hundred (100) feet to a ten (10) foot wide alley; thence Westwardly by the northern line of said Alley parallel with Tenth Street twenty-five (25) feet to a point; thence Northwardly by a line at right angles to Tenth Street one hundred (100) feet to the southern line of Tenth Street; VlV thence Eastwardly along the southern line of Tenth Street twenty-five (25) feet to the place of BEGINNING. BEING improved with the eastern half of a double two and one-half story frame dwelling house and being the eastern half of Lot No. 33 on a Plan of Lots of Levi Brandt Estate, known as 7 Maples No. 1, recorded in the Recorder's Office in and for Cumberland County, Pennsylvania in Plan Book 1, Page 94. BEING the same premises which James W. Moran and Violet Moran, husband and wife, by Deed dated January 4, 1990, and recorded January 16, 1990, in the Office of the Recorder of Deeds of Cumberland County in Deed Book J34, Page 234, granted and conveyed unto Betty L. Gover, decedent herein. TOGETHER with all and singular the buildings, improvements, ways, streets, alleys, passages, waters, water-courses, rights, liberties, privileges, hereditaments and appurtenances whatsoever, thereunto belonging or in any wise appertaining and the reversions and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, property, claim and demand whatsoever of her, the said BETTY L. GOVER , at and immediately before the time of her decease, in law, equity, or otherwise howsoever, of, in, to or out of the same. *TO HAVE AND TO HOLD the said lot or piece of ground above described, with the buildings and improvements thereon erected, hereditaments and premises hereby granted or mentioned, and intended so to be, with the appurtenances unto the said Grantee, to and for the only proper use and behoof of the said Grantee, forever. AND the said Grantors, for themselves and their respective heirs, executors and administrators, does covenant, promise and agree to and with the said Grantee, his heirs and assigns, that they, the said Grantors, have not heretofore done or committed any act, matter or thing whatsoever whereby the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged, or encumbered in title, charge, estate or otherwise howsoever. IN WITNESS WHEREOF, the said Grantors have hereunto set their hands and seals the day and year first above written. Signed, Sealed an D ivered 52 �i tit G �cG� C_(SEAL) i ness BARBARA A. CONbE7individually and as Executrix of the LastWill and Testament of BETTE L. GOVER (SEAL) Witness 'fi fr . CONDE 2- COMMONWEALTH OF PENNSYLVANIA COUNTY OF Lkm—kae:a1z � SS: On this, the day oC�'V (� — 2014, before me a Notary Public, the undersigned officer, personally appeared BARBARA A. CONDE, individually and as Executrix of the Last Will and Testament of BETTE L. GOVER, known to me or satisfactorily proven to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereto set my hand and notarial seal. COMMONWEALTH OF PENNSYLVANIA . , NOTARI SEAL CAROL L.TROXELL,Notary Public Now Cumberland Boro.Cumberland Co, .. ....