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HomeMy WebLinkAbout06-11-14 (3) � . . ` � 15056101�5 REV-1500 Ex'°Z_,,,�F', PA De artment of Revenue pennsylvania OFFICIAL USE ONLY P DEPART/AENTOF REVENUE County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN Dl,���/ PO BOX 280601 RESIDENT DECEDENT �� I � Harrisburg,PA 17128-0601 (.��'`� ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY �5262013 02231932 DecedenYs Last Name Suffix DecedenYs First Name MI KNAUB ALVIN D (If 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 BOXES BELOW x0 1. Original Retum Q 2. Supplemental Retum Q 3. Remainder Retum(Date of Death Prior to 12-13-82) Q 4. Limited Estate Q 4a. Future Interest Compromise(date of Q 5. Federal Estate Tax Retum Required death after 12-12-82) Q 6. Decedent Died Testate Q 7. Decedent Maintained a Living Trust � 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) Q 9. Litigation Proceeds Received Q 10. Spousal Poverty Credit(Date of Death Q 11. Election to Tax under Sec.9113(A) Between 12-31-91 and 1-t-95) (Attach Schedule O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: re, Name Daytime TeleQhpne Number� -� � ROBERT G. FREY 7172435�3� � �is � c_ c:;� �� CiJ -`LJ � d .� _,._! REGIS"f R�OF IILS l�S,�,ONL`� � t i :.__. ���" F�—r 'r.+`-1 � � First Line of Address ��' 4� \' �� ' �,3 c� �--, �-� � `"� � 5 S . HANOVER ST. � c� �� =`-� . �� Second Line ofAddress ` � ~ r y �� r�' U> � � City or Post Office State ZIP Code DATE FILED CARLISLE PA 17013 CorrespondenYs e-maii address: R F R E Y a�F R E Y T I L E Y. C 0 M Under penalties of perjury,I deGare that I have examined this return,inGuding accompanying schedules and statements,and e best of my knowledge and belief, it is true correct and com leta.DeGaration of re arer other than the ersonal re resentative is based on all informatio of ch re arer has an knowled e. SI NATUR OF ERS RE PONSBL�F R F LING RET N DATE � " 6 �' �/ ADDRESS 760 DOGWOOD TERRACE, BOILING SP INGS, PA 17D 7 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS 5 SOUTH HANOVER STREET, CARLISLE, PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505610105 1505610105 J . . _ , _ _ , �� 1505610205 � REV-1500 EX(FI) DecedenYs Social Security Number DecedenYSNarne: ALVIN D KNAUB RECAPITULATION 1. Real Estate(Schedule A)............ ............................... 1. 17 O O O O.0� 2. Stocks and Bonds(Schedule B)................................... .. 2. �•�� 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)... 3. �•0� 4. Mort a es and Notes Receivable Schedule D a. 18 4 610.1� 9 9 ( )......................... 5. Cash,Bank Deposits and Miscelianeous Personal Property(Schedule E)..... 5. 70163.16 6. Jointly Owned Property(Schedule F) 0 Separate Billing Requested... .... 6. 0•�� 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) �Separate Biiling Requested.... ... 7, 113270.52 8 Totai Gross Assets(total l.ines 1 throu9h 7) . . ...... .. .. . s. 5 3 8 0 4 3.7 8 9. FuneralEx ensesandAdministrativeCosts ScheduleH s. 44895.51 p ( )... ........ ...... 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)... ......... .10. �•�� 11. Total Deductions(total Lines 9 and 10)..................... ........ . 11. 4 4 B 9 5.51 12. Net Value of Estate(Line S minus Line 11).. ..........................12. 4 9 314 8.2 7 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which Q.O O an election to tax has not been made(Schedule J).................... ...13. 14 Net Value Subject to Tax(Line 12 minus Line 13) ........... 14. 4 9 314 8.2 7 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sea 9116 �a)�1.2)X.0 � 15. �•0� 16. Amount of Line 14 taxable at�inea�rate x.0 4 5 4 315 0 4 .7 4 �s. 19 417.71 17. Amount of Line 14 ��0� taxable at sibling rate X •12 17. 18. Amount of Line 14 taxable at co��atera�rate x •15 616 4 3. 5 3 �s. 9 2 4 6.5 3 �s. Ta,x oue........ ..................... ........ ..... .............. �s. 2 8 6 6 4 .2 4 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT � Side 2 L, 1505610205 15�5610205 J REV-1500 EX(FI) Page 3 File Number 177-54-2094 Decedent's Complete Address: 21-13-00624 DECEDENT'S NAME ALVIN D KNAUB STREETADDRESS 1733 PINE ROAD C�N STATE ZIP CARLISLE PA 17015 Tax Payments and Credits: 1. Tax Due(Page 2, Line 19) (1) 28664.24 2. Credits/Payments A.Prior Payments 23000.00 B.Discount 1150.00 Total Credits(A+B) (2) 24150.00 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. Fill in box 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) 4514.24 Make check payable to: REGISTER OF WILLS,AGENT. ♦e.���+`SL4�C�:S4��1����"��=�,a �L'�u�'R��l���9Yh s1uS�.e.�$k �1:�f.iS�i� ;W,"�a1i.Gl�r:4:� �449� ��Cift'� ti+R . �._�4i ..� � d��..��`,>��+�`4 .:v�x� �•�y � ,�) m.,t�,�rl.s,�,L'a1s �L,..=3.�.�.. ,23�,.a��,•s��+,�nx �x.c3;�� _��., n.. �,:u, 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 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?............. � � 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?........................................................................................................................ ❑ � IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ������:��°� .�.�?r�,u�u::.��:,�' `.�`�- �`��. .. :�. .,,.. ..�:. ..o�`� r .�?�:� f"k'�'�4.�.�_i v�_... .. 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 decedenYs lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)j. • 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. A +� REV-1502 EX+(12-12) pennsylvania SCHEDULE A DEPARTMENTOFREVENUE REAL ESTATE INHERITANCE TAX RENRN RESIDENT DECEDENT ESTATE OF: FIIE NUMBER: Alvin Knaub 21-13-00624 All real property owned solety 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 properly that is jointiyowned with right of aurvivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. VALUE AT DATE ITEM Include a copy of the deed showing decedenYs interest if owned as tenant in common. NUMBER DESCRIPTION OF DEATH 1. 1733 Pine Road, Carlisle, Pennsyivania, see HUD-1 Settlement Statement attached 170,000.00 TOTAL(Also enter on Line 1, Recapitulation.) $ 170 000.00 If more space is needed,use additional sheets of paper of the same size. r ` REV-1507 EX+(04-13) pennsylvania SCHEDULE D DEPARTMENT OF REVENUE MORTGAGES & NOTES INHERITANCE TAX RETURN RECEIVABLE RESIDENT DECEDENT ESTATE OF FILE NUMBER Alvin Knaub 21-13-00624 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Installment Sale Agreement, 1737-1739 Pine Road, Carlisle. Balance on date of death 148,300.05 2. Note owed by A.E.S.Hearthplace. Balance on date of death 36,310.05 TOTAL(Also enter on line 4, Recapitulation) $ 184,610.10 (If more space is needed,insert additional sheets of the same size) REV-1508EX+(OS-12) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENTOFREVENUE PERSONAL PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Aivin Knaub 21-13-00624 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointl owned with right of survivorship must be disclosed on Schedule F. ��� VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Sovereign Bank acct. no. 1481103466 7,351.86 2. Sovereign Bank acct. no. 1921081430 20.20 3. Sovereign Bank acct. no. 7675114078 10,075.60 4. Sovereign Bank acct. no.7675114477 10,094.74 5. Orrstown Bank acct. no. 1060000857 1,123.05 6. US Savings bonds 216.56 7. Motor vehicles and equipment soid 25,430.00 8. Harley Davidson, sold 2,500.00 9. Personal property sold at auction, net of commission 10,847.88 10. Insurance refund 495.00 11. Miscellaneous 556.11 12. Lawn tractors soid 1,452.16 TOTAL(Also enter on line 5, Recapitulation) $ 70,163.16 If more space is needed,use additional sheets of paper of the same size. � REV-1510 EX+(OS-09) SCHEDULE G pennsyivania lNTER-VIVOS TRANSFERS AND DEPARTMENT OF REVENUE R SEDENTDEC D NT�RN MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Alvin Knaub 21-13-00624 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. DESCRIPTION OF PROPERTY ITEM INCLUDETHENAMEOFTHETRANSFEREE,THEIRRELATIONSHIPTODECEDENTAND DATE OF DEATH %OF DECD�S EXCLUSION TAXABLE NUMBER THEDATEOFTRANSFER.AITACHACOPYOFTHEDEEDFORREALESTATE. VALUEOFASSET INTEREST nFAP°"`"�`E� VALUE 1. Sovereign Bank acct. no. 7675112458 5,031.75 100.00°/a 5,031.75 2. Sovereign Bank acct. no.7675113594 5,031.75 100.00% 5,031.75 3. Sovereign Bank acct. no. 7675114299 15,142.10 0.00 4. Noth American Annuity Contract no. 80000170074 103,207.02 100.00% 103,207.