—C'\ My Commission Expires Dec. 27, 2017 Notary Public STATE OF Vl COUNTY OF SS: t�� �2I41�Cz�2. On this, the J day of Aatz.cc_1'l 2014, before me a Notary Public, the undersigned officer, personally appeared TIFFANY S. CONDE, known to me or satisfactorily proven to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereto set my hand and notarial seal. �Do"n, 31t6�3 c..) (.) Nota Pu lic MY Commission Expires I hereby certify that the precise address of the Grantee is DATE: Attorney for �3 //2013 11:14 6307699523 ALPAFCU PAGE 03/03 it Line Pilots .Association Federal Credit Union September 27,2013 ATTN.-David H Stone Stone Waver&Shekletski 414 Bridge Street PO Box E New Cumberland, PA 17070 Re: Member Mrs.Bette LGover Dear Mr. Stone: The only account Mrs.Bette L Gover has with the Air Une Pilots Association Federal Credit Union is a savings account in her name only. The balance on Mrs. Bette Govers account as of 9/15/2013 is$75,373.21.The monthly dividend earned 9/1/2013 through 9/15/2013 is$23.23 equals total balance of$75,396.44. To disburse the account,the credit union needs a letter of instruction stating how the check should be. made payable to and the mailing address. Since the requested fax-copy of the Short Certificate does not show the Impressed Seal,the credit union Is requesting a certified copy of the Short Certificate. Please feel free to contact the credit union if you have any questions or concerns(800)747-2349. Best Regards, Kathy. '�'""� Accounts Receivable 16 W 345 83m Street,Suite A • Burr Ridge,IL 60527.5838 • Phone:630.788.2575 • 'Fax:630.788.8523 • www.alpafcu.org Fultm Bank LISTENING IS JUST THE BEGINNING.- September 27, 2013 Stone LaFaver& Shekletski Attorneys at Law 414 Bridge St PO Box E New Cumberland PA 17070 Dear Mr. Stone, RE: Bette L Gover, deceased 9/15/2013 In response to your recent inquiry concerning the accounts maintained in the name of the decedent, please be advised that the following accounts were open at the date of death: Checking 43620-23596, opened 3/31/99, date of death balance $4956.13, (accrued interest of.06 would not have been payable had the account been closed on the date of death) titled in h_er name alone with Barbara Ann Conde as power of attorney. Please be advised that the decedent has a safe deposit box #104 opened 12/30/99 at the New Cumberland branch titled in her name alone. If you should have any further questions, please do not hesitate to contact me at 717-327-2497. i��TI AL Very truly yours, C0NFIDE Rtis rrttovnaton is tumished as a ma"cr or i_ y/�y tom+ In ffi:SL'JEf!7 your i q! .YJS!fM`ss C»Ufkb 1 t �i �'.and IS 1C7 YJUf COnt:;jC'nIVSI O'ay, The bank tur;, ^;rIG this ll)l, ptlpn d;;es -,,;I fr.f•• •y 1t r g puarantao the ar, a ar;, cr_nes; of ;c•IiaGt•y of April Billett irrtorm3fron t:•ov-/�r,l_ NO IY is ;��ur, by©edit Confirmation Processor ikYit!Or wnY app•�r; .