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TOTAL Also enter on Line 7, Reca itulation $ 113,270.52 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+(08-13) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERRANCETAXRETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Alvin Knaub 21-13-00624 DecedenYs debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Hollinger Funeral Home $,22�•44 2. Cumberland Valley Memorial Gardens 790.00 3. Plainfieid Church of God 225.00 4. Honorarium to Kevin Dunlap 200.00 5. Honorarium to Judy Breannaman 75.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) SVeet Address City State ZIP Year(s)Commission Paid: 2. Atrorney Fees: 15,000.00 3. Family Exemption:(If decedenYs address is not the same as Gaimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 383.50 5, Accountant Fees: 6, Tax Retum Preparer Fees: 7. Advertising in The Sentinel and Cumberland Law Journal 227.94 8. Bank fee for date of death balance statement 15.00 9. Expenses of Real Estate sold, itemization attached 19,522.63 10. Repairs 159.00 11. Reimbursements 70.00 TOTAL(Also enter on Line 9, Recapitulation) $ 44,895.51 if more space is needed,use additional sheets of paper of the same size. � REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITqNCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Alvin Knaub 21-13-00624 RELATIONSHIPTO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE ( TAXABLE DISTRIBUTIONS[InGude outright spousal distributions and transfers under Sec.9116(a)(1.2).] Nancy Stone �� 3542 Kissinger Mills Road, Rimersburg, PA 16248 Friend 1!8 of remainder Sandra Swartz 2' 622 S.4th Street, Newport, PA 17074 Daughter 1/8 of remainder Linda Coleman 3' 1258 Lake Frances Blvd.,Tavares, FL 32778 Daugher 1/8 of remainder Vickie Russell 4� 285 Gameland Road, Newville, PA 17241 Daughter 1/8 of remainder Dennis Knaub 5� 760 DOGWOOD TERRACE, BOILING SPRINGS, PA 17007 Son 1/8 of remainder Carol Loeber 6' 3 Pheasant Vew Drive, Dillsburg, PA 17019 Daughter 1/8 of remainder Deborah Swartz �' 17 Lebo Road, Carlisle, PA 17015 Daughter 1/8 of remainder Yvonne Young 8' 1628 Newville Road, Carlisle, PA 17015 Step-daughter 1/8 or remainder ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON IINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: �. B. CHARiTABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II—ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON IINE 13 OF REV-1500 COVER SHEET. $ 0.00 If more space is needed,use additional sheets of paper of the same size. „...� . : _ _,�.,�-�..�,�, �_���,.n �� � . ___ Thursday, May 29, 2014 Page: 1 � Account-Knaub Estate.qdfm - Checking � Category Summary Report 1/1/11 through 5/29/14 1 / 1 / 11 - Category 5/29/14 Outflows Real Estate: Closing Costs 1 ,700.00 insurance 1 ,497.00 Mileage-Incidentals 4,600.00 repair 4,994.28 Tax 2,792.45 Utilities 2,892.16 Real Estate - Other 1 ,046.74 Total Real Estate 19,522.63 Total Outflows 1 9,5 2 2.6 3 �.+��i�t�i� t ' ' : $150,000 ��� � �� ��tt�►�t�t �f+� ��_�� � 6.00% 1737-1739 Pine Road ���� °� � � ��: '�`e, �� 20 Installment Sale to Soccio ��l� , �R '�� � •-e�� � 12 11/1/12 ;. 240 $1,074.65 $257,915.18 . .. 