`.ft R'ef$, ?:ili!ri"C(mS or ag.ints. /;irk'oni%Uon herein expressed is sub; ® POSTMARK C R E D I T U N 1 0 N September 26, 2013 fOYn"I cl"fl ncfal s`""c` Stone LaFaver& Shekletski Attn: David H. Stone, Esquire 414 Bridge St New Cumberland, Pa 17070 Re: Estate of Bette L. Gover SSN: 179-20-3806 Dear Mr. Stone: Bette L. Gover has an account with Postmark Credit Union. The accounts were opened 10/31/2003 and were an individual accounts. The following is a list of the accounts and the balances as of date of death. Account Balance Interest Rate 11349-00 (savings) $86.83 .05% 11349-09 (savings) $11,560.25 .10% Postmark Credit Union does not have safe deposit boxes..There were no loans or credit cards in Bette's name. If you have any questions, please don't hesitate to call me at 717-671-51 19, ext 615. Sincerely, _ e L Treed Member Service Administrator 2630 Linglestown Rood • Harrisburg, PR 17110-3666 717.671 .5119 A • �m mer I x ° co rr x Rl ~ � r- � 10- O 5$ Wn j (y fL rev L1 rD .� ,`d y rOV rr Ff w = o x n Q N Ln tl b M *3 O O o r � rp r w * O Z J Ln ; n m Ln 3 I K tdwir Cn R (D t-4 • � H * O I * W 'f s w w r » * mi it co * �; I * o In NI w S00/ZOO�j * NI °' a H j Avud P493HO1S ~ W n PZS901LLLL XVd 9F.:71 oi ..-. .. _ .. ` 2 11/27/2013 12:35 FAX 7177745924 STONE&NURRAY F. H. Ia003/003 rrvvo w* Ww� byJJ[ NON NEGOTIABLE � UrLiChoice Cooperative, Tnc, 7441 Allentown Blvd. Harrisburg PA 17112 From the Prepaid Funeral Trust for the benefit of Betty L. Gover Account: 34602 October 4, 2013 $*****72 . 00 Stone & Murray Funeral Home 408 Third Street New Cumberland PA 17070 69332 SOGUIChoice TM PNC BANK.N.A. NORIHWE37 PA 010 '60-73-433 7441 ALLENTOWN SLM. HARRISBURG,PA 17112 SEVENTY—TWO DOLLARS AND 00/100*****'***************************************j DA1F Auouw TME October 4, 2013 $ *****72. 00 DER CASH 60\YD 8 Stone & Murray Funeral No>tle 408 Third Street New Cumberland PA 17070 ,, 119069332112 1:0433007381: 643045852911' t9 9 x. g � a a Ay tTJ " (A - CL ej n g P aI _ s� jil z Zia CA .. ogogg �Y R4 3in4i'. A— di 9 r q m r 3 � r C! oil 99} 0 ss• .s d !�! �r Y P. g ar 600/10018 'H 'A Ab'NHNNUNHS OZ65DLLLlL XHj SE Zl EIOZ/LZAL Calculated Value of Your Paper Savings Bond(s) Page 1 of 1 Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 09/2013 Total Price Total Value Total Interest YTD Interest $3,000.00 $6,678.40 $3,678.40 $261.20 Bonds: 1-4 of 4 Issue Next Final Issue Interest Serial # Series Denom Date Accrual Maturity Price Interest Rate Value Note M001458960Ii I ,$1,000 08/2000'10/2013: 08/2030: $1,000.00; $1,223.20: 4.80%;$2,223.20 _ M001458959I: I ;$1,000.08/200010/2013 08/2030' $1,000.00; 71I: . $1,223.20' 4.80 4.80%;%:$$2 1,21213:.0200 . D0013210 0 . . 66 6001321070I I $500 07/200010/2013 07/2030; 4.80%:$1,1166.00 . . _ Totals for 4 Bonds: 3 000.00: 3,678.40! ;$6,678.40; Notes NI Not Issued NE Not eligible for payment PS Includes 3 month Interest penalty MA Matured and not earning interest http://www.treasurydirect.gov/13C/SBCPrice 11/21/2013 t E yip �:.� r,,�!•l.i7t r �°� ;, ��;���� ►t y t, t{;SERIES I�.. ,1�+tit Ct/ .(;,,. 179 n20 3806<<t 7Yln �•t,,N {' `a' il iyl�l Fs` 07 �i}}:,,,200 ^i 'V' A., �t� i r `.t` t - ,'{,t+�A �'°ylg��j'�-iL��j •,•f� u�`!��t�! -,AofijM L 60Vf R, i`f' �3 {'• 0`5!1 t5 i' t. }.