11/1/12 150,000.00 750.00 324.65 149,675.35 750.00 Totals for 2012 `� 12/1/12 149,675.35 748.38 326.27 149,349.08 1,498.38 1,�98.38 ; 650.9� 1/1/13 149,349.08 746.75 327.90 149,021.18 2,245.13 2/1/13 149,021.18 745.11 329.54 148,691.64 2,990.24 3/1/13 148,691.64 743.46 331.19 148,360.45 3,733.70 4/1/13 148,360.45 741.80 332.85 148,027.60 4,475.50 5/1/13 148,027.60 740.14 334.51 147,693.09 5,215.64 6/1/13 147,693.09 738.47 336.18 147,356.91 5,954.11 7/1/13 147,356.91 736.78 337.87 147,019.04 6,690.89 8/1/13 147,019.04 735.10 339.55 146,679.49 7,425.99 9!1/13 146,679.49 733.40 341.25 146,338.24 8,159.39 10/1/13 146,338.24 731.69 342.96 145,995.28 8,891.08 11/1h3 145,995.28 729.98 344.67 145,650.61 9,621.06 Totals fvr 2Q13 12/1/13 145,650.61 728.25 346.40 145,304.21 10,349.31 8,850.93 4,044.8? 1/1/14 145,304.21 726.52 348.13 144,956.08 11,075.83 2/1/14 144,956.08 724.78 349.87 144,606.21 11,800.61 3/1/14 144,60621 723.03 351.62 144,254.59 12,523.64 4/1/14 144,254.59 721.27 353.38 143,901.21 13,244.91 5/1/14 143,901.21 719.51 355.14 143,546.07 13,964.42 6/1/14 143,546.07 717.73 356.92 143,189.15 14,682.15 7/1/14 143,189.15 715.95 358.70 142,830.45 15,398.10 8/1/14 142,830.45 714.15 360.50 142,469.95 16,112.25 9/1/14 142,469.95 712.35 362.30 142,107.65 16,824.60 H 10/1/14 142,107.65 710.54 364.11 141,743.54 17,535.14 Date of Death Value Principal Balance 147,693.09 Accrued Interest from 5/1/13 to 5/26/13 606.96 Value at Date of Death 148,300.05 �. . ��� �.��� ��,����,� , ����������. $40,000 � � �! `���� o F. _ �,,���riF 8.00% AES Hearthplace Note 5 12 11h/12 60 $811.06 . $48 663.35 11/1/12 40,000.00 266.67 544.39 39,455.61 266.67 Totaisfvr 2012 ; + 12/1/12 39,455.61 263.04 548A2 38,907.59 529.71 529.71 ;1,Q92 411 1/1/13 38,907.59 259.38 551.68 38,355.91 789.09 2/1/13 38,355.91 255.71 555.35 37,800.56 1,044.80 3/1/13 37,800.56 252.00 559.06 37,241.50 1,296.80 4h/13 37,241.50 248.28 562.78 36,678.72 1,545.08 5/1h3 36,678.72 244.52 566.54 36,112.18 1,789.60 6/1 h 3 ' 36,112.18 240.75 570.31 35,541.87 2,030.35 7/1/13 35,541.87 236.95 574.11 34,967.76 2,267.30 8/1/13 34,967.76 233.12 577.94 34,389.82 2,500.42 9/1/13 34,389.82 229.27 581.79 33,808.03 2,729.69 � 10/1/13 33,808.03 225.39 585.67 33,222.36 2,955.08 11/1/13 33,222.36 221.48 589.58 32,632.78 3,176.56 Totals fQr 2013 12/1/13 32,632.78 217.55 593.51 32,039.27 3,394.11 2,864:40 ;&,8C8.32 1/1/14 32,039.27 213.60 597.46 31,441.81 3,607.71 2/1 h 4 31,441.81 209.61 601.45 30,840.36 3,817.32 3/1/14 30,840.36 205.60 605.46 30,234.90 4,022.92 4h/14 30,234.90 201.57 609.49 29,625.41 4,224.49 5/1/14 29,625.41 197.50 613.56 29,011.85 4,421.99 6/1/14 29,011.85 193.41 617.65 28,394.20 4,615.40 7/1/14 28,394.20 18929 621.77 27,772.43 4,804.69 8/1/14 27,772.43 185.15 625.91 27,146.52 4,989.84 9h/14 27,146.52 180.98 630.08 26,516.44 5,170.82 10/1h4 26,516.44 176.78 634.28 25,882.16 5,347.60 Date of Death Value Principal Balance 36,112.18 Accrued Interest from 5/1/13 to 5/26/13 197.87 Value at Date of Death 36,310.05 Sovereign Bank ESTATE OF Alvin Knaub SOCIAL SECURITY#: 177-24-5094 DATE OF DEATH: May 26, 2013 Account#: 1481103466 Type: Checking Open date: 9/7/2011 In the name of: Alvin D Knaub Date of Death Balance: $7,351.81 Int.(YTD) from 1/1/2013 to 5/2/2013 $0.48 Accrued interest to date of death: $0.05 Other Info: Account#: 1921081430 Type: Checking Open date: 10/9/2012 In the name of: Alvin D Knaub Date of Death Balance: $20.20 Int.(YTD) from 1/1/2013 to 5/26/2013 $0.00 Accrued interest to date of death: $0.00 Other Info: Account#: 7675112458 Type: CD Open date: 10/9/2012 In the name of: Alvin D Knaub ITI� Date of Death Balance: $5,027.89 Int.(YTD) from 1/1/2013 to 4/30/2013 $16.51 Accrued interest to date of death: $3.86 Otherinfo: Account#: 7675113594 Type: CD Open date: 10/9/2012 In the name of: Alvin D Knaub IT��� Date of Death Balance: $5,027.89 Int.(YTD) from 1/1/2013 to 4/30/2013 $16.51 Accrued interest to date of death: $3.86 Other Info: Account#: 7675114078 Type: CD Open date: 10/9/2012 In the name of: Alvin D Knaub Date of Death Balance: $10,066.41 Int.