}�11'+'"+j° ;T7 .,�•ty rae ` `TIr t�4:!}��•l�.�t•'.4;-s 10T. rE h "INKq . �itk� F S�tt j NEW:`CUNBERLANPIA44 1;707041 o6r11'k}�` „vy .� :� f:*. 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T 08817700 ' i ;hl;t>:3341'10T11` ST- `i�lyi�f}i `vA NW.CUNBERLANII V` PA 1707 ti ,F)�t yr^CLL •F7- - t L;� }rul,...lrl, � 1 a POD;BARBARA CONOE•j ! 't�7S r• �' f'�` ~i�1C : �+ ROS,N'031301422 0008 07!82781 080700 001 k J+i • �yyY4 k.• 0001458960 tf.MQ(}+11.45896OI vt�onwF^.+.,+�,,tti��/.�a4 C} ! �Wi ,+y tl, � ¢°•.r '-. 1 iL♦t,l • aa�, .;��#I Otl009000?1:21Rt 2 o014'sa1960ir"+*rY,y na♦ MWI — _ - - -- SERIES I ' { D18 r L+lj+r➢ "}7920+ 38064�rs zo—he , 2000�C Tir B6jjE 60VER.\( N . 2+i. pY�i ;'!'�'}ti.�`++ . C r FRO PITT 334i 10TH•-ST ;T�"°jii i e1 , 08-17-00,.,, NWt CUMBERLAND• -� •} PA '1770'� },t{I�T'7� ,,r '� R,^� ., x" y, IrIJI1++1111x1+I++111G+1r1 LI • +�f=�'?1,r !�')I x.^� � ' :?_ i)) } b jPOD•BARBARA'CONDE y V' RD3rM 031301422,0008',02827810§07f,0 P 00 iY^ Y` i,}K 0001458959 1^Iv rW� a. f,. t + ,a•.,. rir}� it tl.?'c'O.:A.�'• T+. MOg1458959I 0Otl0900 h�,�r ,.,.7ra'.*ril-•• i FII +ri I Ia111flI 1tSUllIMll�t¢I�Y�YTrip¢' OMB NO.2502-0255 A B. TYPE OF LOAN: U.S.DEPARTMENT OF HOUSING S URBAN DEVELOPMENT 1.©FHA 2.[1FmHA 3.QCONV.UNINB, 4. VA S.�CONY,k[S. 4. FILE NUMBER: 7.LOAN NUMBER: SETTLEMENT STATEMENT HOFFER14 8, MORTGAGE WS CASE NUMBER: C.NOTE: TAb larmtrhun0hW g0Meyw eafetemwfafeWUw wdbmaM weld Amounle pow fo end by and seNernew et3wlon shown. met mKMdd 700T were paid worker 011 coWq;OWYSre dWw3 hare AvtnlWmstbatpurpmaa aW"rvir mxhtdedb 9u!rule. Ld 311 IMCF12414.AOMG 1 D.NAME AND ADDRESS OF BUYER: E.NAME AND ADDRESS OF SELLER: F.NAME AND ADDRESS OF LENDER: Jams P.Hoffer Ben.L Gar Extols 118 Lase Meade Drive 334 Tenth Strad Eat Stuff".PA 17316 New Cumbariarw,PA 17070 M PROPERTY LOCATION: W SETTLEMENTAGENT: 20 7811350 L SETTLEMENT DATE: 334 TMIR Sneed Preferred Service S•e enum,LLC New Cumbdnend.PA 17070 Metzh 27,2014 CurnwaW County,Penncylvxnis PLACE OF SETTUEMEWT 570 cadMM Sleet Hanover,PA 17331 J.SUMMARYOF BUYERS TRANSACTION K SUMMARYOF SELLERS TRANSACTION 100.GROSS AMOUNT DUE FROM YER: 40& GROSS AMOUNT DU E TO SM I ER. 101. Cabat Soles P B2 500.00 401 CorlbectBatesPrfea 02.500.00 102. ParsoalPm 402. n Poverty 103. Seitbmdm Ch wb Law 1400 t703.50 403. 104.eroiwrFwbERA PmtanW teW. 113&00 404. 108, 40 AdJusilltats FKIts..PoW By Seger In advanol, Ad onw4 FK llama PaM a Swrw ddvena 108.CI own Tea 03/28114 b 0110118 .30 40&Cll awn Teaw 03!!8114 10 01101115 387 107.Cou ib Taw 034811! ls 01101118 22&77 407,Can Tow 03f2&t4 b 01101115 229.77 108.MTaw 0341 b 07101114 2 99.98 408,StlmW Taw OWN14 to 07 1)14 293.88 109.Smnr811103128141a a101114 3.41 408.Sawer Bill G=W14 to DMII14 3.41 110.Trash Bill 0348114 to MM1114 1.12 440.Tmeh 8111 0912 14 to wAl1 14 1.72 111. 4t t. 112 121 GROSSAMOUNT DUE FROMBUYER 85,318.88 42& GROSSAMOUNTGUE TO SELLER 83412.18 200.AMOUNTS PAID BY OR IN BEHALF O ER: $00.REDUCTIONS W AMOUNT DUE TO SE 201,Dopusfiaremestmonax, I 1000.00 Mi. Eaaw Dd oslt Sw lnaln3rJbna 202 pdntl Amount pl New Laan d 582 Settlement Charon b 5 r ne 1400 15 957.05 203. Ed4nn loans Wkw esib MIS. Eaisti bwa takes sublext to 204. - 504. of OWN 205. 90 Po wan 20& 508. a Mona, 207. D• ran elan.a• 20& 50& 20& 500, A Farkema wH Seders Ad7weloam For Aefna By SBAK 210.CI own Taxes 1a 510.CI own Teaw to 211.Colin Alb Taw b 511.Caun I1 Taws to 212. SMal Teaw b 512.Sctrool Tew m 213. 518. 214. 514. 215, S1& 216. 81& 217. all. 210. 518.Sewn 911Ww Inman Maras to New CUmbadend Bor 78.64 218. 519. 220. TOTAL PAID BWFOR BUYER 1900110 32& TOTAL RBDUCTI N2 AMOUNTOUE SELLER 18,033.60 300 CASH ATS ENT FROM/T08U R: 110&CASH AT SETTLEMENTTOIFROM SELLER: 301. Grow Amount Due From BU rUna 120 9,31088 801, Grow Amounl Ow To Sellsr n.420 83412.18 302. Lew Amount PaidB Bu Ina 220 1,000.00 002. Lass Raducdow Da SeIW 1b1.520 16,33.69 302 CASH(XFRCM)( TO)@UYER 84,31048 803. CASH(XTD)( FROM)SELLER 87,318.49 The undereign W heraby acknawledg•receipt of•ampieW apy w peg"102 al mM ablsmad&any etlacnma0s Mfened to hamin. @ W 4dNK Bore!_GrVer EsMls BerOar•A. o S¢�cs 9hcc $ �Soa.OT BY. = e Cosh: (a1033.G� 700.TOTAL COMMiON Raead on Pnq L.SETTLEMENT CHMGES t.i ,08280 a IN R 7 0 w Fabwa: 81`'x.00 5.0000 X 702 7,03.1,00 Della 412600 P 703. am W Pmfefold fR°M PAOra-w 04.0+aBM ery Pa alat Sa meth RaakEWak,bq Fu anT eelyee,a AT ABLE lk CO RmaaAT 90.Loef PAY i No :1 ON VATH LOAN W UP amrtulewr yATnawaer S02 L0a11 Dyyt/M F. % h /125.00 503. 1W an %' W 95.00 •DrMN R m .Lend M -0011 Fee W No a a ina. FM to 867.Aaaum Fee W - eaR 800. B10. alt. 9tlq(TEMB REOUIREp RY LENDER TO EE pAIG IN ADVANCE tn 901. lehal Fhm 80 .MIP in na. Jo i 903 Huentim- n4eOJLaen ra /tla tle 904. /PmWnJ far 1.0 m ha b 3.h X a 803 7000.RESERVES GEPoBRED WRN LENDER 1001.m ineuwrvya . 1002.Mon It 1n4urMge manN i 1003.Cl awn Tecya "ma ar mom0 1004.Cohn month : er �1Onttl 1005.Slimy 7 TaxM mOnN 10 e+N n�ltha month i nhno, 7007. mon i month 10t,. month month I' TDLE CHARGER mon i month 1101.BMtwminlaT mon 1102.A0e0eata Ttls Saefch� to 1103. F n to 1103.OPa++melballonu BNBaa b Slone LafavorantlgMhto IIn Note Fen Bon W 1107.At, Faaa b NMI M.Ahma JO 080,00 11 IRGfdeaa roS in Ambsrx W h 5.00 Vu so" if..numfw/{• 1 W8.Lendafy Cav a 1110. Cov 3 8.50 111. 500. 11 1 BOG A 12001 R�VERNMEkT RECOROWGAND TRANSFER CHARGER i .CI IDaon Deed i d7.60• . 1205 SVh Taa/B i ' 1204. DeaO 025.60'Mod a Retyuu i 826.00:Mqd 87.00 1208, a 8.00 1700`ADpD7ONA!-SETTLEMENTCHARGEB 925.00 1301.Rurva 1307.Fe fin aeon le 1409.Tu Ceryllcydo.Fee W S,A.F.E.Ma aa9on SelVkaa 1364,101411-. R is RyMn Gay m LLC 130d.RWmyHOUse IM TnyM W Rohn FGC:R4b.G0 JHiW4na Gee amt&Tao Cdlaabr 1400.TOTAL SETTLEEfEenr H W 9./�F.E.Wapactlw SeM-M•LLC 10 d0 ay yyaaaYalafMrara�Ab ARGER Enfp an LlMa 183.9ecuan Jend 002 Saoton FOC:suil'o BOGS �'M'Ww PWa�gayyyaseetMaatlr 1,703,50 15.967.05 Cenlfbd W Be s evh eoP, AJ "A AuNOAtetl Sl2netuh SaOhmenl Apyy I MOPfGN/MPPRagi�/fat i . O m m. . �,. :.. a r_. m m:. m: m;e. n.:_._ ID r j,, Dome d; m v m O' y.. m rn i w ' r n` W 0 i r Ln Wi Pi 1 1 r b 1 1 o x' : i A 1 I D o' C �• o o O I ^\ 0 �b VZ z A m �N L cl 5