(YTD) from 1/1/2013 to 4/30/2013 $39.31 Accrued interest to date of death: $9.19 Other Info: Page 1 of 2 Sovereign Bank ESTATE OF Alvin Knaub SOCIAL SECURITY#: 177-24-5094 DATE OF DEATH: May 26, 2013 Account#: 7675114299 Type: CD Open date: 10/9/2012 In the name of: Alvin D Knaub ITF �� Date of Death Balance: $15,124.80 Int.(YTD) from 1/1/2013 to 4/30/2013 $73.90 Accrued interest to date of death: $1730 Other Info: Account#: 7675114477 Type: CD Open date: 10/9/2012 In the name of: Alvin D Knaub Date of Death Balance: $10,083.21 Int.(YTD) from 1/1/2013 to 4/30/2013 $49.27 Accrued interest to date of death: $11.53 Other Info: Page 2 of 2 O�sTOwN B� A Tradition of Excellence July 26,2013 Frey&Tiley Attorneys-At-Law 5 South Hanover St Cazlisle, PA 17013 Fax: 243-6441 Re: Estate of Alvin D Knaub Social Security Number 174-24-5094 Date of Death 5/26/2013 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD TI� FOLLOWING ACCOUNT WITH ORRSTOWN BANK: CHECKING ACCOUNT Account No.- 106000857 Account Type- 50+ Interest Checking Account Title- Alvin D Knaub Date Opened- OS/25/1999 Joint Account(name/date)- No B�1��� $1,123.04 Accrued Interest- $0.01 Best Regards, Lisa R. Kline Deposit Processing Clerk II� 2695 Philadelphia Avenue • Chambersbuig, PA 17201 t � p�"I,, �`"�;, OMB Approval No.2502-0265 ;�,����F A. Settlement Statement (HUD-1) .- . . 1.❑FHA 2.Q RHS 3.Q Conv.Unins. 6.File Number: 7.Loan Number: 8.Mortgage Insurance Case Number: 8�096 101285 4.❑VA 5.Q Conv.Ins. C.Note:This fortn is fumished to give you a statement of adual settlement eosts.Amounts paid to and by the settlement agents are shown Items ma�lced "(p.o.c)"were paid outside the closing;they are shown here for infortnallonal purposes and are not included in the totals D.Name 8 Address of Borrower. E.Name&Address of Seller: F.Name&Address of Lender: Matthew R Baker,Sarah A.Baker Estate of Alvin D.Knaub Fartners and Merc;hants Trust Company 1516 Phladelphia Ave.,Apt.5,Chambersburg,PA do F�ey&Tiley,5 S.Hanover Street,Cadisle,PA 20 S.Main Street,P.O.Box 6010, 17201 17013 Chambersbu�g,PA 17201 G.Property Location: H.Settlement Agent: I.Settlement Date:05109/2014 1733 Pine Road Buch�an Settlement Services,LTD,Inc. Disbursement Date:05l09/2014 Newville,PA 17241 2025 East Main SVeet,Waynesbao,PA 17268 Penn Township 717-762-1415 Place of Settlement TitleExpress 2025 East Main SUeet,Waynesboro,PA 17268 Printed 05I08l2014 at 4:11 pm by DEM :. . . . . 100. Groa Amount Due(rom Borrower ,00. Groa Amount Due to Seller 101. Contractsales price 170,000.00 401. ConVacts�es price 170,000.00 102. Personal 402. Personal ro 103. Settlement charges to bortower(line 1400) 8,059.11 403. 104. 404. 105. 405. Ad uatments for items id b aeller in advance Ad uatrnenb for Items sid b aeller in advanee 106. Cityltown taues to 406. City/town taxes to 107. Countytaxes 05/09/2014to 12I31I2014 379.08 407. Countyta�ces OSI09/2014to 12/31/2014 379.08 108. Schod Taxes 05/0912014to O6/30/2014 439.58 408. Schod Taxes 05109/2014ta 06/30/2014 439.58 109. 409. 110. 410. 111. 411. 112. 412. �ZO• Grosa Amount Due trom Borrower 178,877.77 420. Groaa Amount Due to Seller 170,818.66 200. Amounts Paid b or In Behal(of Bortower 500. Reductlona In Amount Due to Seller 201. Deposit or eamest rtroney 17,000.00 501. Excess deposit(see insWctlons) 202. Prinapal artwunt�new loan(s) 136,000.00 502. Set�ement cha�ges to selier(line 1400) 1,700.00 203. Existin lo s t�cen su 'ect to 503. ExisBn loa s taken sub'ect to �4• 504. Pa off of flrst mat e loan 205. Appraisal Fee Refund 25.00 505. Payoff of second rtwrtgage loan 206. �. 207. 507. 208. 5pg. 209. 509. Ad uafinenb for Rema un aid seller Ad usknenb tor items un aid b seller 210. Cityttovm taxes to 510. Gty/town taxes to 211. Countytaxes to 511. County taxes to 212. Schod Taxes to 512. SchaolTaxes to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220• Total Paid ifor Bortower 153,025.00 520. Totai Reduction Amount Due Seller 1,700.00 300. Cash at Seltlement iromlto Borrowsr 600. Cash at Setdement toHrom Setler 3p�, Grass amount due from borrower(Ifne 120) 178,877.77 gp�, Gross arraunt due to seller(line 420) 170,818.66 3p2. Less amounts paid by/for borrower(line 220) 153,025.00 602. Less redudions in amount due seller(line 520) ��700,pp 303. Cash ❑X From ❑ To Borrowe� 25,852fl gp3. Cash QX To ❑ From Seller 169,118.66 wsfam.uMeux n.aM�MMIYVYkollemnValnumbr.NoaOnmaMlNbh■uuraU:Nlsahtlawnhm+nUtlaY.7MSbaallpneata0p'/�M. ° �m���� PM�e�b�RESP�COVMeC Im!ldiql wM MqmMlOn np dM Previous editions are obsolete Page 1 of 4 HUD-1 . �• 700. Total Real Estata eroker Pees Paid From Paid From Divisionofcommissan line700 asfollows: Borrower's Seiler's 7ot. gp,pp to Funds at Funds at 702. yp.pp to Settlement Settlement 703. Commission paid at settlement 800. Items P ble in Connectlon wifh Loan 801. O�u originatlon charge (Indudes Originafion Pant 0.00090 or i0.00) 5850.00 (fran GFE#1) 802. Yau aedit or charge(points)for the sped8c interest rate ch�en S (from GFE#2) 803. Your adjusted originadon charges (from GFE A) 850.00 804. Ap�xasal fee to Burkhdder A 'sal Servic E375.00 P.O.C.B (�GFE#3) 805. Credit report to CBC Innovis S26•00 P•O.C.B (��FE#3) 806. Tax service to Fartners and Merchants Trust Com an (fram GFE#3) 96.00 807. Flood cerUficatlon to CBC Innovis (from GFE p3) 10.00 808. Wire Fee to Fartners and Merc,hants Trust Com (from GFE#3) 20.00 809. LaCC to CBC Innovis (from GFE#3) 16.20 900. kems R uired Lsnder to be Pald in Advsnce 901. Daily interest chaiges fran from 05/09I2014 to 06/0112014 @$20.02741day (from GFE#10) 460.63 902. M insurance ium monihs to from GFE#3 903. Hameownei's insurance for 1 ears to Stridcler Insurance A $1,162.00 P.O.C.B (�GFE#11) gpq, monfhs to from GFE#11 100 . De n er 1001. Inidal deposit for your escxow accaunt (from GFE#9) 3,155.28 1002.HomeaMmers insurance 2 months S 96.84/month 3193.68 1003. Mort insurance manths ; lrtwnth ,00a. caxes ma,ths s �month 1005.County taxes 4 manths $ 48.65/rtanih 5194.60 1006.School T�ces 12 months S 262.941month 53.15528 1007.Aggregate Adjustment S-�•28 1100.Title Cha es t 101.Title services and lender's 6tle insurance S from�FE#4 ���•� 1102.Settlem�t or dosing fee to S 1103.Owner's tltle insurance E from GFE#5 ���•� 1104. Lande�'s title insur�ce 51280.00 1105.Lendei's 6tle policy limit$136,000.00 Lenders Pdicy 1106. Owner's 6tle pdicy limit 5170,000.00 Ovmer's Pdicy t 107.AgenPs pation of the total dtle insurance premium $1,232•50 to Buchanan Settlement Services,LTD Inc. 1108.Undervmters patian of the tot�title insurance premium $217•50 to Conest a Title Insurance Com 1109. End.100,300,8.1,7-5200.00 to ind.Line 1104 Z 1110. Downbad&Print Pkg-$25.00 to ind Line 1101 $ 1111.Deed PreparaUon to 1112.ClosingSvcLU1CSL to Conestoga Title Insur�c:e 575.00 Com an 1200.Govemment Recordin and Transfer Cha es 1201.Govemment recording charges S (from GFE#7) 201.00 1202.p�a53.00 Mat e 586.00 Release E 1203.Transfer taxes 5 (from GFE#8) 1,700.00 1204.City/County tax/stamps Dced$1700.00 Mart e S 1205. State Tax/slamps Deed$1,700.00 Mat ; �'��'� 1206. Deed$ Mat e 3 1207.UPI Certficatlons S�•� 1208.Recotd Affixatiai Affidavit S32•00 1300.Addftlonal SettlemeM Ch as 1301.Required services that you can shop for (�GFE�6) �3pp, to 1303. to 1304. � 1305. to ,�� . . • . .:;; • . � • . . . � • . 8,059.11 1,700.00 `Paid oufside of closing by(B�rrower,(S)eller,(L)ender,(I)nvestor,Bro(K)er."Credit by lender shown on page 1."'Credit by seller shown an page 1. Previous editions are obsolete Page 2 0 4 HUD-1 • � .,• HUD CERTIFICATION OF BUYER AND SELLER I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,it is a true and accurete statement of all receipts and disbursements made on my account or by me in this tronsaction I further certify that 1 have received a eopy of the HUD�1 Settfement Statement u �Matthew R.Baker � � �`��� ` Sarah A.Baker ESTATE OF ALVIN D.KNAUB � ` a��i�� Dennis Knaub,Co-Executor Carol Leober,Co- ecutor / Agent:Debra Swartz Title:Co-Executor The HUD-1 Settlement Statement which 1 have prepared is a true and accurate account of this transaction.I have caused or will cause the funds to be disbursed in accordance with this statement �� � �� l� SETTLEMENTAGENT DA7E WARNING:IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM.PENALTIES UPON CONVICTION CAN INCIUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE TITLE 19:U.S.CODE SECTION 1001 AND SECTION 1010. Previous editions are obsolete Page 4 of 4 HUD-1 LAST WILL AND TESTAMENT OF ALVIN D.KNAUB I, ALVIN D. KNAUB of 1733 Pine Road, Newville, Cumberland County, Pennsylvania,being of sound and disposing mind,memory and understanding,do hereby � make, publish and declare this as and for my Last Will and Testament hereby revoking and making void any and all Wills by me at any time heretofore made. 1. I direct my hereinafter named Executor or Executrices to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. I further direct that all inheritance, transfer, succession, estate and death taxes, including interest and penalties thereon, wluch may be payable on account of my death shall be payable from the residue of my estate regardless of whether the assets upon which such taxes are based are included in my Qrobate estate. 2. I declare that I am an unremarried widower, and that I have six (6) children who are: SANDRA SWARTZ, LINDA COLEMAN, VICKI RUSSEL, DEBORAH SWARTZ, CAROL LOEBER,AND DENNIS KNAUB. I further declare that I have one stepchild,VONNIE YOUNG. For all purposes of this my Last Will and Testament, it is my intent to treat my stepdaughter, Vonnie Young, as if she were a natural child of mine. 3. All of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares, one share for each of my children, including my one stepchild as mentioned above,and one share for my friend,NANCY STONE,as shall survive me by a period of ninety(90)days,the share any deceased child would have received to pass to his or her issue,per stirpes,and if there be no such issue,said share shall lapse and be added to the remaining share or shares,per stirpes. Should my friend Nancy Stone fail to survive me as aforesaid,the share that she would have otherwise received shall lapse and be added to ' the remaining share or shares. 4. Should any person less than 21 years of age be entided to a distribution pursuant to this my Last Will and Testament,the share that person would otherwise have received shall be paid to my hereinafter-named Executor in trust. I authorize my herein named Executor to receive and invest the same to or for the benefit of such child,and to pay the income therefrom at least annually to said child and to distribute the entire principa!held in trust together with any accrued and unpaid interest to the said child upon him or her attaining the age of 21 years. 5. I hereby nominate,constitute and appoint my son,DENNIS KNAUB,my daughter,DEBORAH SWARTZ,and my daughter,CAROL LOEBER,as Co-Executors of this my Last Will and Testament,but should any of them be unable to serve as such, the remaining Executor or Executors shall serve as Co-Executors,and i further direct that none of them shall be required to post any bond to secure the faithful performance of his or her duties in the Commonwealth of Pennsylvania or in any other jurisdicdon. 6. In addition to the powers conferred by law, my hereinbefore named Trustees and Executors and their respective successors,are empowered: a. To invest any part of the trust corpus in such securities, investments�or other property as may be deemed advisable and proper; inespecuve of whether the same are authorized for the investment of trust funds under the laws of any goveming jurisdiction. b. With respect to any corporation, the stocks, bonds, or other securities of which may be held,to vote in person or by proxy on any shares of stock;to consent to the merger,consolidation or reorganization of such corporations;to consent to the leasing, mortgaging or sale of the property of any such corporations;to make any surrender, exchange or substitution of such stocks, bonds or other securities as an incident to the merger, consolidation or reorganization of such corporations; to pay all Page 1 of 3 /J � � i�- conferred upon the holders of such stocks,bonds,or other securities of such corporations either for the conversion of the same into other securities or for the purchase of additional securities, and to make any and all necessary payments which may be required in connection therewith;and generally to have and exercise as to all such stocks,bonds and other securities,the powers of an individual owner who is not under trust obligation. c. To hold the trust corpus in one or more consolidated funds in which separate shares shall have undivided interests. d. To sell at public or private sale for cash or upon credit, or partly for cash and partly on credit, and upon such terms and conditions as shall be deemed proper,any part or parts of the estate,and no purehaser at any such sale shall be bound to inquire into the expediency or propriety of any such sale or to see to the application of the purchase moneys arising therefrom. e. To keep on hand and uninvested such money as may be deemed proper and for such period as may be found expedient. f. To compromise,settle or arbitrate any claim or demand in favor of or against the irust estate. g. And authorized in the discharge of fiduciary duties, to employ counsel and to determine and to pay such counsel reasonable compensation which shal( be charged against the principal or income of the trust fund,and shall further be entided to charge against the principal or income such other reasonable expenses and charges as may be necessary and proper to incur for the proper discharge of fiduciary duties and for the proper management and administradon of the trust estate. h. In making any division of property into shares for the purpose of any distribution thereof directed by the provisions of the trust,to make such division or distribution, either in cash or in kind, or partly in cash and partly in kind, as shall be deemed most expedient,and in making any division or distribudon in kind may allot any specific security or property or any undivided interest therein to any one or more of such shares, and to that end may appraise any or all of the property so to be allotted and the judgment as to the propriety of such allotment and as to the relative value for purposes of distribudon of the securities or property so allotted shall be final and conclusive upon all persons interested in the trust or in the division or distribution thereof. i. And authorized to register any shares of stock or other assets of any trust in their own names or in the name of a nominee. j. To retain and invest in shares of stock of my Trustee. k. To retain any investments including mutual funds which I may own at the time of my death and in addition to invest any part of the Trust corpus in such mutual fund or mutual funds as may be deemed advisable or proper, irrespecdve of whether the same are authorized for the investment of uust funds under the laws of any governing jurisdiction. 1. To determine from time to time whether all or some portio� of realized capital gains shall be treated as ordinary income for distribution to a beneficiary or treated as principai to be retained as part of the corpus,and such designadon need not be consistent from one yeaz to another. IN WITNESS WHEREOF,I have hereunto s t my hand and seal to this my Last Will and Testament written on three(3)pages,this g'�'day of S �nJ ,29�6. Z."d`) i:�:/�u0 q� ($EAL) ALVIN D,KNAUB Page 2 of 3 Signed, sealed, published, and declared by ALVIN D. KNAUB the Testator above named, as and for his Last Will and Testament, in our presence, who, in his presence,at his request,and in the presence of each other,have hereunto subscribed our names as attesting witnesses. > � � Page 3 oj3 a � ��